What to Expect in Your First Counselling Session - First Therapy Session Guide
- Dec 30, 2025
- 3 min read
Starting therapy can feel like stepping into the unknown. You might wonder what will happen, how you should prepare, or if you will feel comfortable sharing your thoughts and feelings. This guide is here to gently walk you through what to expect in your first counselling session. Understanding the process can ease your mind and help you take the first step toward feeling better.
Your First Therapy Session Guide: Setting the Stage for Healing
When you arrive for your first therapy session, the environment is designed to be welcoming and safe. The counsellor’s office is usually a quiet, private space with comfortable seating. This setting helps you feel at ease and ready to open up.
You might start by filling out some paperwork. This usually includes basic information about your health, your reasons for seeking counselling, and any previous therapy experiences. These forms help your counsellor understand your background and tailor the sessions to your needs.
Remember, the first session is about building trust. Your counsellor will explain confidentiality rules, so you know your privacy is respected. This foundation is crucial for a successful therapeutic relationship.

What Happens in Your First Counselling Session?
During the first session, your counsellor will ask questions to get to know you better. These questions might cover your current feelings, challenges, and what you hope to achieve through therapy. For example, if you are dealing with anxiety or low mood, your counsellor might ask about specific situations that trigger these feelings.
You will also have the chance to ask questions. This is your time to understand how therapy works, what methods your counsellor uses, and how often you might meet. It’s important to feel comfortable with your counselor, so don’t hesitate to speak up.
The session usually lasts about 50 minutes to an hour. It’s okay if you don’t share everything right away. Therapy is a process, and your counsellor will guide you gently at a pace that feels right for you.

How to Prepare for Your First Therapy Session
Preparation can help reduce anxiety about your first visit. Here are some practical tips:
Write down your goals: Think about what you want to work on. It could be managing anxiety, improving self-esteem, or coping with grief.
List your questions: Write down anything you want to ask your counsellor about the process or therapy style.
Be honest: Therapy works best when you are open about your feelings and experiences.
Wear comfortable clothes: Feeling physically comfortable can help you relax.
Arrive early: Give yourself time to settle in and fill out any necessary forms.
These steps can help you feel more in control and ready to engage in your sessions.
What You Can Expect After Your First Session
After your first counselling session, you might feel a mix of emotions. It’s normal to feel relief, hope, or even uncertainty. Therapy is a journey, and the first session is just the beginning.
Your counsellor may suggest a plan for future sessions. This could include weekly meetings or specific exercises to try between visits. You might also be encouraged to keep a journal of your thoughts and feelings.
Remember, progress in therapy takes time. Small steps can lead to meaningful change. If you ever feel unsure or uncomfortable, talk to your counsellor. They are there to support you every step of the way.
Building a Strong Therapeutic Relationship
A key part of successful therapy is the relationship you build with your counsellor. Trust and openness are essential. Your counsellor will listen without judgment and provide a safe space for you to explore your feelings.
If you don’t feel comfortable with your counsellor, it’s okay to discuss this or consider finding someone else. The right fit can make a big difference in your therapy experience.
Counselling is a partnership. Your active participation and honesty help create a path toward healing and growth.
Taking the step to attend your first counselling session is a brave and important decision. With this guide, I hope you feel more prepared and reassured about what lies ahead. Remember, you are not alone, and support is available to help you through anxiety, depression, low mood, and other challenges. Therapy can be a powerful tool for change, and your journey starts here.
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