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What to Expect at Your First Therapy Session

·3 min read
getting startedtherapy basics

Taking the step to schedule your first therapy session is a big deal — and it's completely normal to feel nervous about it. Not knowing what to expect can make the process feel even more daunting. Here's a look at what a typical first session involves, so you can walk in feeling a little more prepared.

Before Your Appointment

Most therapists will ask you to complete some intake paperwork before your first visit. This might include basic contact information, a brief health history, and some questions about what brings you to therapy. Filling this out ahead of time helps your therapist make the most of your session together.

The First Session

Your first appointment is often called an intake session. Think of it as a getting-to-know-you conversation. Your therapist will likely ask about:

  • What prompted you to seek therapy
  • Your current life situation
  • Relevant personal and family history
  • What you hope to get out of therapy

You don't have to have all the answers. It's perfectly fine to say "I'm not sure" or "I don't know where to start." Your therapist is trained to help guide the conversation.

What Your Therapist Won't Do

A first session is not about diving into the deepest, most painful topics right away. Your therapist will focus on building a foundation of trust and understanding. They won't judge you, push you to share more than you're comfortable with, or try to "fix" everything in one hour.

Setting Goals

Toward the end of the session, you and your therapist may talk about what you'd like to work on together. These goals can evolve over time — nothing is set in stone. The important thing is that you feel heard and that you're both on the same page about the direction of your work together.

After the Session

It's normal to feel a range of emotions after your first appointment. Some people feel relieved, while others feel drained or even a little stirred up. All of these responses are normal. Give yourself some grace and space to process.

If the fit doesn't feel right, that's okay too. Finding the right therapist is a lot like finding the right doctor — sometimes it takes a try or two. The most important thing is that you feel comfortable and supported.


If you're considering starting therapy and would like to learn more about how I can help, feel free to reach out. I'm happy to answer any questions you might have.