Beginning therapy can feel like stepping into the unknown—both exciting and a little intimidating. It’s a space where vulnerability meets self-discovery, where past experiences are explored, and where new perspectives take shape.
The first session isn’t about having all the answers; it’s about starting the conversation. Therapy is not a quick fix but a process but rather, a commitment to understanding oneself on a deeper level. Over time, it can become a place of clarity, healing, and empowerment.
Taking that first step of beginning therapy is an act of courage—a recognition that your mental and emotional well-being matter. And that’s something worth investing in.
What to Expect in your First Appointment
The first therapy session is usually focused on getting to know you and establishing a foundation for future sessions. Here’s what you can typically expect for you or your child’s first counseling appointment include…
1. Introductions & Building Rapport
- The therapist will introduce themselves, explain their approach, and set expectations for therapy (ie fees, cancellation policy, and best way to contact therapist, etc.). Depending on the age of your child, if they are the patient, this may involve them or may be a discussion just for the legal guardians in order that the therapist can gain the most information on the issue(s) at hand.
- You’ll discuss confidentiality, such as HIPPA, and any necessary paperwork (if not completed beforehand).
2. Discussing Your Concerns & Goals
- The therapist will ask reflective questions about what brought you/your child to therapy based on your previously completed paperwork.
- You may be asked to discuss the current challenges, emotions, past experiences, and what you/your child hope(s) to achieve.
3. Personal & Medical History
- The therapist may ask about your/your child’s background, relationships, mental health history, and any medical conditions. This information is helpful towards understanding you holistically and tailoring their approach in counseling services.
- While therapy can help with mental health challenges, it is not a substitute for medical treatment in emergencies, such as suicidal crises or severe psychiatric conditions requiring hospitalization.
4. Therapist’s Observations & Initial Feedback
- The therapist may share initial impressions, provide referrals, and/or outline possible therapeutic approaches and goals that they believe will support your unique counseling goals following your first counseling/intake appointment.
- They might suggest a tentative plan, but therapy is collaborative, so your input matters. Therapy is personalized. What works for one person might not work for another.
5. Next Steps & Homework (if applicable)
- Some therapists give small tasks, like journaling or practicing mindfulness, between sessions.
- You’ll discuss the frequency of sessions – such as weekly/bi-weekly/monthly – and schedule your next appointment and clarify a best way to stay in touch for any future scheduling needs (etc.).
Starting therapy is a powerful act of self-care and growth. It’s a space to explore your thoughts, navigate challenges, and build a deeper understanding of yourself. While the first step may feel uncertain, it opens the door to healing, clarity, and new possibilities. Progress takes time, but every session is a step forward. You don’t have to do it alone—help is here when you’re ready.
– Lauren Gibson, LMFT
