What Actually Happens in Your First Session?

Taking the step to book therapy is brave, but walking through the door — or logging onto the video call — for the first time can feel nerve-wracking. Here's exactly what you can expect.

• It's a conversation, not an interrogation. You will not be asked to bare your deepest struggles on day one. The first session is simply about getting to know each other.
• The logistics. We'll briefly go over some paperwork, explaining confidentiality (what stays in the room) and how sessions will work.
• Your goals. I'll ask gentle questions like "what brings you here today?" or "what does a good outcome look like for you?"
• You are in control. You only share what you're comfortable sharing. It is completely okay to say, "I'm not ready to talk about that yet."
• The "fit" test. Research shows the relationship between you and your therapist is the most important part of therapy. The first session is for you to decide: do I feel safe with this person? Do I feel heard? If the answer is no, I will happily help you find a therapist who's a better fit — see your rights as a client.
• I don't prescribe anything. Therapy with me is talk-based; for questions about medication, your GP or a psychiatrist is the right person to speak to.

Wondering what the bigger picture looks like beyond the first session? Seethe client journey. Still not sure if now's the right time? Try a few reflective questions.