What ACTUALLY happens in your first session with me?

Seeking support through therapy can often feel daunting, particularly if it’s your first session. The idea of opening up to someone new might bring up a mix of emotions, from anxiety to hope. Many people entering therapy for the first time have concerns such as, “What if I am judged?” or worry that their problems might seem trivial to others. It’s important to address these concerns right away, as the therapeutic environment is designed to be a safe and supportive space. Let’s take a moment to dispel any fears and clarify what typically happens in your initial therapy meeting.

The Unique Nature of the Therapeutic Relationship

Therapy offers a unique relationship that you likely haven’t experienced in any other context of your life. From the outset, judgment is left at the door. As your therapist, my primary role is to understand and support you, not to pass judgment or criticize. Everything you share is met with empathy and confidentiality, creating a secure environment where you are free to express yourself without fear.

This distinctive setting allows for deep self-exploration and healing, making it possible to address issues that might feel too complex or intimidating to tackle alone. The therapeutic space is one where vulnerability is not only allowed but encouraged, as it is through openness that true growth can occur.

Laying the Groundwork for Our Work Together

The first session is crucial in establishing the foundation of our therapeutic relationship. This time is dedicated to us getting to know each other. You’ll learn about how I handle sessions, and I’ll get a sense of what you need from therapy. We move entirely at your pace, discussing whatever issues you feel are important to raise, and you set the agenda for what topics we explore.

Exploratory Questions

To better understand your needs and goals, we might explore questions such as:

  • What prompted you to seek therapy at this time?
  • What are your hopes for what therapy will help you achieve?
  • Are there specific events or feelings that have led you to seek help?

These questions are not just about gathering information but are also meant to encourage reflection on your expectations and what you wish to achieve through our sessions.

Therapeutic Approach and Mutual Understanding

I will explain my therapeutic approach in detail, giving you a clear understanding of my methodologies and the theoretical frameworks I might employ, whether it’s cognitive-behavioral therapy, psychodynamic approaches, or another method. It’s important that you feel comfortable with the way we will work together.

Confidentiality is a cornerstone of therapy, and I will outline the few exceptions to this rule, such as immediate risks of harm to yourself or others. This ensures a trustful environment where you can feel safe to share deeply personal and sometimes painful information.

Guidance and Support Throughout the Process

As we proceed, I’ll offer guidance and prompts to help you express yourself, especially when it comes to articulating thoughts or feelings that you might have previously kept hidden. It’s common to have moments of silence in therapy; these are often periods of reflection and introspection, not awkward pauses. These moments can be profoundly fruitful, as they allow you to process the insights gained during our sessions.

Time Management and Session Structure

Time often seems to pass quickly in therapy sessions. As we approach the end of our time together, I’ll give you a heads-up when we have about 5-10 minutes left. This ensures that we can conclude thoughtfully, summarizing our discussion and perhaps setting goals or topics for the next session.

Formalizing Our Agreement

Before our session ends, we’ll go over and sign a client-counselor agreement. This document outlines the practical aspects of our therapy sessions, including how often we will meet, the cancellation policy, payment procedures, and my policies on note-keeping and privacy. The agreement is always open to discussion and adjustment to ensure it fits your needs and expectations.

Introductory Offers

If you’re still uncertain about committing to therapy, I offer a short introductory session. This can be conducted over the phone or online and provides an opportunity for us to discuss what you are looking for in therapy and whether I might be the right therapist for you. We can talk about various modalities and formats for the sessions, whether you prefer face-to-face, online, or more dynamic forms such as walk-and-talk therapy.

Taking the First Step

The first step towards therapy can often be the most challenging, but it is also a step towards potential transformation and healing. If you feel ready to start, let’s schedule your first session and begin this journey together. Embarking on therapy is a commitment to yourself and your mental health, promising profound insights and growth.

Jo is an Attachment-based Psychotherapist who runs her private practice in Perth and works with clients worldwide. Jo also runs courses for expecting and new parents on supporting their children to create happy and secure attachments. Visit @ohheyparenthood on facebook to learn more.