Early sessions focus on understanding your concern and goal. Through conversation and sometimes assessment tools, the counsellor helps build a clearer picture and a plan for working together.
Methods depend on the counsellor's training: cognitive behavioural, solution focused, systemic for couples and families, or humanistic approaches. Counsellors do not prescribe medication and will refer you to a psychiatrist or clinical psychologist if needed.
A brief comparison: a psychiatrist is a physician; a clinical psychologist works more on diagnosing and treating mental health conditions; a counsellor more on life issues, relationships and adjustment. Titles and licensing for counselling follow different rules in each country.