If you've never had therapy before, you may be feeling uncertain or even anxious about what to expect in your first session. This is completely normal. While the exact structure of an initial therapy session will depend on the therapist and their approach, the fundamental aim is to help you and your therapist understand whether working together will be beneficial. In this article, I’ll explain what happens in a first session with me, so you can feel more prepared and reassured about taking this important step.

Finding the right therapist can feel overwhelming, but it doesn’t have to be. This guide walks you through identifying your needs, understanding different therapy types, and choosing a qualified professional who aligns with your goals. Whether you’re considering online or in-person therapy, this article offers practical tips to help you make the best decision for your mental well-being.

When considering therapy, many people are met with a confusing array of professional titles—counsellor, psychotherapist, CBT therapist, counselling psychologist, psychiatrist, clinical psychologist, etc. To make matters even more complex, the term therapist is often used as an umbrella term for professionals who provide talking therapy. However, not all mental health professionals have the same training, qualifications, or approach. This article aims to clarify some of these differences, helping you make a more informed choice about which professional might be the best fit for you. However, it’s important to note that there is significant overlap between these roles, and in practice, the distinctions are not always as clear-cut as they seem on paper.