I’ve done a lot of art therapy. Usually there’s a bit of talking first. I’ve done both group art therapy and with groups there’s usually a check in process. Then the therapist explains the art. For instance once it was to create a CD of your life. ( obviously back when CDs were a thing) and there was multiple supplies to choose from. And I wrote multiple sad sack titles because at that time I was depressed. Once asked to create a book I created a scroll. Usually the object is to get in touch with your feelings and represent them in a physical form. Being good at art isn’t the point. I’ve done vision boards too as well as masks and using a cast of my hand.