What happens in the first therapy session?
Short answer
The first session is usually a mutual introduction: you say what you are looking for, and the psychologist explains how they work. It is also when the practical terms are agreed — frequency, fee, session length, confidentiality and what happens if you miss a session.
What you do not need to bring
You do not need to be able to name what you feel, to have an organised story, or to arrive with a clear goal. "I am not sure why I am here" is a legitimate way to start, and it happens all the time.
You also do not have to tell everything at once. What comes up, and when, is part of the process.
Questions worth asking
The first session is also yours, to ask:
- Which approach do you work with, and what does that change in practice?
- What fee, session length and frequency do you suggest?
- How do confidentiality, rescheduling and missed sessions work?
- Have you worked with situations similar to mine?
If it does not click
Not feeling comfortable with one professional does not mean therapy is not for you. Switching is common, and most psychologists treat it as a normal part of the process.
Frequently asked questions
- How long is a session?
- Around 50 minutes is the most common length, but this is agreed with the professional and can vary with the format.
- Do I pay for the first session?
- It depends on the professional. Some offer a short introductory conversation at no cost; others charge from the first session. Ask before booking.