Sometimes I feel like I’m not earning my money. I mean I’m not doing very much. The client is working and maybe even resolving something but I’m not doing very much besides just sitting there watching.

What you are being paid for is to provide an environment of unconditional positive regard. That is worth about a million dollars an hour. It is my perspective that an hour in such an environment is a respite from the culture and is therapeutic all by itself.

If your cognitive brain needs something to do in session, you might try perceiving as delightful everything about the person in front of you. Re-boot your brain every few minutes and consider them a basic miracle just for breathing. Think to yourself that whatever they are doing, it is exactly what they need to do. Feel your joyful response to that frame. That should keep you busy.