Taking the first step towards therapy can be daunting. At Yeates Consulting, we understand the importance of feeling prepared for your initial appointment.
This guide will walk you through what to expect at your first therapy session, helping you feel more confident and ready to begin your mental health journey.
Preparing for Your First Therapy Session
At Yeates Family Consulting, we understand that proper preparation enhances your first therapy experience. This chapter outlines key steps to set yourself up for success.
Select the Right Therapist
Choosing a therapist who aligns with your needs is important. Research has consistently shown that a strong therapeutic alliance is one of the most important predictors of positive treatment outcomes and adherence to therapy. Consider factors such as expertise, treatment approaches, and personal preferences. A brief phone consultation can help you gauge your comfort level with a potential therapist.

Collect Essential Information
Before your first session, gather relevant medical records, insurance information, and a list of current medications. This information helps your therapist understand your health history and ensures a smooth start to your treatment. Reflect on previous therapy experiences (if any) to identify what worked well and what didn’t. This insight can guide your new therapeutic journey.
Set Clear Objectives
Take time to think about what you want to achieve through therapy. Whether it’s managing anxiety, improving relationships, or working through trauma, having specific goals helps focus your sessions. Research has examined avoidance tendencies in explicit and implicit goal setting in psychotherapy.
Prepare Questions and Concerns
Write down any questions or concerns you have about therapy. This might include inquiries about the therapist’s approach, session frequency, or how to handle emergencies between appointments. Having these prepared shows initiative and helps you make the most of your first session.
Create a Comfortable Environment
If you’re opting for online therapy, ensure you have a private, quiet space for your sessions. Test your technology in advance to avoid technical difficulties. For in-person sessions, plan your route and arrive early to reduce stress.
Your first therapy session lays the groundwork for your mental health journey. These preparatory steps not only demonstrate your commitment but also provide valuable information to your therapist. As we move into the next chapter, we’ll explore what you can expect during your initial appointment, helping you feel more at ease as you take this important step towards well-being.
What Happens in Your First Therapy Session?
A Welcoming Environment
At Yeates Family Consulting, we create a safe, comfortable space for your first therapy session. Our Columbus, Mississippi office features calming decor and private rooms to ensure confidentiality. For telehealth sessions, we recommend you find a quiet, private area in your home where you won’t experience interruptions.
Building a Connection
Your therapist will start the session with introductions and explain how it will unfold. They’ll ask about your reasons for seeking therapy and your goals. This is your opportunity to share your story and concerns. Your therapist will guide the conversation and help you feel at ease.
Confidentiality and Trust
We prioritize your privacy. Your therapist will explain our confidentiality policies, including the rare circumstances where they might need to break confidentiality (such as if there’s a risk of harm to yourself or others). This transparency helps build trust, which is essential for effective therapy.
A recent study found that therapeutic alliance is a strong predictor of clinical outcomes, contributing to symptom improvement and relapse prevention.

Tailoring Your Treatment
Your therapist will discuss potential treatment approaches based on your needs. This might include cognitive-behavioral therapy, family systems therapy, or faith-integrated counseling (for those interested in a Christian perspective). They’ll explain how these approaches work and answer your questions.
For faith-integrated counseling, therapists should ask clients upfront if they wish to integrate faith into their therapy process.
Addressing Your Concerns
The first session provides an opportunity for you to voice any worries or doubts about therapy. Your therapist will listen attentively and address these concerns, helping you feel more comfortable with the process. They might also provide some initial coping strategies or homework to get you started on your journey.
It’s normal to experience a mix of emotions during your first therapy session – from nervousness to hope, relief, or even skepticism. Your therapist understands this and will work to create an atmosphere where you feel supported and understood.
As we move forward, let’s explore the specific topics that are typically covered in a first therapy session, providing you with a clearer picture of what to expect as you begin your path to wellness.
What Will You Discuss in Your First Therapy Session?
Reasons for Seeking Therapy
Your therapist will ask about what brought you to therapy. We encourage you to be as open and honest as you can. You might discuss anxiety, relationship issues, or trauma. Sharing your concerns helps your therapist understand how to best support you. It’s important to reflect on what you hope to achieve through therapy and the specific issues you want to address.

Personal History Exploration
Your therapist will ask questions about your background. This includes your family history, significant life events, and current living situation. This information provides context for your present challenges and helps identify patterns that may influence your thoughts and behaviors.
Therapy Goal Setting
You and your therapist will discuss what you hope to achieve through therapy. These goals might include reducing anxiety symptoms, improving communication skills, or processing grief. Try to be specific about what changes you’d like to see in your life. Research shows that goal-oriented practices involve practitioners working collaboratively with clients to identify, develop and focus on objectives for the therapeutic work.
Immediate Concerns Addressed
If you’re experiencing a crisis or have urgent issues, your therapist will prioritize these concerns. They may provide immediate coping strategies or safety planning if needed. Your well-being is a top priority from the very first session.
Treatment Approach Discussion
Your therapist will explain their approach to therapy and how it aligns with your needs. This might include cognitive-behavioral therapy, family systems therapy, or faith-integrated counseling (for those interested in a Christian perspective). They’ll answer any questions you have about the therapeutic process and what to expect in future sessions.
Final Thoughts
Your first therapy session marks the start of a journey towards better mental health. At Yeates Family Consulting, we make this initial step comfortable and productive. You will experience a welcoming environment, explore your reasons for seeking therapy, and discuss your goals (whether through individual counseling, family therapy, or faith-integrated care).
It’s natural to feel nervous about what to expect at your first therapy session. Your therapist understands this and will create a safe, non-judgmental space for you to open up at your own pace. You’ll have the opportunity to share your personal history and address any immediate concerns.
Yeates Family Consulting supports you throughout your therapy journey. Our team of experienced professionals helps you navigate life’s challenges. We guide you towards lasting wellness and positive change, so take the first step and contact us today.






