No, therapists do not always start sessions with silence. The way a therapy session begins can vary based on the therapist's style, the therapeutic approach they use, and the preferences of the patient. Different therapists may have different ways of starting a session, and it can also change depending on the stage of therapy or the specific goals of the session.
Some therapists may choose to begin with a moment of silence to allow the patient to gather their thoughts and emotions before diving into the session's topics. This brief silence can be an opportunity for the patient to center themselves and focus on what they want to discuss.
On the other hand, some therapists might prefer to start with a more conversational approach. They might ask how the patient is feeling, inquire about any specific concerns or topics they want to address, or discuss any updates from the previous session. This approach can help the therapist and patient to quickly get into the heart of the session.
Ultimately, the way a therapy session begins can be tailored to suit the individual needs and preferences of the therapist and the patient. It's essential for the therapist to create a safe and supportive environment that fosters open communication and allows the patient to feel comfortable discussing their thoughts and feelings. If you have specific preferences for how you'd like the therapy session to begin, it's okay to communicate those preferences with your therapist. They will likely be open to accommodating your needs as much as possible.