How to Prepare for Your First Therapy Session: A Comprehensive Guide

Starting therapy is a significant step toward improving your mental health and well-being. It can be both exciting and nerve-wracking, especially if it’s your first time. At Psychology House, we want to ensure your journey into therapy feels supportive and empowering; whether you are starting with one of our therapists or an entirely different psychology practice. In this blog, we'll guide you on how to prepare for your first therapy session, what to expect, and how to make the most out of it. We'll also highlight the importance of patient/therapist fit and what to do if it isn't quite right.

An image of two windows outside a therapy office; alluding to a first therapy session taking place inside

What to Expect from Your First Therapy Session

Walking into your first therapy session can be daunting if you don’t know what to expect. Here’s a breakdown of what usually happens:

  • Introductions and Building Rapport: Your therapist will start by introducing themselves and explaining their approach to therapy. This is a time for you to get to know each other and begin building a trusting relationship.

  • Setting the Agenda: Most initial sessions focus on understanding your reasons for seeking therapy. Your therapist may ask questions about your mental health history, current challenges, and goals for therapy.

  • Discussing Confidentiality: Your therapist may explain the confidentiality of your sessions, including any legal exceptions. This ensures a safe space for you to open up.

  • Initial Assessment: Therapists may use questionnaires or verbal assessments to gauge your mental health status. This helps in tailoring your treatment plan.

Knowing what to expect can ease anxiety, allowing you to approach your first session with a clear mind.


How to Prepare for Your First Therapy Session

Proper preparation can set a positive tone for your therapy journey. Here are some tips:

1. Mental Preparation

  • Reflect on Your Goals: Before your session, think about what you hope to achieve through therapy. Are you looking for coping mechanisms for anxiety, seeking clarity on past trauma, or wanting to improve your relationships?

  • Acknowledge Your Emotions: It’s normal to feel anxious, excited, or even scared. Allow yourself to feel these emotions without judgment.

  • Be Open and Honest: Therapy is a safe space for vulnerability. Try to be as open as possible about your thoughts and feelings.

2. Practical Preparation

  • Complete Intake Forms: Many therapists, including those at Psychology House, will ask you to fill out intake forms before your first session. These forms collect information on your medical history, mental health background, and current symptoms. Completing them in advance saves time and ensures your therapist has the necessary context.

  • Gather Necessary Documents: You’ll likely need to provide insurance or payment information before your first session. Many practices today will have an online portal where you can provide and manage this information. It’s important to have all intake, insurance, and payment forms filled out prior to your first session.

  • Prepare a List of Medications: If you're currently taking any medications, make a note of them to share with your therapist.

3. What to Bring Up During Your First Session

  • Key Issues or Concerns: Start by discussing the primary reason you’re seeking therapy. It could be a recent event, a chronic issue, or something you can’t quite articulate yet.

  • Your Goals for Therapy: Share what you hope to gain from therapy—whether it’s better coping mechanisms, emotional support, or achieving specific personal goals.

  • Any Questions You Have: It’s perfectly fine to ask your therapist about their experience, therapeutic approach, and what to expect in future sessions.


After Your First Therapy Session: What to Do Next

The first session is just the beginning of your therapeutic journey. Here are some steps to take after:

1. Allow the First Session Jitters to Wear Off

  • It’s common to feel a mix of emotions after your first session, ranging from relief to anxiety. Give yourself time to process these feelings. If possible, do something relaxing. Go for a walk, listen to music; anything you find grounding and not over stimulating.

2. Evaluate the Therapist Fit

  • We believe that a strong therapeutic relationship is essential for effective treatment. After your session, reflect on how comfortable you felt with your therapist. Did you feel heard, understood, and supported?

  • Give it Time: It's recommended to attend two to three sessions before deciding if the therapist is the right fit for you. However, if you feel uncomfortable or that the therapist's approach doesn’t align with your needs, it’s okay to explore other options.

3. Plan for Your Next Session

  • Set Realistic Expectations: Understand that therapy is a process. Progress may take time, so be patient with yourself and your therapist.

  • Journal Your Thoughts: Keeping a journal of your feelings, progress, and any questions that arise can be helpful for future sessions.

  • Implement Techniques Discussed: If your therapist suggested coping strategies or self-care tips, truly attempt to incorporate them into your daily life. The strategies psychologists recommend are backed by years of research and shown to be highly successful. Ignoring these practices could dramatically impact your ability to experience lasting change through therapy.


Conclusion: Embracing the Therapy Journey

Preparing for therapy is about setting the foundation for a transformative journey. By taking the time to prepare mentally, practically, and emotionally, you're already taking an essential step toward healing and growth.

If you're ready to start your therapy journey, Psychology House is home to a growing team of licensed psychologists who prioritize client comfort, safety, and connection. We offer in-person sessions for those in the Tampa Bay area and remote (Teletherapy) sessions for Florida residents and participating PsyPact states. Use the “Get Started” button in the top right corner of the page to schedule a call with our intake specialist.


Psychology House, built on the idea of home

Mark Carpenter

Mark is the Founder and CEO of Psychology House, a growing therapy practice based in Tampa, FL. He can typically be found pondering new ways of mixing business with purpose, laughing with his daughter, seeking new experiences, or perusing a dessert menu.

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