What to expect at your first therapy session?

So you have been thinking about starting therapy? But you are still anxious because you do not know what to expect. It is okay because that is normal but do not allow that fear or anxiousness get in the way. I will share with you some tips to help you prepare and get ready for your first therapy session.

During the first session, your therapist will complete an assessment. Your therapist may ask you if you attended therapy in the past, current symptoms, family life (any mental illnesses), suicidal ideations, goals for therapy, substance abuse history, and questions relevant to the issues that brought you into therapy. Your therapist will also discuss information about their practice policies. You and your therapist will also be working to build a therapeutic relationship. Do not forget that you can ask your therapist questions as well. I know that many of my clients asked questions about confidentiality or insurance related questions.

The next few sessions you and your therapist will continue to build a rapport. He/she may continue to ask your more questions to learn about what brought you into therapy. Then the “work” will get started. I am going to be honest with you. Therapy can be hard work especially when you have been suppressing so much inside. There will be sessions where you may not feel good afterwards but do not worry. That is normal. Therapy is a process. It is also no rush into therapy. The timing of therapy depends on your needs. Some goals are met within a few months and some may take a little longer. It is important for you to do the work and utilize the skills that your therapist is teaching you. Do not be afraid to let your therapist know if something is not working for you. Therapy is about you and not your therapist.

I am going to be honest with you. Some times it takes more than one therapist. If you notice you and your therapist are not “clicking”, then let her know your concerns. Give it some time. Once you feel like he/she is not a good fit for you, you have the right to let her know and he/she can provide you with some referrals. Do not get discouraged. I know starting over may feel scary but again it is about you and your healing journey.

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What are signs of a mental illness?