The first psychotherapy session is an opportunity to understand your situation and see whether the therapist and format feel right for you. You are not expected to tell your entire life story immediately.
1. What should I say first?
You can begin with what brought you now: a symptom, conflict, loss, decision or repeating pattern. “I do not know where to start” is also a valid beginning.
2. What will the therapist ask?
Questions may cover current difficulties, important history, health, relationships, resources and what you hope could change.
3. Do I need a clear goal?
No. A vague wish such as “I want to feel less overwhelmed” can be clarified together into practical goals.
4. Must I discuss trauma immediately?
No. Difficult experiences can be approached at a pace that supports safety and stability. You may set boundaries and pause.
5. Is everything confidential?
The therapist should explain confidentiality and its legal or safety-related limits at the beginning of the work.
6. How long and how often are sessions?
Frequency depends on needs and availability. Practical details—format, fees, cancellations and communication—should be clear.
7. How do I know whether the therapist is a good fit?
Notice whether you feel heard, respected and able to ask questions. A good fit does not mean every session feels easy.
8. What happens after the first meeting?
You may agree on a working focus and next appointment, or take time to decide. It is acceptable to choose another specialist.
How to prepare
Bring any questions you have and allow a few quiet minutes after the session. No special preparation is required.
