<p>Psychotherapy has increasingly become defined as sets of interventions led by therapists that are organized into theoretical orientation brands. This conceptualization has become dominant in both training (e.g., theoretical orientation survey courses) and research (e.g., the manualization of therapy approaches, lists of evidence-based brands). When examined from the clients’ perspective, however, the focus on therapists’ theories and therapists’ interventions fundamentally misunderstands the experience of therapy. This paper presents five key findings drawn from a conceptual review of intersecting lines of psychotherapy research on clients’ experiences that correct these misunderstandings and impart an attuned understanding of psychotherapy. They reformulate our conceptualization of what therapy entails so that the client standpoint is better integrated in our training, practice, and research. These transtheoretical findings include: (1) Clients interpret therapists’ interventions and can co-shape therapy tasks; (2) Transformative positive and negative client experiences are often silent but their recognition and differential treatment supports clients' agency; (3) Clients change patterns holistically and not in the manner that therapists are often trained; (4) Power breaches suppressing clients agency stemmed from both cultural and professional expectations, requiring an integrated understanding; and (5) The recognition of client agency guides responsive goal-setting. From these findings, I describe strategies that agency-enhancing therapists use—from across therapy orientations—to support clients’ self-healing and their confidence in their agentic capacities. The synthesis of these findings offers a reformulation of therapy that goes beyond theoretical orientation to transform both clinical practice and psychotherapy science, enhancing therapists’ responsiveness to their clients' experiences and needs. </p>