WHAT TO EXPECT IN YOUR FIRST THERAPY SESSION
What happens in your first therapy session - what to expect
You don’t need a story prepared or the “right words.” This first appointment is about helping you feel understood. Most people arrive unsure of what to expect and that's completely normal.
Your therapist will guide the conversation gently. You set the pace. Nothing is rushed.
Common questions people have before their first session include:
- What will we talk about?
- do i have to open up straight away?
- is this like a mental health assessment?
- will it feel uncomfortable?
There is no expectation that everything needs to be discussed or understood in the first session. The aim is to begin exploring what has brought you to therapy and what you would like support with.
YOUR FIRST THERAPY SESSION
Your first session provides space to talk about what has been happening and what you would like to change. You do not need to have everything worked out beforehand, and your therapist will work at a pace that allows you to discuss what feels relevant.
The focus is on understanding your circumstances, concerns and goals. Your therapist may ask questions to build a clearer picture of what you are experiencing and discuss what type of ongoing support may be helpful.
- WHEN YOU ARRIVE OR JOIN ONLINE
Whether online or in person, your therapist will welcome you into the space and explain how the appointment works. You’ll have time to ask questions before discussing what’s brought you here. The conversation can develop at a pace that feels manageable for you. Nothing is expected of you straightaway.
- WHAT YOU'LL TALK ABOUT
Your therapist may ask about different parts of your life to build a clear picture of your wellbeing. This could include:
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How you’ve been feeling
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What challenges you’re managing
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Your day-to-day context (work, family, stress)
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Sleep
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Confidence
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Past therapy or support
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Medication history (if relevant)
You can also discuss what you would like to change or understand better. People respond differently to a first therapy session, and there is no particular way you are expected to feel. Your therapist can allow time for difficult emotions and work with you at a pace that feels appropriate.
- HOW LONG DOES A FIRST THERAPY SESSION LAST?
A typical first therapy session lasts around 45 to 60 minutes, although appointment length can vary depending on the therapist and service. This gives you time to talk through what has brought you to therapy, ask questions and discuss possible next steps.
- DO YOU NEED TO PREPARE?
No preparation is required. Some people find it helpful to bring notes, questions or information about current medication, but this is optional. Your therapist will guide the conversation during the session.
- WILL YOU FEEL COMFORTABLE?
It is understandable to feel uncertain about a first therapy session. There is no script and no expectation that you need to talk about everything immediately. You can ask questions, take time to think and decide what you feel ready to discuss.
- AFTER THE FIRST THERAPY SESSION
Before the appointment ends, you’ll have time to ask questions and discuss next steps. Your therapist can discuss whether further sessions may be useful and what the next steps could involve. Some people continue with regular therapy, while others may decide that a different type of support would be more appropriate.
Our team provides mental health assessment, psychiatry and therapy for adults, children and young people. Age criteria vary by service. Appointments are available from our Preston location, with online services also available across the UK where appropriate.
Autism assessments are available for eligible children, young people and adults. Contact the team to discuss the appropriate assessment pathway.
Adult ADHD assessments explore symptoms, history and the impact ADHD-related difficulties may be having on everyday life. Where appropriate, the assessment can help establish whether diagnostic criteria are met and what support may be suitable next.
Specialist child ADHD assessments to help parents understand their child's difficulties and what support may be appropriate.
Our adult psychiatry service provides specialist assessment, diagnosis where appropriate, treatment planning and medication advice for a range of mental health difficulties.
Our child psychiatry service provides specialist assessment and treatment for children and young people experiencing mental health difficulties. Recommendations depend on the individual and may include therapy, medication where clinically appropriate, further assessment or another form of specialist support.
CBT, also known as cognitive behavioural therapy, can help people understand the relationship between thoughts, feelings and behaviours, and develop more helpful ways of responding to difficulties.
Home detox may be suitable for some people following medical assessment. Suitability depends on individual circumstances, withdrawal risk and the clinical plan.
EMDR stands for Eye Movement Desensitisation and Reprocessing. It is a structured therapy commonly used to help people process traumatic or distressing experiences, including PTSD and other trauma-related difficulties.
Counselling provides a confidential space to talk through difficulties, explore what is happening and consider ways of coping or moving forward.
Medico-legal reports provide an independent professional opinion on medical or psychological issues relevant to a legal matter.
Other therapies include child therapy, hypnotherapy, couples and relationship therapy, psychosexual therapy and ADHD support for adults, children and young people.
THERAPY APPOINTMENTS WITH THE THERAPY COMPANY
The Therapy Company provides counselling and therapy from its Preston base, with online appointments also available across the UK depending on the therapy and practitioner.
Different approaches suit different needs, so the team can explain the therapy services available, appointment arrangements and current fees before you decide whether to arrange a session.
Ready to book your first therapy session?
If you are considering therapy, contact the team to discuss the therapies available, appointment arrangements and current availability.
What Our Clients Say
FAQs
FREQUENTLY ASKED QUESTIONS
Below are some of the questions people often have before their first therapy session. If yours isn’t answered here, feel free to get in touch and we’ll be happy to help. And if you’re ready to book your first appointment, you can call us on 01772 440321.
Will my therapist judge me?
Therapy provides a confidential space to discuss what is important to you. Your therapist’s role is to listen, ask questions and work with you to understand what you are experiencing.
What if I get emotional during the session?
It’s completely okay. You can pause, breathe or take a moment at any time. Emotions are a natural part of therapy and you’ll be supported throughout.
Do I need a GP referral to start therapy?
No. You can contact The Therapy Company directly and book without a referral.
Can I attend my first therapy session online?
Yes. Online therapy appointments are available across the UK and follow the same supportive structure as in-person sessions.
Will I receive a diagnosis in my first session?
Not usually. The first session focuses on understanding your experience. Diagnosis, if needed, follows a separate assessment or psychiatrist appointment.