What sort of changes can I expect from therapy?
This depends on why you've come to therapy to begin with and on your therapeutic relationship. Successful therapy for panic attacks or driving phobias can be life altering. You may not have left the house or driven for years, thereby severely limiting your social and financial opportunities, not to mention the effect your condition has had on your mood, self esteem and relationships.
Recent developments in neurobiology suggest that psychotherapy can actually change brain structure. Repeated positive experiences with the therapist can be expanded into other relationships. Psychotherapy can help you develop empathy for yourself and others and can teach you to soothe yourself and allow yourself to be soothed by others. It can help you learn to respond flexibly to difficult situations and to consider options before you react.
Therapy can make you feel uncomfortable or cause you anxiety as you begin to look at yourself and your life differently. There is no guarantee that psychotherapy will yield the results you hope for. You are encouraged to discuss any and all concerns about the process of psychotherapy and change with your therapist.