You might feel a little nervous, intimidated, or skeptical about starting therapy for a lot of reasons, and that’s okay. It’s a different experience with a new person, and mental health just isn’t discussed as openly as physical health.
The most important thing to remember is that therapy is an opportunity to share your thoughts and feelings in a safe space without pressure or judgment. You can say things you may have felt uncomfortable saying to others. And it could be the first time you feel truly heard.
Oaks Vice President and Licensed Clinical Social Worker Michelle Carlamere shares, “Starting therapy can feel intimidating, especially if you’re not used to talking about your thoughts and emotions. We want people to know that it’s okay to take that first step at their own pace. Therapy is a space where you’re met with compassion, not judgment, and where your voice truly matters.”
Of course, any first appointment might make you feel a little uneasy, whether you’re meeting with a doctor, financial planner, contractor, or therapist. Here’s what you can expect when starting therapy for the first time.
Getting to Know You
Your therapist will ask questions, but they’ll spend much more time listening than speaking. They’ll ask why you chose to try therapy. They’ll ask about what’s going on in your life and the people in your life.
You’ll spend some time looking back at your history – your personal history, family history, relationship history, and health history.
You’ll spend time looking forward. What do you hope to gain from therapy? What challenges would you like to overcome?
You can also ask as many questions as you like. You might ask about your therapist’s experience and approach, or therapy in general. Feel free to express any concerns you may have.
Most importantly, your first therapy appointment is about getting to know each other, feeling comfortable, and building trust.
Share What You Feel Comfortable Sharing
Your therapist will explain that anything you share will be kept confidential. During your first appointment, you might not feel comfortable sharing everything with someone new. That’s normal.
If certain topics or experiences seem too personal or awkward to talk about, tell your therapist. Building trust and speaking openly can take time, and your therapist will let you move at your own pace.
Practice Between Sessions
Sometimes, therapy involves working on new skills, and that work doesn’t stop when the session ends. Your therapist may suggest activities or “homework” to help you stay focused on your goals between appointments.
These exercises are always personalized based on what you’re working through together. They’re designed to support your growth, build confidence, and help you apply what you’re learning in real life, at your own pace.
Realistic Progress
Some people start to feel better right away when their voice is heard, but progress with your mental health doesn’t happen overnight. The purpose of the first session is to create an environment of mutual trust and respect. That will provide a foundation that helps you gradually move closer to your goals.
Do you have more questions about what you should expect when starting therapy? We’re happy to answer them. Contact us at Oaks Integrated Care by calling our Access Center at 1-800-963-3377.
