“What are counseling sessions like?”
They are very normal and relaxed interactions. You don't have to lay down on couches anymore. If you were to witness a session, it would simply look and sound like people having a discussion with each other.
The truth is, however, that an experience is happening for the client that is much more than that—it's genuine treatment.
Your everyday experience works like this: You have an inner-world (your thoughts, feelings, sensations, and beliefs) and you have an outer-world (your behavior). If you choose to express your inner-world to the outer-world, you're allowing other people to interpret your thoughts and feelings through your behavior. You get to choose how that goes by monitoring the process in real time.
When we monitor our own behavior, we do so from the inside, trying to adjust and stay on track with what we want to express on the outside. This is how and why we form narratives and attitudes over time. We're constructing parameters to efficiently interact with the world.
In therapy, that human interaction process is intentionally collaborative and carefully structured to allow for clear self-monitoring and natural adjustments to your inner-world. You do the changes yourself because you become more aware of the whole process.