Understanding Individual Therapy: What to Expect in Your First Session

Aug 26, 2025By Taylor Johnston
Taylor Johnston

Introduction to Individual Therapy

Embarking on the journey of individual therapy can be both exciting and daunting. Whether you're seeking help for anxiety, depression, stress, or personal growth, understanding what to expect in your first session can ease any apprehension. Individual therapy provides a safe, confidential space to explore your thoughts and feelings with a professional who is there to support you.

It's important to remember that seeking therapy is a proactive step towards improving your mental health. Many people find that just making the decision to start therapy is empowering and a positive move towards self-improvement.

therapy session

Your First Session: Setting the Stage

The first therapy session is often about getting to know each other. Your therapist will likely begin by asking about your background and the reasons you're seeking therapy. This initial conversation helps set the stage for future sessions and provides your therapist with valuable insight into your unique needs.

During this session, it's crucial to be open and honest. You don’t have to disclose everything right away, but sharing your thoughts and feelings honestly will help your therapist understand how best to assist you.

The Role of Confidentiality

Confidentiality is a cornerstone of therapy. Your therapist should explain how they protect your privacy and any exceptions to confidentiality, such as situations where there might be a risk of harm. Knowing that your conversations are secure can help you feel more comfortable sharing personal information.

confidential discussion

What to Expect: The Structure of Sessions

Therapy sessions typically last about 50 minutes, though this can vary based on individual needs and the therapist’s approach. Many therapists will discuss the structure of future sessions during your first meeting, outlining how they plan to work with you to meet your goals.

Some therapists may use specific techniques or frameworks, such as cognitive-behavioral therapy (CBT) or psychodynamic therapy, while others might take an eclectic approach. Feel free to ask about their methods and how they believe these will benefit you.

Setting Goals Together

A significant part of your first session may involve setting goals for therapy. These goals can be broad or specific, depending on what you hope to achieve. Your therapist can help you refine these goals over time as therapy progresses and new insights emerge.

therapy goals

Addressing Concerns and Questions

It's normal to have questions or concerns about therapy. Your first session is an excellent opportunity to address any uncertainties you might have, whether they're about the therapeutic process, potential outcomes, or logistical considerations like scheduling and payment.

Remember, the therapeutic relationship is a partnership. Feeling comfortable and supported by your therapist is crucial for success. If anything feels off or if you have doubts about your therapist’s style or approach, it’s okay to discuss this openly or consider trying another therapist who might be a better fit.

Taking the Next Steps

After your first session, take some time to reflect on the experience. Consider what felt helpful and what you might want to explore further in future sessions. Therapy is a journey, and each session can bring new insights and understanding.

Your first therapy session is just the beginning. By approaching it with openness and curiosity, you're setting the foundation for personal growth and healing.