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  • Writer's pictureSarah Richmond

What to Expect in Your First Therapy Session: A Guide for New Clients


Taking the step to begin therapy is a significant decision, and it’s natural to feel a mix of emotions—anticipation, curiosity, and maybe even a bit of anxiety. Understanding what to expect in your first therapy session can help ease some of those nerves and set you up for a successful start to your therapeutic journey.


Setting the Stage: The Initial Meeting


Your first therapy session is typically called an intake session. This meeting is a time for you and your therapist to get to know each other and establish a foundation for your work together. It’s less about diving into the deep issues right away and more about gathering information, building rapport, and setting expectations.


Here’s what you can expect during this initial session:


1. Introduction and Confidentiality


Your therapist will start by introducing themselves and explaining their approach to therapy. They’ll also go over confidentiality—what it means, how it works, and any legal limits to it. This is your opportunity to ask any questions you might have about the process or the therapist’s qualifications.


2. Paperwork and Logistics


Before diving into the conversation, there might be some paperwork to complete. This could include a consent form, information about your rights as a client, and possibly a brief questionnaire about your mental health history. If you haven’t filled out these forms beforehand, your therapist will guide you through them.


3. Discussing Your Background and Concerns


The bulk of the session will focus on discussing why you’ve decided to seek therapy. Your therapist will ask about your current challenges, mental health history, and any significant life events that may be relevant. They might also inquire about your goals for therapy—what you hope to achieve or change.


It’s normal to feel uncertain about how much to share, especially if it’s your first time in therapy. Remember, you’re in control of what you choose to disclose, and you can go at your own pace.


4. Therapist’s Observations and Initial Impressions


Based on what you’ve shared, your therapist might offer some initial observations or impressions. This isn’t about labeling or diagnosing you right away, but rather about reflecting on what you’ve shared and discussing potential areas of focus for future sessions.


5. Setting Goals and Expectations


Towards the end of the session, your therapist will likely talk about the next steps, which might include setting some initial goals for your therapy. These goals can be broad or specific, depending on where you are in your journey. This is also the time to discuss the logistics of therapy—how often you’ll meet, the length of sessions, and any preferences you have regarding the therapy process.


6. Your Questions and Concerns


Your first session is also an opportunity for you to ask questions. Whether it’s about the therapist’s style, the therapy process, or what to expect moving forward, don’t hesitate to bring up any concerns or curiosities. Therapy is a collaborative process, and your input is vital.


Walking Away from the First Session


After your first session, it’s common to feel a mix of emotions. You might feel relieved, hopeful, or even a bit drained—it’s all part of the process. Take some time to reflect on how the session felt for you. Did you feel comfortable with the therapist? Did their approach resonate with you? These reflections can guide you as you continue your therapy journey.


Remember, the first session is just the beginning. Therapy is a process, and it takes time to build trust and see progress. But by taking that first step, you’ve already started moving toward the positive changes you want to see in your life.


If you have any questions or need further clarification, don’t hesitate to reach out to your therapist. They’re there to support you every step of the way.

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