What to expect in your first therapy session

Before: the Let’s Talk call

At Bethesda, most people start with a free 15-minute video call. You meet your therapist, share a little about what’s going on and ask questions. There’s no commitment.

The first session

Your first full session is about getting to know you. Your therapist will:

• Explain confidentiality and its limits
• Ask what brought you in, and what you’d like to be different
• Ask about your health, sleep, relationships, work and supports
• Ask about your safety, gently and directly
• Talk with you about goals, and how often to meet

You set the pace

You don’t have to share everything at once. It’s okay to say “I’m not ready to talk about that yet.” A good therapist will respect that.

How to prepare

• Jot down what you want help with, even in a few words
• Note any questions about cost, coverage or scheduling
• For a collision, have your claim number and insurer details ready
• Find a private, quiet place for a video session

After

It’s normal to feel tired, relieved or a little raw after a first session. Many people feel lighter just for having said things out loud. If the fit doesn’t feel right, you can switch therapists. That’s part of the process.

This article is general information, not medical, legal or insurance advice. For advice about your situation, talk to your health care provider, your insurer or a lawyer.