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Learn what to expect during your first therapy sessions, what questions you should ask, and how you should prepare with advice from a Licensed Clinical Social Worker.

What To Expect In Your First Therapy Session

first therapy session

Summary

  • Your first therapy session is an information-gathering time for both you and your therapist.

  • Your therapist will ask about your goals and what brings you to therapy. 

  • Ask your therapist about their specialties and treatment style.

So you’ve been thinking about therapy. Whether you’re going through something right now or you want to process a life event with a mental health professional, a big question is: What does therapy even look like? What can I expect? Let’s dive into all you need to know about a therapy intake session.

What Is The First Therapy Session Like?

I like to describe the first therapy session as an information-gathering time to paint a bigger picture of the person. Some questions your therapist will ask you will feel like they apply to your life, others may not. You will also go over expectations about what therapy will look like during your first session. Things discussed might include:

  • Group practices policies, such as cancellation and scheduling procedures.

  • Confidentiality and HIPAA laws, which protect your information from being shared without your consent.

  • Your goals with therapy.

How To Prepare For Your First Therapy Session

To prepare for the first therapy session, come with the reason you’re seeking therapy. This will help create a plan for your treatment and assist in setting some goals that you’d like to accomplish. 

For example, let’s say a client came to therapy because of work stress. They find themselves working late hours and constantly working through their lunch. Something that could be a goal for that person is to set appropriate boundaries so they don’t find themselves burnt out. 

A therapist can help you make goals if you aren’t sure what goals you’d like to accomplish.

What Do Therapists Ask During The First Session?

Because the first therapy session will be an information-gathering time, a therapist will be focused on getting to know you. They might ask questions such as:

  • Have you been in therapy or any other type of mental health treatment in the past?

  • Are you taking any psychiatric medications? Any other medications? 

  • What is your family, work, and social life like? 

Some questions are simple yes or no answers. Others we may talk about more because it applies to the reason why you’ve come to therapy in the first place. Even if something can’t be answered during the first session, it can be talked about in the future. 

If you have a psychiatrist you are meeting with already, your therapist may collaborate with your doctor.

Questions To Ask A Therapist During Your First Session

I’m sure there are many questions you may have in your mind about the therapist you meet. Great questions to ask are:

  • What population does your therapist typically work with?

  • Do they have any specialties?

Therapists have different styles of treatment, and knowing what your therapist specializes in will help you determine if your therapist will be a good fit for your needs. It’s okay to not know what will work best for you. The only way you’ll know if something works for you is to try.

How To Start Seeing A Therapist

Seeing a therapist or selecting a therapist can be a difficult decision. You’ll find many people on Google and read every blog that ends up sounding alike. A great way to narrow things down is to go through your insurance page to see who accepts your type of insurance. Another way is using popular sites like psychologytoday.com where you can find someone in person or via telehealth. 

The last but not least option is looking directly at therapists who work for Lifebulb! Many therapists are still accepting new clients, and therapy can start as quickly as you’d like.

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✎ Writer
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Eileen Carmona

See Availability β†’

LCSW

NPI: 1790343093

License: 44SC05858600

Hello, my name is Eileen Carmona. I am a licensed clinical social worker with over 5 years experience working in different settings, ranging from substance use disorder treatment facility to in-home therapist working with at-risk youth. I help clients manage their anxiety, stress, depression and many other things. I collaborate with clients to create a plan and goals to bring a harmonious life. My first priority is for you to feel safe and welcome in each session we have together. Through time, we will tackle life’s issues and create a better outlook to problems. We can do this!

Frequently Asked Questions

For your first online therapy session, make sure you have:

  • Stable internet connection

  • A safe, private space

  • At least 1 hour of uninterrupted time

These will ensure that you have a safe, protected, and useful first session. 

You can also bring a list of symptoms you’re experiencing, goals you want to accomplish in therapy, a list of medications you’re taking, and why you’re attending therapy. These will help your therapist understand what brings you to therapy and how they can best help you.

The only thing you need to bring is yourself! It can help to bring a list of questions for your therapist, the reason why you want to attend therapy, and a list of any medication you take. These will help your therapist construct a treatment plan and goals for you.

A typical therapy intake is 1 hour, the same length as a normal session. The “therapy intake” is a time for your therapist to get to know you, and for you to get to know your therapist. It functions as an information-gathering time. Your therapist will start making a treatment plan, and you can start deciding if they are a good fit for you. 

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