The practice

Therapeutic Writing

What it is, where it comes from, and what happens when you sit down to do it.

By Harshit Bhatia 9 min read

Therapeutic writing is the use of writing to process feeling, make meaning from experience and change the stories we live inside. It can be expressive, poetic, narrative or reflective. What makes it therapeutic is the intention: you are writing to understand something, not to produce something.

The words on the page are not the point. The person writing them is.

Therapeutic writing, writing therapy, expressive writing

The three names overlap. They come from slightly different places.

Therapeutic writing is the term most used in the UK, in the tradition of Lapidus, Gillie Bolton and university courses in creative writing for therapeutic purposes. It is broad. It includes poetry, fiction, memoir and reflective writing, alone or in groups.

Writing therapy is the more common term in India and the US. It usually means facilitated writing with a therapeutic aim. You can read more in What is writing therapy?.

Expressive writing is the narrowest. It is the research method developed by James Pennebaker in the 1980s: 15 to 20 minutes, four days, your deepest thoughts and feelings about one experience. The Pennebaker protocol guide covers it step by step.

Where the practice comes from

People have always written their way through things: letters never sent, diaries kept under mattresses, poems written the night after a funeral. What changed in the last forty years is that the practice gained a research base and a training path.

The research base began with Pennebaker's 1986 study at Southern Methodist University. Students who wrote about upsetting experiences, both the facts and their feelings, visited the health centre less often in the months that followed. Hundreds of studies have followed it. A 2006 meta-analysis of 146 of them found small but reliable benefits.

The training path grew mostly in the UK:

  • Lapidus International brings together writers, facilitators, clinicians and researchers working with words and wellbeing.
  • Gillie Bolton's books on therapeutic and reflective writing shaped how the practice is taught in health and education settings.
  • The Metanoia Institute in London offers an MSc in Creative Writing for Therapeutic Purposes, validated by Middlesex University.

That MSc is where I trained.

What happens in a session

A session starts small. Often with sound, or a single object, or a line from a poem. Then a prompt. Then ten or fifteen minutes of writing without stopping.

Then we read back. Sometimes aloud, sometimes silently, sometimes not at all. What we look for is not quality. We look for the sentence that surprised you, the word you did not expect to use, the place where the writing sped up or went quiet.

A second prompt usually follows the first, closer to whatever surfaced. By the end of an hour, most people have written something they did not know they were carrying.

Nobody grades it. Nobody publishes it. It is yours.

Is therapeutic writing therapy?

It is therapeutic. It is not psychotherapy.

A therapeutic writing facilitator is trained to design prompts, notice patterns in writing, and work safely with what comes up. They are not diagnosing or treating a mental health condition. For many people, writing works best alongside therapy, not instead of it.

If you are in crisis, or living with a condition that needs clinical care, please start with a licensed clinician. Writing can come after, or alongside.

Training and background

I'm Harshit Bhatia, a writing therapist and narrative practitioner based in Chandigarh, working online.

  • MSc in Creative Writing for Therapeutic Purposes, Metanoia Institute, London (Middlesex University).
  • Introduction to Counselling summer programme, University of Oxford.
  • "Writing to the Sound Within", presented at Lapidus International.

My practice draws on Pennebaker's expressive writing research, the narrative therapy of Michael White and David Epston, Jungian thought, and the Eastern traditions I grew up inside: Vedanta, Taoism and Sikhi. More on the About page.

Working together online

Sessions run online. The booking pages show times and prices in your own time zone and currency, wherever you are.

Frequently asked questions

What is therapeutic writing?

Therapeutic writing is the use of writing to process feeling, make meaning from experience and change the stories we live inside. It includes expressive, poetic, narrative and reflective writing. What makes it therapeutic is the intention to understand rather than to produce.

What is the difference between therapeutic writing and creative writing?

Creative writing is usually aimed at a finished piece for a reader. Therapeutic writing is aimed at the writer. The page may never be read by anyone else, and its quality does not matter.

What does a therapeutic writing facilitator do?

A facilitator designs prompts, keeps time and structure, and helps you notice what surfaced in your writing. They do not diagnose or treat mental health conditions. Many facilitators in the UK trained through courses in creative writing for therapeutic purposes.

Can I do therapeutic writing online from the UK?

Yes. Sessions run online. The booking pages show times in your local time zone and prices in pounds for UK visitors.

Write the thing you have not said yet

If something has been sitting in you for a while, we can find the words for it together.

Book a 1:1 with Harshit

Frequently Asked Questions

What is therapeutic writing?

Therapeutic writing is the use of writing to process feeling, make meaning from experience and change the stories we live inside. It includes expressive, poetic, narrative and reflective writing. What makes it therapeutic is the intention to understand rather than to produce.

What is the difference between therapeutic writing and creative writing?

Creative writing is usually aimed at a finished piece for a reader. Therapeutic writing is aimed at the writer. The page may never be read by anyone else, and its quality does not matter.

What does a therapeutic writing facilitator do?

A facilitator designs prompts, keeps time and structure, and helps you notice what surfaced in your writing. They do not diagnose or treat mental health conditions. Many facilitators in the UK trained through courses in creative writing for therapeutic purposes.

Can I do therapeutic writing online from the UK?

Yes. Sessions run online. The booking pages show times in your local time zone and prices in pounds for UK visitors.