Taking the step to book your first therapy session can feel both exciting and nerve-wracking. You might be wondering what to expect, what you should talk about, or whether you'll feel comfortable. These feelings are completely normal—starting therapy is a significant step in prioritizing your mental health.
What Happens During Your First Session
Your first session will focus on getting to know you and understanding what brings you to therapy. We'll discuss your current concerns, goals, relevant history, and what you hope to achieve. I'll explain my approach, discuss confidentiality, and answer any questions you have.
Assessment and Information Gathering
- Current challenges or concerns
- How long these issues have been present
- What prompted you to seek help now
- Your goals for therapy
- Relevant personal and family history
- Current support systems and relationships
Common Questions and Concerns
"What if I don't know what to say?"
Your therapist is trained to guide the conversation. They'll ask questions to help you open up. It's perfectly normal to feel nervous or unsure at first.
"Do I have to share everything right away?"
Absolutely not. Share only what feels comfortable. Therapy is a gradual process, and trust builds over time. You control the pace of disclosure.
"What if I cry?"
Crying is completely normal and expected in therapy. Your therapist will provide support without judgment.
How to Prepare
- Think about what brings you to therapy
- Consider your goals for therapy
- Write down questions you want to ask
- Arrive a few minutes early to get settled
Remember:
The first session is about getting acquainted and gathering information. Don't expect to solve everything in one hour. Think of it as the beginning of a journey.
Making the Most of Therapy
- Be honest and open: The more honest you are, the more your therapist can help
- Stay curious: Approach therapy with curiosity about yourself and your patterns
- Practice between sessions: Apply what you learn to your daily life
- Be patient: Change takes time, and progress isn't always linear
Starting therapy is a courageous step toward better mental health. Your first session is just the beginning of a process that can lead to profound positive changes in your life.