Your First Therapy Session

What to Expect in Your First Therapy Session

Starting therapy can bring a mix of feelings. You may feel hopeful about getting support, nervous about speaking with someone new, or unsure where to begin. Perhaps you know exactly what you want to address. Or you may simply know that something feels difficult and you would like help understanding it.

You do not need to have the right words or a clearly defined goal before reaching out. Your first session is an opportunity to begin a conversation, get to know your therapist, and explore what support might be helpful.

Preparing for Your Appointment

For a telehealth appointment, choose a quiet, private space where you can speak as comfortably as possible. Check your internet connection and make sure your device is charged. Completing any requested intake forms beforehand can give your therapist helpful background and allow more room for conversation.

If you would like, jot down a few concerns or questions. You might consider what prompted you to seek therapy, what has felt challenging lately, or what you hope could change. There is no need to prepare a detailed account of your life. Arriving with uncertainty is okay, too.

What You May Discuss

The conversation may begin with what brought you to therapy and how you have been feeling. Depending on your needs, your therapist may ask about your daily life, relationships, health, previous experiences with therapy, or significant events. They may also explore your strengths, sources of support, and what has helped you cope.

Your therapist may ask questions about safety or particularly difficult experiences to better understand the support you need. You can ask why a question is being asked or let them know when you need a moment.

You can also expect information about how the practice works, including confidentiality and its limits. The timing and depth of these discussions may vary. Each first session can look different, depending on the person, the concerns they bring, and the therapist’s approach.

You Can Take Your Time

You do not have to share your entire story in one appointment. Some experiences are easier to discuss once you have developed a sense of trust.

It is okay to say, “I am not ready to talk about that yet,” or “I am having trouble explaining this.” You can also ask for clarification, pause, or share concerns about the conversation itself. These moments can help your therapist understand how to work with you.

The first session is a beginning. There is room for your story to unfold over time.

Getting to Know Your Therapist

Therapy also gives you an opportunity to learn about the person supporting you. You may want to ask about their approach, their experience with your concerns, or how you might work together.

At Burney Psychology, we value connection, reflection, and a collaborative therapeutic relationship. Early conversations may help us understand what matters to you and identify possible goals. Those goals do not need to be final; they can become clearer or change as therapy progresses.

You may feel comfortable right away, or you may need more time to decide whether the relationship feels like a good fit. Your questions and feedback are welcome.

What Happens Next?

Toward the end of the appointment, you and your therapist may discuss next steps, including scheduling, possible areas of focus, or recommendations based on your needs.

You may leave feeling relieved, thoughtful, emotionally tired, or still uncertain. You do not need to solve everything in the first session. The first conversation gives you and your therapist a place to begin. 

If you are considering therapy, we welcome the opportunity to learn more about you and explore whether Burney Psychology may be a good fit.