Commonly Asked Questions for a First Therapy Appointment
Let’s take the mystery out of your first session
Starting therapy can feel a bit like walking into a movie halfway through. You’re not sure what’s going on, who the main characters are, or whether snacks are allowed. But don’t worry, we’ve got you covered.
Here’s a rundown of questions people often ask before or during their first therapy appointment. If you’ve been wondering any of these, you’re in good company.
💬 1. “What should I talk about?”
Anything you want! Some people come in with a list, others just say, “I don’t know where to start.” Both are totally okay.
🛋️ 2. “Do I have to lie down on a couch?”
Nope! Unless you want to. Most therapy sessions happen sitting upright in a comfy chair. The couch thing is more of a Hollywood myth than a requirement.
🕒 3. “How long is a session?”
Typically, sessions last around 50 minutes. Just enough time to unpack a few thoughts, but not so long that you forget where you parked.
🧠 4. “Will you tell me what to do?”
No. I'll help you explore your thoughts, feelings, and options but the decisions are yours. Think of me as your emotional co-pilot.
📁 5. “Is everything I say confidential?”
Yes, with a few exceptions (like safety concerns). I will explain this clearly at the start so you know exactly where the boundaries are.
😬 6. “What if I cry?”
Then you cry. It’s a safe space. Tissues are usually within arm’s reach if you need them.
🧩 7. “Do I need a diagnosis?”
Not necessarily. Some people come to therapy for support, clarity, or personal growth. If a diagnosis is relevant, I will discuss it with you.
🗓️ 8. “How often will I come?”
It depends! Weekly is common to start, but I will work with you to find a rhythm that fits your needs and schedule.
🧍♂️ 9. “Can I bring someone with me?”
If it helps you feel more comfortable, you can ask. Sometimes people want a support person for the first session, especially for younger clients, but this isn't necessary. Just check ahead.
🧘 10. “What if I don’t click with my therapist?”
That’s okay. Therapy is personal, and finding the right fit matters. If it doesn’t feel right, you can try someone else, no hard feelings.
Final Thought
Your first therapy appointment is a brave step, and it’s normal to feel a mix of curiosity, nerves, and hope. The goal isn’t perfection, it’s progress, connection, and feeling a little more like yourself.
Got other questions? Drop them in the comments or bring them to your session. Your therapist is there to help you feel safe, heard, and supported.
