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Feminist therapy sessions are not only personal but often cultural or political in nature, as the approach is based on the belief that people are affected by, and often struggle with, cultural and societal norms and biases, and need to move beyond those external pressures or stressors to tap their own confidence and engage more fully in their own identity. Sessions may therefore include discussions of sexism, diversity, and gender issues and talk of steps toward greater empowerment for patients who believe they have been silenced and seek to raise their voices.

Along with traditional talk therapy and analysis, a feminist therapist may employ techniques such as role-playing and assertiveness training to help clients build their self-esteem so that they feel they can act freely, and not based on cultural expectations or gender roles dictated by others. A feminist therapist may also engage in bibliotherapy, offering suggested readings on gender identity or social power inequities as they work toward viewing mental-health concerns through a broad cultural lens before focusing on how they affect the individual. Somatic therapy techniques, with an emphasis on body awareness, self-compassion, and mindfulness practices are also often part of feminist therapist practice.

As with most forms of talk therapy, there is no set duration or end point for feminist therapy; people who believe that they are making progress typically continue until they feel they’ve addressed the issues that had been holding them back. It may take some time to become comfortable discussing personal issues, but once a client feels they can do so, they could expect therapy to last for a number of months, typically including at least 12 sessions.

As a relatively recent therapeutic technique, there is not yet a body of evidence proving the efficacy of feminist therapy. However, the approach is based on proven core principles of talk therapy, with a particular emphasis on developing a therapeutic relationship based on equality and authentic connection between therapist and client and discovering and building on clients’ personal strengths to help them gain a greater sense of personal power and agency.