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The First Session: What to Expect and How to Prepare for Your Counseling Journey

Making the decision to start counseling is a significant first step. Naturally, this can come with feelings of uncertainty and nervousness about what the first session will entail. Knowing what to expect can help ease anxiety and allow you to get the most out of your initial meeting.

The first session is primarily a “getting to know you” meeting for both you and the counselor. It’s often called an intake session. The counselor will guide the conversation, but their main goal is to understand what brought you to therapy and what you hope to achieve. They will likely ask about your current challenges, your personal history, your family, and your lifestyle.

This is also your opportunity to interview the counselor. Don’t be afraid to ask questions. You might want to know about their therapeutic approach, their experience with issues similar to yours, and their policies regarding confidentiality and scheduling. The goal is to determine if you feel a sense of rapport and safety. The connection you have with your therapist—often called the “therapeutic alliance”—is a major predictor of success.

To prepare, you might spend some time thinking about your reasons for seeking help. What are the key issues you want to address? What are your goals for therapy? You don’t need to have all the answers, but having some initial thoughts can provide a helpful starting point. Remember, the first session is not a test; it’s the beginning of a supportive partnership.

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