What to Expect in Your First Therapy Session
Starting therapy is a courageous step toward better mental health. Your first therapy session can feel both exciting and nerve-wracking – especially if you’re unsure what to expect. Whether you’re preparing for traditional talk therapy or exploring specialized approaches like somatic therapy, understanding the process can help ease any anxiety and set you up for a productive journey.
What to Expect During Your First Therapy Session
Your first session is typically an introductory meeting where you and your therapist get to know each other. It’s a chance to discuss your goals, explore your history, and outline the structure of therapy. Don’t expect immediate solutions – this session is more about laying the groundwork for future progress.
Your therapist may ask about:
Why you’re seeking therapy now
Any specific issues or challenges you’d like to address
Your medical, psychological, and family history
It’s also a time for you to ask questions about their approach and share any preferences or concerns. Therapists are trained to create a safe, non-judgmental space, so you can feel free to be honest and open.
What to expect from psychotherapy
Psychotherapy involves a collaborative process where you work with your therapist to explore thoughts, feelings, and behaviors. Depending on the type of therapy, sessions may focus on problem-solving, uncovering patterns, or developing coping skills.
If you’re considering somatic therapy, you can expect a focus on the mind-body connection. Somatic therapy may involve guided breathing, movement exercises, or mindfulness techniques to help release physical tension linked to emotional stress.
How to Prepare for Your First Therapy Session
Preparation can help you feel more at ease and make the most of your session. Here are some steps to consider:
1. Reflect on your goals
Take some time to think about what you want to achieve through therapy. Are you looking for support with anxiety, depression, relationship issues, or personal growth? Having a general idea of your goals can help guide your sessions.
2. Jot down important details
Jot down any topics or issues you’d like to discuss, as well as questions you may have for your therapist. This can include anything from "What should I expect from future sessions?" to "What approaches do you typically use?".
Key Point: What Other Questions Should I Ask at My First Therapy Session?
During your first session, feel free to ask questions to better understand your therapist’s approach and how they can support you. Some common questions include:
- “What is your approach to therapy?”
- “How will we track progress?”
- “What can I expect in terms of session structure?”
- “Do you assign homework or activities between sessions?”
These questions can help you determine if the therapist is a good fit for your needs and preferences.
3. Gather relevant information
If you have a history of mental health diagnoses, medical conditions, or previous therapy experiences, it’s helpful to bring this information to your first session.
4. Set realistic expectations
Therapy is a process, not a quick fix. Progress takes time, so try to approach your sessions with an open mind and patience.
5. Take care of practical details
Ensure you know how to access your session, whether it’s in-person or virtual. For virtual therapy, test your technology in advance to avoid technical hiccups.
What to Expect from Future Sessions
After your first session, therapy usually starts to focus more on your specific goals. Together with your therapist, you’ll dig deeper into the issues you’re facing, uncover patterns, and work on strategies to create positive change. Along the way, you may learn helpful tools like mindfulness exercises, reframing negative thoughts, or new ways to approach challenges. Over time, therapy can help you gain clarity, build resilience, and grow in ways that feel meaningful to you. It’s a process, but with consistency and openness, it can be a truly transformative experience that helps you feel more balanced and fulfilled.
With LifeMD, getting access to the mental health support you need is easier than ever, with services covered by insurance for 95% of patients. Take the first step toward support today with LifeMD.
Updated: January 16, 2025
LifeMD makes it easy to stay on top of your health because talking to a doctor, filling your prescriptions, getting your labs done—and more—are all easy and cost-effective. Come discover a healthcare solution built around you and your life.
More articles like this
Feel better with LifeMD.
Your doctor is online and ready to see you.
Join LifeMD today and experience amazing healthcare, discounted labs and prescription medications... plus around-the-clock access to medical guidance.