Your first counselling session: what to expect?

If you’ve never seen a counsellor before you may understandably have questions about what to expect.

A therapeutic relationship is unique because it provides a space exclusively for you. Your counsellor will be focused on getting to know you and understanding why you have come to therapy. They will have questions about what you feel is wrong in your life and any symptoms you may be experiencing. Don’t be surprised if they ask whether you’ve seen your GP recently, as understanding if medical issues may be contributing to your problems can be critical.

Most therapists offer a short chat, usually via phone or online, for you to ask initial questions. Some therapists may ask you to complete a questionnaire to get some background details about your health and well-being and your reason for coming to counselling.

In your first session, it's important to work out whether you and your counsellor are well-suited. You will have the chance to tell your story and your therapist will also introduce themselves and explain how they work. Most counsellors will also have a contract which explains the limits of confidentiality, frequency of meetings, how and when payment should be made, etc. But, overall, when you first meet, they will want to be sure that you will be able to work well together. Research shows that it is the therapeutic relationship itself which has the most impact on improving a client’s emotional and psychological well-being. Ensuring you and your counsellor can establish a good connection is vital.

Once you have explained your reasons for coming to therapy, collaboration with your counsellor to figure out what you want to achieve, may also be part of this first session. It is important to agree on how you will know that things are improving. Most counsellors will revisit goals with you as therapy progresses.

After your first session, these could be useful questions to ask yourself:

·       Do I like this therapist? Did I get on with them?

·       Does the frequency, location and cost of sessions work for me?

·       Does this therapist understand what I need, and could they help me?

·       Do I want to come back next time?

If you aren’t sure, you can book a session with another therapist. It’s often a good idea to talk to more than one therapist when choosing a counsellor. Remember, you’re in the driving seat, both in choosing a counsellor, and when working with one, so it’s important that you feel they are the right fit for you.

You may also find this document useful, where the British Association for Counselling and Psychotherapy introduces counselling.

Good luck on your counselling journey!