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September 8, 2026 · 5 min read

What to Expect at Your First Therapy Session

Feeling nervous about starting therapy? Here's a calm, step-by-step look at what your first appointment is really like.

A cozy yellow armchair in a quiet, sunlit room

Starting therapy is a meaningful step — and it's completely normal to feel a little nervous beforehand. Knowing what to expect can make that first appointment feel much more manageable.

Before your first session

Most people begin with a free 15-minute phone consultation. It's a relaxed conversation where you can share what's bringing you in, ask questions, and get a feel for whether our practice is the right fit. There's no pressure to commit.

If you decide to move forward, we'll send intake paperwork through our secure patient portal. For your privacy, please don't email completed forms.

During the intake session

Your first full appointment is a comprehensive intake session. Your therapist will ask about:

  • What you'd like to work on, and what you hope will feel different
  • Your background, relationships, and current stressors
  • Your strengths and what has helped you in the past

You don't need to have the "right" words, and you can share at your own pace. Many people find it a relief simply to be heard.

After the first session

Together, you and your therapist will begin shaping a plan. Ongoing sessions usually last 45–60 minutes and can take place in person or via telehealth. Your plan isn't fixed — we'll check in regularly and adjust it as your needs evolve.

A few tips

  • Come as you are. There's no need to prepare a speech.
  • Ask questions. About confidentiality, approaches, scheduling — anything.
  • Notice how it feels. A good fit with your therapist matters. It's okay to talk about that, too.

If you're ready to take the first step, contact us to schedule your free consultation.

Ready to take the first step?

Reach out for a free 15-minute consultation by phone. We'll listen, answer your questions, and help you decide what's next.