The First Session
The first session of therapy, sometimes referred to as an intake session, is an important step in establishing a therapeutic relationship and setting the groundwork for future sessions. Here's what you can typically expect:
Introductions and Establishing Rapport
It’s likely you already had a consultation with the therapist, but this will be the chance to get reaquainted and establish and build rapport. The therapist will work to create a comfortable and safe environment for you to share.
Discussion of Confidentiality and Adminsitrative DetailsConfidentiality Agreement
Your therapist will explain confidentiality, including its limits (e.g., situations involving harm to self or others, abuse, or legal requirements).
You will be asked to complete paperwork prior to your first session. The therapist will go over them with you and ask if you had any questions or concerns.
The therapist will explain their policies regarding session length, cancellation, fees, and communication outside of sessions.
Your Reasons for Seeking Therapy and Goals
You’ll discuss, in greater detail than in the consultation, the reasons you’re seeking therapy. The therapist will ask questions to understand your current concerns, symptoms, and what prompted you to seek help.
With the help of the therapist, you’ll also set goals and expectations of what you hope to achieve through therapy.
Reviewing Background Information
The therapist will gather information about your personal history, which may include family background, relationships, work, and social life. You may also discuss any previous therapy, mental health diagnoses, medications, and relevant medical history.
Understanding your Current Situation
The therapist may ask about your daily routines, stressors, and how your current issues are impacting your life, and there may be discussion about your support system, including friends, family, and other important relationships.
The Therapeutic Process
The therapist will further explain their therapeutic approach and how it might help with your specific concerns. You and the therapist may also begin implementing the approach into this first session, and have discussions on what to expect for future sessions.
Next Steps
The therapist will likely ask how you feel about the first session and if there are any immediate concerns or questions. The session will wrap up by possibly discussing initial recommendations, such as ideas on skills you can utilize between sessions, and scheduling the next appointment.
The first therapy session is primarily about getting to know each other, gathering information, and setting the stage for future work. It’s normal to feel a mix of emotions, including nervousness and hope. Remember, this is a collaborative process, and finding the right therapist and approach is key to a successful therapeutic journey.
