Society for the Advancement of Psychotherapy

Becoming the Therapist I Once Needed: Reflections on Early Career Development, Humility, and Hope in Couples Therapy

Sheri Sterup, LMFTA

Sheri Sterup, LMFTA

July 15, 2026

Becoming the Therapist I Once Needed: Reflections on Early Career Development, Humility, and Hope in Couples Therapy

I became a therapist because I know what it feels like to search for clarity, confidence, and direction. That is not a slogan for me. It is part of the lived history I bring into the work, and it shapes the kind of early career therapist I am becoming. I do not come to couples therapy from the position of someone who has arrived. I come to it as someone who is still learning, still receiving clinical supervision, still reflecting on my growth edges, and still deeply committed to becoming useful to the people who trust me with some of the most vulnerable parts of their lives.

That honesty matters, especially in couples therapy. Couples rarely come to therapy because everything is simple. They often arrive carrying old injuries, repeated arguments, loneliness, mistrust, disappointment, or the painful feeling that the person they love no longer sees them clearly. In those moments, the therapeutic relationship becomes more than a professional alliance. It becomes a carefully held space where partners can slow down, listen differently, and begin to imagine that the relationship has more possibilities than the conflict pattern has allowed them to see.

As an early career therapist, I have found that humility is not a weakness in this work. It is a clinical stance. Humility reminds me to listen before interpreting, to ask rather than assume, and to stay curious about how each partner makes meaning of the relationship. It also reminds me that couples therapy is not about performing expertise. It is about helping people feel safe enough to tell the truth, brave enough to risk new behavior, and supported enough to try again after moments of rupture.

Training and how it impacted my growth

My training emphasized deliberate practice, clinical supervision, video review, and outcome data in ways that many trainees do not routinely experience. Through the Sentio University MFT online/hybrid practicum, students are connected with a training environment that emphasizes deliberate practice and clinical supervision in applied clinical work. That kind of training changed how I think about competence. Skill development did not feel like a vague hope that would emerge with time. It became something more observable, more intentional, and more connected to client experience.

Deliberate Practice

Deliberate practice helped me understand that becoming a therapist involves more than reading theory or having good intentions. It involves identifying specific clinical skills, practicing them outside the therapy hour, receiving clinical supervision, watching oneself on video, tracking client response, and returning to practice with more precision. In couples therapy, this might mean practicing how to interrupt escalation without shaming either partner, how to reflect emotional vulnerability underneath criticism, or how to help a withdrawing partner remain present without feeling cornered (Miller et al., 2020; Rousmaniere, 2017).

Video Review

The experience of watching one’s own clinical work on video can be humbling. It can also be deeply valuable. A therapist may believe they are being warm, clear, or emotionally attuned, but video can reveal missed moments, rushed questions, subtle overtalking, or opportunities to deepen the therapeutic relationship. Clinical supervision that includes video review can help an early career therapist move from general impressions to specific learning. Instead of asking, “How did the session go?”, the supervisor may ask, “What happened in this exact moment, and what else might have been possible?” (Rousmaniere, 2017).

Outcome Data

Outcome data added another layer of accountability. It taught me that client progress cannot be assumed simply because a session felt meaningful. Outcome informed practice invites the therapist to ask whether therapy is helping, whether the client feels understood, and whether the direction of treatment still fits the client’s goals. For an early career therapist, this can be both reassuring and challenging. It creates a habit of checking one’s impact rather than relying only on one’s intentions (Miller et al., 2020).

Therapeutic Approach

The models I am drawn to also shape how I understand couples therapy. Narrative therapy invites me to listen for the stories couples carry about themselves and each other. A couple may come in believing, “we always fail at communication,” “my partner does not care,” or, “this relationship is broken.” These stories may contain real pain, but they may not contain the whole truth. Narrative therapy helps create space for alternative stories, including stories of effort, care, resilience, and moments when the couple has resisted the problem together (White & Epston, 1990).

Solution focused therapy helps me remember that even distressed couples often have exceptions to the problem. There may be small moments when a conversation goes better, when one partner softens, when repair happens more quickly, or when the couple remembers that they are on the same team. In couples therapy, these moments matter. They can become clues. They help the therapist ask, “What was different then?”, “How did you make that happen?”, or, “What would it look like to do even one percent more of that this week?” For an early career therapist, these questions can keep the work hopeful without minimizing pain (de Shazer et al., 2007).

Emotionally focused therapy (EFT) has also influenced my understanding of relationship distress. EFT helps me listen beneath anger, defensiveness, and withdrawal for attachment needs. A sharp comment may carry fear. Silence may carry overwhelm. Pursuit may carry longing. Withdrawal may carry a wish not to make things worse. When couples begin to see the pattern rather than only each other’s faults, the therapeutic relationship can support a different kind of conversation. Partners may begin to say, “here is what happens to me in this cycle,” rather than, “here is what is wrong with you” (Johnson, 2019).

Across these approaches, I am drawn to a simple clinical question: how can therapy help partners see themselves and each other with more truth and compassion? That question does not require the therapist to be the hero of the room. In fact, couples therapy works best when the couple discovers their own agency. The therapist can help structure the conversation, slow the pattern, reflect emotional meaning, and invite new choices, but the relationship change belongs to the couple.

An Early Career Perspective on Couples Therapy

This is where my identity as an early career therapist feels important to name directly. I am not writing as someone who has mastered couples therapy. I am writing as someone learning to practice it with care, discipline, and respect. I am learning that the therapeutic relationship is built in small moments: remembering a detail, naming a strength, repairing a misattunement, asking permission before moving deeper, and making room for both partners’ realities without collapsing into neutrality that ignores harm (Norcross & Lambert, 2019; Wampold & Imel, 2015).

For supervisors and educators, early career development in couples therapy raises important questions. How do we help trainees build confidence without encouraging certainty too soon? How do we teach models while also teaching responsiveness? How do we make clinical supervision concrete enough that therapists can see what to practice next? Deliberate practice offers one answer. Video review offers another. Outcome data offers another. Together, they can help early career therapists move beyond abstract feedback and toward observable growth (Miller et al., 2020; Rousmaniere, 2017).

For clients, especially couples who may be searching for help, I hope this perspective is also reassuring. A therapist does not need to pretend to be all knowing to be useful. Clients deserve honesty, preparation, thoughtfulness, and care. They deserve a therapist who takes clinical supervision seriously, who practices skills intentionally, who pays attention to the therapeutic relationship, and who is willing to keep learning in service of the people in front of her.

Becoming the therapist I once needed is not a destination. It is a continuing practice. It asks me to bring compassion without sentimentality, structure without rigidity, and hope without overpromising. It asks me to remember that couples therapy is not only about reducing conflict. It is also about helping people rediscover dignity, choice, tenderness, and the possibility of a different story.

In that sense, my early career stage does not diminish my value. It is something I need to hold responsibly, with honesty about what I know and humility about what I don’t. I am new enough to remember how much I still have to learn, and trained enough to know that learning should be disciplined, supervised, and connected to client outcomes. I am drawn to couples therapy because relationships are where many people experience their deepest pain and their deepest hope. To sit with couples in that space is a privilege. To keep practicing, reflecting, and growing in that work is an ethical responsibility.

About the Author

Sheri Sterup, LMFTA

Sheri Sterup, LMFTA

Sheri Sterup, LMFTA, is a marriage and family therapist associate based in Washington state. She works with individuals and couples and is especially interested in couples therapy, narrative therapy, solution focused therapy, emotionally focused therapy, deliberate practice, clinical supervision, and the therapeutic relationship. Her professional home page is Sheri Sterup Therapy at https://www.sheristerup.com She completed graduate training through the Sentio University MFT Program Overview at https://sentio.org/sentio-mft-program-overview and continues to develop as an early career therapist with a commitment to humility, disciplined practice, and compassionate clinical care.

Citation

Sterup, S. (2026, July). Becoming the therapist I once needed: Reflections on early career development, humility, and hope in couples therapy. Psychotherapy Bulletin, 61(4).

References

de Shazer, S., Dolan, Y., Korman, H., Trepper, T., McCollum, E., & Berg, I. K. (2007). More than miracles: The state of the art of solution focused brief therapy. Haworth Press.

Johnson, S. M. (2019). Attachment theory in practice: Emotionally focused therapy with individuals, couples, and families. Guilford Press.

Miller, S. D., Hubble, M. A., & Chow, D. L. (2020). Better results: Using deliberate practice to improve therapeutic effectiveness. American Psychological Association.

Norcross, J. C., & Lambert, M. J. (Eds.). (2019). Psychotherapy relationships that work: Volume 1: Evidence based therapist contributions (3rd ed.). Oxford University Press.

Rousmaniere, T. (2017). Deliberate practice for psychotherapists: A guide to improving clinical effectiveness. Routledge.

White, M., & Epston, D. (1990). Narrative means to therapeutic ends. Norton.

Wampold, B. E., & Imel, Z. E. (2015). The great psychotherapy debate: The evidence for what makes psychotherapy work (2nd ed.). Routledge.