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What to expect in your first session

4 min read·Updated this spring
A calm therapy office with two chairs facing each other.

A first therapy session is, more than anything else, a conversation. It's a 50-minute window where you don't have to perform, explain yourself, or get anywhere in particular. Most people arrive with some version of the same worry — I don't know what to say — and almost no one ends the hour feeling that way.

Before the session

We'll send you a short intake form to fill out beforehand. It asks about your history, current concerns, any medications, and what brings you in. It's not a test. Skip anything that feels heavy and you'd rather talk through in person.

You don't need to prepare an agenda. If you have a list of things on your mind, bring it. If you don't, that's just as useful — what comes up unprompted often tells your therapist something important.

The first 50 minutes

The session usually goes something like this:

  • Welcome and logistics (5 minutes) — confidentiality, what's on the consent form, how scheduling works.
  • What brought you in (20–25 minutes) — your therapist will ask open questions and listen. You can talk in any order. Tangents are fine.
  • A little history (10 minutes) — family, relationships, work, health. The goal is context, not a chronological deep dive.
  • Goals and fit (10 minutes) — what you'd like to be different, and whether the two of you feel like a workable match.

After the session

It's normal to feel a little tender, a little tired, or surprisingly relieved. Some people sleep deeply that night. Some feel quietly stirred for a few days. All of that is part of the process.

If something didn't sit right — pace, focus, even chemistry — please tell us. Finding the right clinician for you sometimes takes a session or two, and we'd much rather help you land somewhere that fits than have you push through.

The first session isn't a test. It's the start of a relationship.

If anything here resonated, we'd be glad to talk. Booking a consultation is a small step — and a useful one.

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