What Happens in Your First Therapy Session?
Starting therapy can feel like a big step, especially if you’re not sure what to expect. Many people worry they’ll have to “spill everything,” be judged, or know exactly what to say. The reality is usually much gentler, slower, and more collaborative than people imagine.
It’s important to note that your first therapy session is not about fixing everything. It’s about getting to know each other, creating safety, and understanding what support might be helpful for you.
Here’s what typically happens.
You Don’t Need to Prepare (Really)
You don’t need a speech, a timeline, or a perfectly formed explanation of your problems. Some people arrive with a clear reason for seeking therapy. Others just know that something isn’t quite right. Both are completely okay. Your therapist, Andrew will guide the conversation and meet you where you are.
A Gentle Conversation, Not an Interrogation
The first session usually feels like a structured but relaxed conversation. Andrew may ask about:
- What brought you to therapy now
- What you’re struggling with (emotionally, mentally, or behaviourally)
- Any previous therapy experiences
- What you’re hoping might change
You’re always in control of how much you share. There’s no obligation to talk about anything before you’re ready.
Understanding You in Context
Rather than focusing only on symptoms, Andrew may explore:
- Patterns in relationships or behaviour
- Stressors in your life
- Emotional responses that feel confusing or overwhelming
- How you tend to cope when things are hard
This helps build a whole-person picture, not a diagnosis-based label.
Practical Details and Boundaries
Andrew will usually explain:
- C
onfidentiality and its limits (e.g. safety-related exceptions) - How sessions work and how often you might meet
- Fees, cancellations, and practical logistics
- Their therapeutic approach and how they work
This part is about transparency and trust: nothing hidden, nothing assumed.
No Pressure to “Fix” Anything Yet
The first session is not about deep trauma work, hypnosis, or major emotional breakthroughs (unless you specifically want that and it feels appropriate). Think of it as laying the foundation:
- Establishing safety
- Building rapport
- Clarifying goals
- Deciding whether this feels like a good fit
Feeling unsure afterward is normal. Feeling relieved is common. Feeling emotional, tired, or thoughtful can also happen.
If Hypnotherapy Is Part of Your Work
If hypnotherapy is offered, the first session often focuses on:
- Explaining what hypnotherapy is (and isn’t)
- Addressing myths or concerns about control
- Assessing whether it’s appropriate for you
- Deciding together if and when it might be useful
You will never be hypnotised without your understanding, consent, and readiness.
You’re Assessing the Therapist Too
Therapy is a collaborative relationship. You’re allowed to notice:
- Do you feel heard?
- Do you feel respected and unpressured?
- Does the therapist’s style feel right for you?
A good therapist, Andrew welcomes this and understands that fit matters.
After the Session
Some people leave feeling lighter. Others feel reflective or emotionally tender. There’s no “right” reaction. It can help to:
- Go gently for the rest of the day
- Notice what stayed with you from the session
- Write down questions or thoughts for next time
Therapy unfolds over time—your first session is just the beginning.
A Final Reassurance
You don’t need to be “ready,” articulate, or certain to start therapy. You just need a willingness to show up as you are. If you’re curious but unsure, that uncertainty itself is a perfectly valid place to begin.
Our Therapeutic Approach | What We Help With | Online Counselling and Telehealth
