What to Expect When Starting Therapy with a New Therapist
- Kelli Busbee
- Apr 25
- 4 min read

Starting therapy with a new therapist can be an exciting yet challenging experience. Whether you are seeking help for the first time or switching to a new therapist for personal reasons, understanding what to expect can help ease your anxiety. Here is a helpful guide to navigate this new journey successfully.
The Initial Contact
When you first contact a therapist, it usually happens via an email or phone call. This initial conversation is essential as it sets the tone for future sessions.
During this discussion, you will talk about your reasons for seeking therapy, your expectations, and any specific preferences you have. For example, you may want a therapist who has experience with anxiety disorders or one who focuses on cognitive-behavioral therapy. The therapist may ask for background information, such as previous mental health treatment or personal challenges, to better understand your situation.
It is important to trust your instincts during this interaction. If you do not feel a connection, it is okay to look for someone else. A good match can make a significant difference in your therapeutic journey.
First Session: What to Expect
Your first session is often a comprehensive intake assessment. During this, you will be asked a variety of questions about your mental health history, significant life events, and current challenges. The session will take about 45 minutes.
For example, you might discuss how long you've been experiencing anxiety, specific triggers, or any family history of mental health issues. While sharing personal details can feel overwhelming, remember that you control how much you disclose. Many people feel nervous during this initial session, so know you are not alone in your apprehension.
Setting Goals Together
Setting realistic and achievable goals is a vital aspect of therapy. In your early sessions, you will work with your therapist to identify your goals.
For instance, your goals might include reducing anxiety symptoms by 50% over the next three months or improving communication skills in your relationships. These objectives provide a roadmap for your therapy journey, helping both you and your therapist stay committed and focused on your progress.
The Therapeutic Relationship
A strong therapeutic relationship is essential for effective counseling. Trust, empathy, and respect characterize this bond.
Building this relationship takes time and is completely normal. Open communication is crucial; do not hesitate to voice any concerns or feedback about your sessions. Your therapist will appreciate your honesty, as it helps them tailor their approach to better suit your needs.
Different Therapy Approaches
Therapists use various techniques and approaches based on their training and your specific needs. Cognitive-behavioral therapy (CBT) focuses on changing thought patterns, while mindfulness techniques help you stay present and manage stress.
Ask your therapist about their methods and how they align with your preferences. If you are curious about specific therapy types, you can discuss what feels most helpful during your sessions.
Confidentiality and Trust
Confidentiality is a cornerstone of therapy. Anything shared in sessions remains private, allowing you to express yourself openly.
Preparing for Challenges
While therapy can be a safe space for healing, it can also bring up difficult emotions and topics. It is not uncommon to feel overwhelmed, especially in the beginning.
Prepare for the possibility of facing challenging feelings, such as sadness or anger. Your therapist will guide you through these discussions. Remember, you are not alone in this experience and finding support during tough moments can be comforting.
Progress Takes Time
Therapy is not an instant solution; it is a gradual journey. Progress can be slow and may not always feel noticeable. A survey by the American Psychological Association found that about 75% of people who enter therapy experience some benefit.
Celebrate your victories, big and small. Whether you handled a stressful situation better than before or learned a new coping skill, recognizing your growth is crucial to the therapeutic process.
The Stages of Therapy
You may experience various stages as therapy progresses, from feeling comfortable discussing personal issues to addressing past traumas and ultimately moving toward healing.
Each stage can present its own challenges. Regularly evaluate your goals and progress with your therapist to maintain momentum and address any concerns along the way.
Leaving Therapy
Eventually, you will reach a point where you feel ready to conclude your sessions. This process involves reviewing your journey, recognizing the growth you've achieved, and considering how to apply the insights gained in daily life.
Starting a New Chapter
Beginning therapy with a new therapist is a noteworthy step toward personal growth and healing. By understanding what to expect throughout the process, you can approach your sessions with more confidence.
Remember, therapy is a personal journey, and it’s perfectly fine to take your time. Each person’s experience is unique, so trust yourself and allow the relationship to develop naturally.
Though it may seem daunting at times, the benefits of therapy can lead to transformative changes in your life. Keep an open mind, practice patience, and trust the process. As you embark on this journey, know that you are making an important step toward improving your mental health and well-being.
To start your therapy journey with one of our counselors, please fill out the contact form on our homepage. www.familytiescounseling.com
You can also send us an email with any questions to Kelli@familytiescounseling.com
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