In the past, "therapy" typically meant going to an office, lying on a couch, and talking. It was assumed that just being able to talk through things would help. The therapist might give some interpretation or assessment, or might ask how things made the client feel.
 
Today, there are many options and approaches to doing counseling. My approach is to help people identify the "problem"-- what needs to change for them to feel happier, to reach their goals, to overcome difficulties and bad experiences in their past. We then work together to envision and take steps toward solutions--the things they would prefer to experience and do--by uncovering and building on their strengths and resources.