I've done a fair bit of art therapy, both in group settings and on an individual basis.
In the groups, we were given themes we could follow if we wanted or we could draw whatever we wanted. Then there was time for each of us to discuss what we had drawn if we wanted.
In my individual session I drew whatever I wanted and then I discussed it with the therapist.
I still have all of my artwork and it's really interesting to look over and see where I was. I found it really helpful, it was a healthy way of letting my emotions out without being destructive. I remember when I wanted to self harm I just "attacked" the paper with red paint and it made me feel a whole lot better.
Remember it's not about how well you do or dont draw, it's just about letting your emotions out a different way.
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