Never had therapy? No idea of what to expect when you come for the first time to a therapist? Wondering what to “do”? All of these questions can naturally bring anxiety and tension for us and there’s no doubt that many are put off getting the help they need because they see counselling for “weak” people who should be able to sort their own problems out. Lets turn that around though. If we understand that many of us find the thought of going to a therapist for the first time daunting, then we can acknowledge that it takes bravery to step up to the plate and make that first appointment. It’s the first step down the road to positive change.
Any therapist worth their salt will recognise that you feel scared and unsure in your first session and will be supportive and reassuring. Once the initial session is over and you meet your therapist for the first time those stresses will ease and the fear factor will melt away.
In my first sessions counselling in Manchester with individual clients and couples I spend time getting to know what has brought you into therapy and what you want the outcome to be. It’s also an opportunity for you to get a look at me and ask me any questions you have about the process, who I am, my method of working and decide whether you think I’m the right therapist for you. It gives me an opportunity to decide whether I can help you or if it would be more appropriate to refer you to another therapist who could meet your needs more effectively.
So what are you as a client supposed to do when in therapy? Well the most important thing to do is be as open and as honest as you feel safe to be. I’m not suggesting that you go into your first session and pour out your deepest thoughts and feelings, in fact I would advise strongly against doing that until you have tested the relationship with your therapist for a few weeks and you feel ready to expose yourself a little more. Pace yourself, get used to the process and relax.
Many would argue that the type of therapy you have is unimportant. They are all just different ways of reaching the same goal. The relationship you have with your therapist is the key. Building trust and learning intimacy in a unique safe setting can be a truly liberating experience. The relationship you have with your therapist gives you the space and opportunity to test out a different way of relating to people in a safe environment.
Before you know it, you will be “doing” therapy without giving it a second thought. Hopefully this will be a life changing experience.

I have never been to a therapist for any reason, never thought I had a need for one although my friends always told me that did. Now I would think about it and probably get one soon!
Hi Abbey, you will know when the time is right to go see a therapist. People commonly come to me when they have had enough of dealing with the same issues over and over again and want to do something different. Therapists are trained to help you break negative cycles in your life. Good luck with it and get back to me if there is any way that I can help.
I’ve been seeing a therapist since June, and she’s not the first. They always get mad when you want to set goals or measures of progress. We only talk about whatever they want. I can’t tell if anything is happening. I don’t know what the hell is going on. We talk about the same thing, but nothing happens. They might say we have a relationship, but they don’t seem to care about what I’m saying. I’m spending a hell of a lot of money on this, and no measure to gauge if anything at all is happening.
Hi Robin. I hear your frustration with the process. I guess you are the only one that can judge whether anything is happening. I think your idea of setting goals or measures of progress is a good one. In TA we contract for change so both therapist and client are clear about what the goals and the outcomes should be. This also keeps the therapy on track during sessions where you should be talking about what you want within the safety of the framework that the contract provides. Therapists come in all shapes and sizes, if you don’t think you are getting results with one and you know you have committed a decent amount of time to the process then discuss it with your therapist first and if you are still not happy then find someone that will work in the way that you want to. Good luck and keep reading.