It is common and normal to not know what to expect when making the important decision to begin psychotherapy. TV shows, movies, songs, and memes depict psychotherapy in different ways, usually in ways that actually discourage people from participating in it. We hope to “demystify” what happens in the first session so that you can have a realistic expectation of what you will experience if you decide to begin treatment with us.
In the first session, our main tasks are to make you feel comfortable, safe, and understood, and to get to know more about you and what brings you into therapy. We will want to know about what bothers you (i.e., only if you are comfortable in sharing at that time), how it disrupts your daily life, and what makes things better. We will explore how your upbringing, important relationships, ethnicity, culture, gender and sexual identity, and values shaped your experiences and challenges. We will also want to know what you hope to get from therapy and how you imagine you will be different when therapy is complete.
Once we have a better understanding of your presenting concerns, history and context, and goals for treatment, we will then explain our understanding of your difficulties and propose a plan to help you reach your goals. This is where treatment can vary greatly from person to person (please see our blog posts for descriptions of some of the treatments we are trained in). Whatever treatment we agree upon, we will explain how the therapy works and directly answer any questions you have about the treatment. There is no need for mystery in psychotherapy.