What to Expect in Your First Therapy Session
- Megan Smiley, LPC
- Sep 8
- 2 min read
Starting therapy can feel both hopeful and intimidating. Many people wonder what the first session will be like, what questions they’ll be asked, and how to prepare. Knowing what to expect can ease anxiety and help you feel more comfortable as you begin this important step in your mental health journey.
Beginning the Conversation
The first session is often focused on getting to know you. Your therapist may ask about your background, current concerns, and what brought you to therapy. This is not about judgment—it’s about understanding your unique experiences so that the therapist can better support you.

Exploring Your Goals
You’ll have the opportunity to talk about what you hope to get out of therapy. Whether your goals are clear (like managing anxiety or improving relationships) or still uncertain, your therapist will help you identify and shape them. Therapy is a collaborative process, and this is your chance to share what feels most important.
Discussing History and Patterns
Therapists often ask about your past, including your health history, family dynamics, or significant life events. This context helps them see patterns that may influence your current challenges. You’re always in control of what you choose to share, and you can take things at your own pace.
Setting Expectations
Your therapist may explain how sessions are structured, how often you’ll meet, and what approaches they use. This is also the time to ask any questions you may have about confidentiality, session length, or the therapy process itself.
Building Comfort and Trust
Most importantly, the first session is about building a foundation of trust. It’s normal to feel nervous at first, but many clients find relief simply by taking the step to start. The therapist’s role is to provide a safe, supportive, and non-judgmental space where you can begin to explore and grow.
Final Thoughts
Your first therapy session is the start of a journey toward better mental health and greater well-being. You don’t need to prepare perfectly or have all the answers—just showing up is a meaningful first step.
If you’re ready to begin, we invite you to schedule a session and take the next step toward support, healing, and growth.
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