The first session is mostly about getting to know each other and setting a direction. You don't need to prepare anything or have your story perfectly organized. Here's what usually happens.
Paperwork and confidentiality
You'll typically complete intake forms covering your history and consent. Your therapist will explain confidentiality — what stays private and the rare legal limits (such as risk of serious harm).
This is a good time to ask how your information is stored and who has access to it.
Talking about why you came
Your therapist will ask what brought you in and what you're hoping for. You can share as much or as little as feels comfortable. There's no 'right' way to explain it.
If you get emotional or go blank, that's okay — therapists are used to it and will help guide the conversation.
Setting goals together
Toward the end, you'll often sketch out goals and how you might work together. This can evolve over time, so nothing is locked in.
You should leave with a general sense of the plan and the practical details: frequency, fees, and how to book the next session.
Key takeaways
- The first session is low-pressure and mostly about orientation.
- You control how much you share.
- Ask about confidentiality and how your data is handled.
- You'll usually leave with a rough plan and next steps.
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