How is therapy effective when you (typically) only talk for one hour per week?
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It gives you and possibly your partner, if in couples therapy, an unbiased professional outlook/opinion on what you have going on in your life. Sometimes you don’t have anyone to talk to, or you don’t have anyone who has an unbiased opinion or viewpoint. Talking personally and honestly with a therapist is more about opening up a conversation with yourself, as you face things you normally might not.
The therapist just gives you the guidance and tools to help you figure your stuff out, they don’t fix your problems for you. One hour a week is ideal because beyond that and you might just end up rambling, or your therapist could get lost in what you’re trying to convey.
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