Understanding Mental Health Therapy: What to Expect in Your First Session

Jan 08, 2026By Taylor Johnston
Taylor Johnston

Attending your first therapy session can be a significant step toward understanding and improving your mental health. The prospect might feel daunting, but knowing what to expect can ease some of that anxiety.

Initial Consultation

The first session often starts with an initial consultation. Here, the therapist will ask about your background, current issues, and what you hope to achieve through therapy. This is a time to establish a comfortable and open dialogue. Being honest and transparent will help your therapist understand your needs better.

therapy session

Setting Goals

Goal-setting is a crucial part of the therapeutic process. During the first session, you and your therapist will discuss your objectives, whether it's managing anxiety, improving relationships, or understanding yourself better. These goals will guide future sessions and help measure progress.

Understanding the Process

Therapy is a collaborative effort. Your therapist will explain the process, including the type of therapy they practice, such as cognitive-behavioral therapy (CBT) or psychodynamic therapy. Understanding their approach can provide clarity on how the sessions will unfold.

therapy process

Confidentiality and Trust

Confidentiality is a cornerstone of therapy. Your therapist will assure you that anything discussed will remain private, except in specific circumstances where safety is a concern. Building trust is essential, and feeling secure in this environment will enhance the therapeutic experience.

Engaging in Conversation

The conversation in a therapy session is typically client-led. You might discuss daily life, stressors, or past experiences. The therapist will listen actively and may ask questions to help you explore your thoughts and feelings more deeply. This dialogue is at the heart of therapeutic progress.

therapy conversation

Addressing Concerns

If you have any concerns or questions about the therapy process, your first session is the perfect time to address them. Whether it's about session frequency, duration, or specific techniques, open communication will help tailor the therapy to your needs.

Next Steps

By the end of your first session, you should have a clearer understanding of what to expect moving forward. Your therapist might assign small tasks or reflections to work on between sessions. This helps reinforce the insights gained during therapy.

Remember, therapy is a journey, and your first session is just the beginning. With time and effort, it can lead to significant personal growth and improved mental health.