Three Key Things to Expect for Your First Therapy Appointment

Taking the first step to schedule a therapy appointment requires a lot of courage—congratulations on making that decision! If you’re new to therapy, you might be curious about what to expect during your initial session. Here’s a guide to help you understand the process:

Before Your First Therapy Appointment

Preparing for your first therapy appointment is similar to preparing for a visit to your primary care doctor. When you book your appointment, you’ll need to complete several forms, including:

  • HIPAA Notice of Privacy Practices
  • Informed Consent
  • Practice Policies
  • Intake Questionnaire
  • Telehealth Consent (if applicable)

During Your First Session

Your initial session will primarily focus on building a foundation between you and your therapist. You’ll discuss administrative details like confidentiality, the cancellation policy, and informed consent. Your therapist will also review your personal history and may ask questions such as:

  • Have you had therapy before?
  • What motivated you to seek therapy now?
  • What are you currently experiencing?
  • What’s your living situation?
  • How are your relationships with family and friends?
  • What are your goals for therapy?

After gathering this information, you’ll work together to create a treatment plan tailored to your goals. This process aims to establish a supportive, collaborative therapeutic relationship where you feel secure and valued.

After Your First Session

Therapy can be incredibly beneficial, but progress may take time. Discussions in therapy might bring up challenging emotions, so it’s important to give yourself time to process and relax afterward. Prioritizing self-care will help you be ready for future sessions.

Remember, taking care of yourself is an essential part of the process.

Written by: Savanah Reese

Edited by: Lauren Maddox

Additional Resources

Eating Disorders - It's Not About the Food

By Kelly Lopez

If it’s not about the food, what is it really about?

The eating disorder serves a function, it does a job. Despite the problems an eating disorder creates, it is an effort to cope, shield against, communicate, and solve problems. Behaviors may be a way to establish a sense of power or control, self-worth, strength, and containment. Bringing may be used to numb pain. Purging may be a way to release emotions. When one cannot cope in healthy ways, adaptive functions (behaviors) are created to ensure a sense of safety, security, and control.
According to Carolyn Costin*, some of the “adaptive functions that eating disorder behaviors commonly serve are”:
It’s not about the food, it’s a way of coping with low self-esteem, negative emotions, physical, emotional, and sexual abuse, unstable home, difficulty resolving conflict and much more.
*Costin, Carolyn. The Eating Disorder Sourcebook: A Comprehensive Guide to the Causes, Treatments and Prevention of Eating Disorders. 3rd. edition, McGraw Hill, 2007.
Fuller, Kristen. “Eating Disorders: It’s Not All about Food.” Psychology Today, Sussex Publishers, 22 Mar. 2017