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Starting therapy for the first time

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Starting therapy for the first time - Cover

September 4, 2026

Starting therapy for the first time can feel overwhelming. You might feel nervous, uncertain about what to say, or unsure about what will happen. These feelings are completely normal.
Your first therapy session is not a test—you are simply taking the first step towards understanding yourself and working towards positive change

During your first session, your therapist will usually want to learn more about you and what has brought you to therapy. They may ask about what is happening in your life, why you decided to seek support, what you hope to achieve, and whether you have experienced therapy before. Your therapist may also explain their approach and how future sessions will work. It’s also a great time for you to ask any other questions you might have.

Remember that you do not have to share everything straight away. It is okay to take your time and discuss only what you feel comfortable discussing. Being honest can help your therapist understand how best to support you, but therapy should happen at a pace that feels right for you. Your first few sessions are also an opportunity to decide whether the therapist is a good fit. Ask yourself: Do I feel listened to? Do I feel respected and understood? Am I comfortable being honest with this person? Finding the right therapist can sometimes take time.

You may also experience strong emotions during or after your session. Feelings such as sadness, anger, relief, or anxiety can sometimes come to the surface when talking openly about difficult experiences. Remember that therapy is a journey that takes time, patience, and consistency. A single session may not bring immediate changes, but attending your first appointment is an important beginning. Like learning any new skill, meaningful progress develops gradually through practice and continued effort. Give yourself time to build trust, understand your experiences, and work towards your goals rather than expecting “feeling good” after just one session.

Helpful links:

https://www.lifeline.org.au/get-help/support-toolkit/techniques-and-guides/what-to-expect-in-your-first-therapy-session

https://psychology.org.au/psychology/about-psychology/seeing-a-psychologist-faqs/how-do-i-prepare-for-the-first-session

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