Demand Analysis in Online Therapy

The Cognitive Behavioral Therapy (CBT) is a widely adopted therapeutic approach in clinical psychology and, consequently, in Online Therapy, characterized by a precise focus on Demand Analysis. This process lies at the heart of the first meeting between therapist and patient, providing the foundation for building a personalized and effective therapeutic path.

Demand Analysis in Online Therapy

Demand Analysis is an assessment process aimed at exploring the patient’s expectations, needs, and goals. During this phase, the therapist strives to understand the underlying motivations for the patient’s help-seeking behavior, as well as identifying the difficulties and issues that have brought them to therapy.

This process goes beyond merely identifying symptoms, as it seeks to explore the patient’s emotions, expectations, and concerns. Such in-depth understanding allows the therapist to develop a tailored therapeutic plan aimed at meeting the patient’s specific needs.

Importance of Demand Analysis in Therapy

Demand Analysis is a fundamental pillar for the success of CBT therapy in general, both in-person and online. It not only facilitates the establishment of a trustful relationship between therapist and patient but also provides the therapist with a detailed overview of the patient’s life context and resources, enabling effective intervention.

An additional reason why Demand Analysis is crucial lies in its ability to actively engage the patient in the therapeutic process. During this phase, the patient has the opportunity to express their concerns, desired goals, and expectations regarding therapy, thus becoming an active participant in their own healing journey.

When we talk about Demand Analysis in therapy, we’re not just referring to a series of routine questions. It’s much more than that. It’s a journey into the patient’s inner world, an opportunity to dig beneath the surface and truly understand what drives them to seek help from a therapist.

Imagine sitting in front of your therapist with all your hopes, fears, and desires laid out before you like a puzzle. Demand Analysis is that moment when the therapist carefully examines each piece, trying to understand how they can fit together to create a complete picture of your situation.

It’s not just about identifying obvious symptoms, although those are important too. It’s about going deeper, digging further to uncover the roots of your distress, the hidden emotions behind the mask you show to the outside world.

And when the therapist has gathered all those pieces, it’s time to put them together. It’s not a simple process. It requires sensitivity, empathy, and a keen eye for detail. But when all the pieces fall into place, the result is a customized therapeutic plan designed specifically for you and your unique needs.

Demand Analysis is the foundation upon which the entire therapeutic process is built. Without it, it would be like building a house without a solid foundation. It’s what allows the therapist to truly understand who you are and what you need, creating a therapeutic environment where you can truly thrive.

But the importance of Demand Analysis doesn’t stop there. It goes beyond merely establishing a connection between therapist and patient. It’s also an opportunity for you, as the patient, to take an active part in your healing journey.

During this phase, you have the chance to express your deepest concerns, your most ambitious goals, and your highest expectations. You become an integral part of the process, a protagonist in your own story of healing.

In conclusion, Demand Analysis is much more than just a starting point. It is a journey in itself, an opportunity to explore who you truly are and what you want from life. And through this journey, both you and your therapist can together build a brighter and more fulfilling future.

Conducting Demand Analysis

When we talk about Demand Analysis in Online Therapy, we’re not just referring to a single moment of inquiry. It is a structured process that unfolds in several stages, each crucial for fully understanding the patient and their needs.

The stages of Demand Analysis are:

Stage 1: Introduction

During this stage, the therapist introduces the therapeutic process to the patient, explaining how it works and the roles both parties will play within the therapy. This helps to create a safe and comfortable environment for the patient.

Here, the therapist acts as a sort of tour guide, presenting to the patient the journey they are about to embark on together. They explain how the therapy works, what their role is, and what part the patient will play in this process. It’s like laying the foundation to build a structure: without a good foundation, the rest cannot stand.

Stage 2: Information Gathering

In this stage, the therapist becomes an investigator, gathering details about the patient, from their deepest concerns to their boldest dreams. This involves an in-depth conversation about specific issues, the patient’s personal history, and past experiences. It’s like piecing together a puzzle: every piece of information brings us closer to a complete understanding of the picture.

Stage 3: Evaluation

The therapist evaluates the information gathered to identify the main problems and areas of priority intervention. This may involve identifying problematic thoughts, behaviors, or emotions that will be addressed during therapy. In some cases, the therapist may use standardized assessment tools to gather more detailed information about the patient’s difficulties.

The Evaluation stage is like assembling the puzzle. The therapist reviews all the information gathered and tries to identify the main problems and areas where intervention is most needed. This may mean identifying harmful thought patterns, damaging behaviors, or difficult emotions to deal with. In some cases, the therapist may also use standardized assessment tools to obtain more detailed information.

Stage 4: Discussion of Results

Finally, the therapist discusses the results of the Demand Analysis with the patient, actively involving them in the decision-making process regarding therapeutic goals and the treatment plan.

It is in this stage that therapist and patient sit together and lay everything out on the table. The results of the Demand Analysis are discussed, and therapeutic goals and the treatment plan are decided upon together. It’s like mapping out the journey they are about to undertake together, planning each step along the way.

Demand Analysis is a structured process that involves multiple stages. Through this process, the therapist and patient can fully understand the situation and plan a therapeutic path that is truly effective and meaningful.

Demand Analysis as an Online Therapeutic Intervention

Demand Analysis as an Online Therapeutic Intervention represents a constantly evolving area of research in psychology and mental health. The detailed analysis of the patient’s expectations, needs, and goals not only provides a complete picture of their needs but can also serve as an effective therapeutic tool in itself.

One of the most intriguing aspects of this practice is its intrinsic therapeutic potential. Numerous studies have shown that the analysis process, if conducted collaboratively and followed by personalized feedback, can have a significant impact on the patient’s psychological well-being. The active participation of the patient in the analysis process, in fact, fosters self-awareness and self-reflection, essential elements for therapeutic change.

In conclusion, Demand Analysis plays a vital role in Online Therapy, offering both the patient and the therapist a precious tool for understanding, awareness, and personal growth. Although it represents only the first step in a broader therapeutic journey, its importance cannot be underestimated. A solid Demand Analysis lays the foundation for effective and transformative therapeutic work, enabling patients to actively participate in their healing journey and to achieve the goals they set during therapy.

This approach can lead to significant improvements in treatment outcomes within mental health services, providing a customized and effective therapeutic pathway for the patient. The expansion and deepening of Demand Analysis can further enrich this process, allowing therapists to offer even more targeted interventions aligned with the specific needs of their patients.


Links for research on the topic:


Avery, S.K., Akers, J.S. The Use of Demand Assessments: A Brief Review and Practical Guide. Behav Analysis Practice 14, 410–421 (2021). https://doi.org/10.1007/s40617-020-00542-8


Hovmand, O.R., Storebø, O.J., Reinholt, N. et al. What is the effect of using collaborative assessment on symptomatology as an intervention in the treatment of mental illness? A systematic review and meta-analysis protocol. Syst Rev 11, 244 (2022). https://doi.org/10.1186/s13643-022-02124-x


Photo by M. Cameron

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