What to Expect in Your First Therapy Session

Starting therapy can feel both exciting and a little intimidating. If you’ve never been to a therapy session before, you might be wondering what actually happens. At Copper Creek Counseling, we believe that understanding the therapy process can help reduce anxiety and set you up for a positive, productive experience on your mental health journey.

Before Your First Session

Before your appointment, you’ll receive an email with instructions to access our secure portal and complete any necessary forms, including “outcome measures.” These short questionnaires help your therapist understand your current symptoms and establish a baseline to guide your counseling sessions.

Your First Therapy Session

Upon arrival, your therapist will greet you in the waiting room and take you back to begin the intake session. This first appointment typically lasts about one hour and is more structured than subsequent sessions. It’s a time to discuss why you are starting therapy, your mental health history, and any background information you feel is important. Your therapist may guide the conversation, but this is your space to share openly.

Collaboration and Goal-Setting

Therapy is a collaborative process — you are the expert on your own life. Your therapist will work with you to identify areas for improvement, whether that’s coping with anxiety, managing depression, improving relationships, or building self-awareness. Together, you’ll set realistic therapy goals and discuss strategies, such as mindfulness exercises or coping skills, to support your emotional well-being between sessions.

Ending the Session

At the end of your first therapy session, your therapist will answer any questions and schedule your next appointment. This helps establish a foundation for ongoing therapy and ensures you feel comfortable moving forward with your mental health support.

Final Thoughts

There’s no “right” way to start therapy, and feeling nervous or unsure is completely normal. Your first therapy session is about building trust, understanding the therapy process, and taking the first step toward emotional well-being. If you’re ready to start your journey, reach out to Copper Creek Counseling today! We’re here to support you every step of the way.

Article by Natalie Sigler, MSW Intern