What to Expect During Your First Session with a Therapist

white square image
What to Expect During Your First Session with a Therapist image

What to Expect During Your First Session with a Therapist

Brandy Levine  

If you’re considering seeing a therapist, you’re taking a significant step toward improving your mental health. The journey begins with your first session, a crucial moment that sets the tone for your therapy experience. So, what can you expect on this initial visit?

Understanding the Initial Meeting

Your first session with a therapist is often more about getting to know each other than diving deep into your issues. The therapist will start by asking questions about your background, current challenges, and what led you to seek therapy. It’s their way of understanding where you’re coming from and how they can best assist you. You might be asked about your family history, any past therapy experiences, and your goals for therapy. This is a time for you to share your story, and it’s important to be as open and honest as possible.

Setting Goals and Expectations

One of the key aspects of your first session is setting goals. Your therapist will work with you to identify what you hope to achieve through therapy. These goals might include managing anxiety, improving relationships, or addressing specific issues. It’s also an opportunity to discuss your expectations about the therapy process. The therapist will explain how they work and what you can expect from future sessions. This mutual understanding helps build a foundation of trust and ensures that you’re both on the same page.

Exploring Your Comfort Level

Comfort is crucial in therapy. Your first session is a time to assess how comfortable you feel with the therapist. The relationship between you and your therapist is central to the success of therapy, so it’s important that you feel at ease. You might find yourself evaluating their communication style, demeanor, and approach to therapy. It’s okay to discuss any concerns or hesitations you have during this session.

Understanding Confidentiality

Confidentiality is a cornerstone of therapy. Your therapist will explain the limits of confidentiality and how your information will be protected. They’ll discuss situations where they might be required to break confidentiality, such as in cases of imminent harm or abuse. Understanding these boundaries helps establish trust and ensures that you feel safe sharing your thoughts and feelings.

How to Prepare for Your First Session

Preparation can help you feel more at ease during your first session. Consider writing down key points you want to discuss, including your reasons for seeking therapy and any specific issues you’re facing. It might also be helpful to jot down any questions you have about the therapy process. Being prepared can make the conversation flow more smoothly and ensure that you cover everything that’s important to you.

The Therapist’s Approach

Different therapists have different approaches, and your first session is a good time to understand their style. Some therapists may use cognitive-behavioral techniques, while others may focus on psychodynamic or humanistic approaches. Understanding their methods can help you decide if their approach aligns with your needs. Feel free to ask about their approach and how they think it will benefit you.

Real-Life Experience

Consider Sarah’s experience, who recently started therapy in Los Angeles. She was anxious about her first session but found that the therapist’s warm and welcoming demeanor helped her feel comfortable. The therapist asked thoughtful questions and helped Sarah articulate her goals for therapy. Sarah appreciated the clear explanation of what to expect and felt more confident moving forward. This positive initial experience made a significant difference in her commitment to the therapeutic process.

Common Concerns

It’s normal to have concerns about your first therapy session. You might worry about being judged, not knowing what to say, or whether therapy will actually help. These concerns are common and part of the process. Remember, therapists are trained to create a non-judgmental space where you can feel heard and supported. If you’re feeling uncertain, it’s okay to share these feelings with your therapist.

Building a Strong Therapeutic Relationship

The success of therapy often hinges on the strength of the relationship between you and your therapist. Your first session is a time to start building this relationship. A strong therapeutic relationship is built on trust, respect, and open communication. As you continue with therapy, this relationship will grow and become a crucial part of your healing journey.

Next Steps

After your first session, you and your therapist will discuss the next steps. This might include scheduling future sessions, setting specific goals, or exploring additional resources. The initial session is just the beginning, and your therapist will guide you through the process, providing support and tools to help you achieve your goals.

In summary, your first session with a therapist is an important step in your mental health journey. It’s a time to get to know your therapist, set goals, and discuss your expectations. By preparing and being open, you can make the most of this initial meeting and set the stage for a successful therapeutic experience.


Bio

Brandy Levine is a licensed therapist at Stori. She specializes in cognitive-behavioral therapy, helping clients navigate life’s challenges with resilience and insight. Her approach is centered on fostering self-awareness and empowering individuals to enact positive change in their lives.

The Expert Mental Health Care You Need Now

From ADHD to anxiety and beyond—we can help.
Start Your Assessment

Learn About ADHD Services in Your State

Live your best life with ADHD

Learn more about the three steps to Medical Treatment for ADHD
3 Simple Steps

More than ADHD?

From anxiety and depression to binge eating and obsessive compulsive disorder, ADHD rarely operates alone. Our Mentavi Diagnostic Evaluation screens for common comorbidities.
Learn More
Explore More

Prioritizing mental health for college students

As colleges and universities around the country start to come alive for a new academic year, the students

Should you tell your new employer about your ADHD?

Just like beginning a school year or heading off to college, starting a new job brings a mix

Judgment-free zone: Oversharing and therapy

If you’re in therapy to help manage ADHD (or anything else), odds are you’ve found yourself reflecting on
Articles

Prioritizing mental health for college students

As colleges and universities around the country start to come alive for...
Podcasts

Part Two: ADHD and Time Blindness with Dr. Ari Tuckman

Today, we’re continuing our conversation with Dr. Ari Tuckman, exploring...
Webinars

Recharge, Refuel, Refocus: ADHD Wellness in Action

Living with ADHD can be challenging — but small steps...

Curious about stimulant or non-stimulant medication?

These terms refer to certain approaches to treat diagnosed ADHD. Mentavi Health / ADHD Online may provide stimulant approaches (certain medications under medical treatment that are generally considered Class II controlled substances) or non-stimulant approaches (medications generally not considered Class II, and/or therapy and coaching not related to medication).

A diagnosis and initial conversation with our treatment clinicians is key to the best path for you. The diagnosis is a key first step to determine if you have ADHD or other related conditions. Approximately 60% of patients with ADHD have co-occurring conditions such as anxiety or depression, for example. At the same time, patients who believe they have ADHD may not even have it. For those who do, there can be a variety of considerations into what kind of treatment works best to meet the patient where they’re at.

If you are not feeling right, your journey starts with the first step of diagnostic evaluation.

There may be a brief delay in service today between 12:30 PM and 1:30 PM ET. Thank you for your patience — we look forward to assisting you shortly.
 
The ADHD Online Team

Join Our ADHD Research Study

Mentavi Health is conducting ADHD research and is accepting a limited number of participants. Participants in our clinical study will get an ADHD Assessment at no cost. 

Who can join?
  • Age 19+
  • Primary language is English
  • Not previously diagnosed with ADHD
  • Not a current patient of ADHD Online or Mentavi Health
  • A resident of any of the 50 US states or DC (not including Puerto Rico or other territories)
 
Why participate?
Your involvement will help improve mental health care for everyone.
 
Looking to take our assessment? That’s available all day, every day, whenever and wherever is best for you!

ADHD Online will be closed on Monday, May 26, 2025, in observance of the Memorial Day holiday.

Live support will be unavailable on Monday, May 26. Send us an email or leave a message, and we’ll get back to you as soon as possible when we return on Tuesday, May 27.

Please note that each clinician sets their holiday hours and may be processing your requests during this time or may also be out.

Live support will be unavailable during regular business hours on Monday, January 20. You can always submit a request or leave a voice message. We’ll get back to you when we return.

Please note: Our clinicians have individual holiday schedules. Check with yours for their availability during the holidays.

Looking to take our Mentavi Diagnostic Evaluation? That’s available all day, every day, whenever and wherever is best for you!

Our site is open 24/7! You can always schedule an appointment, check out our podcasts, or read up on the latest ADHD information.

Provide this form to your local practitioner. You could:

  • Send this link
  • Email the pdf
  • Print it out and bring it to your appointment

Ask your practitioner
to complete the form

In this form, your practitioner will request that ADHD Online continue to provide uninterrupted care

Return the form to us

You or your practitioner can return this form to us via email or fax it to 616-210-3118