January 24, 2025 • 5 min read

What to expect from your first therapy session ?


Starting therapy can feel like stepping into the unknown. Will it be awkward? What will the therapist ask? This blog will walk you through what to expect in your first session and help you feel prepared."Well!! Let me tell you about what I felt on my first therapy session.

Sitting in the OPD waiting room, my name was finally called. I stood up, my heart racing, unsure of what to expect. My parents followed me closely, their presence overwhelming. Yes, my parents and I had some issues in our relationship. At that moment, I was seeking clarity—not just for myself, but for the complexities of my relationships with my parents and the growing weight of academic pressure.

As I entered the therapist's room, I noticed how calm it felt inside—so different from the chaos in my head. She greeted us warmly, asked us to sit, and invited my parents to share their perspective. They began recounting the incidents that led us here—my panic attacks, my struggles, and the concerns they had noticed. I sat quietly, a little nervous, as they spoke.

When they were done, the therapist gently asked them to step outside. Suddenly, it was just me and her. I was unable to smile The best decision I made that day was to tell myself, “Speak it out all.” Even though it was hard, it felt liberating to put my emotions into words. Your therapist isn’t there to “fix” you—they’re there to help you unpack your feelings and guide you to solutions.

She asked my name, my symptoms, my field of studies. When I told her about my panic attacks, she started teaching me about how to manage panic attacks. I could see her empathetic behaviour towards me. But still I was just listening to her. She was telling me some relaxation techniques. 

I told her about my sour mood, laziness, no appetite, and insomnia and overwhelmingness. She started explaining their cause one by one. Then we bid bye to each other. 

As I stepped out of the therapist’s room, I felt lighter—not entirely unburdened, but as though a small crack had formed in the wall I’d built around myself. My parents were waiting outside, looking at me with a mix of concern and hope. For the first time in a long time, I didn’t feel like running away from their gaze.
On the drive home, I replayed the session in my mind. The therapist's words echoed softly, reminding me that my struggles weren’t something to be ashamed of. Her calm presence had shown me that it was okay to feel overwhelmed, okay to ask for help, and okay to take small steps toward healing.
That night, as I lay in bed, I decided to try one of the relaxation techniques she had taught me. I closed my eyes, breathing in deeply, and for the first time in weeks, my racing thoughts began to slow. I didn’t fall asleep immediately, but I felt a strange sense of comfort—a flicker of hope that things could change.
This wasn’t the end of my journey, but it was the beginning. I knew there would be more sessions, more hard conversations, and more work to be done. But for the first time, I believed it was possible to move forward, to find clarity—not just in my relationships with my parents but within myself. And so, as the night settled around me, I whispered a silent promise: I’ll keep showing up for myself, one day at a time.

Tips for Your First Therapy Session
1. Go at Your Own Pace
Therapy isn’t a race. It’s perfectly fine to feel nervous or unsure about how to begin. A good therapist understands this and will guide you with gentle questions to help you open up. Even if all you manage to say is, “I don’t know where to start,” that’s okay—it’s a start! Remember, it’s your journey, and you’re in control of the pace.

2. Be Honest
You don’t need to have everything figured out before stepping into therapy. Share as much as you’re comfortable with, even if it feels messy or incomplete. Vulnerability can be scary, but it’s also the first step toward healing. A therapist’s role is to listen without judgment and help you untangle those emotions, one step at a time.

3. Ask Questions
Therapists are there to support you, not just to listen. If you’re unsure about anything—whether it’s how therapy works, what they specialize in, or even the confidentiality policy—ask away. Questions like, “How long will therapy take?” or “What can I expect from future sessions?” are completely valid. Open communication builds trust and helps you feel more comfortable.

That first session was just the beginning of a journey I didn’t know I needed. It wasn’t perfect, but it was a start—and that’s all that matters. If you’re considering therapy, remember that it’s okay to feel nervous. It’s okay to be unsure. Just showing up is a huge step toward healing.

"Taking the first step toward therapy is a brave decision. Remember, the first session is just the beginning of a journey toward healing and growth"

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