The first session of psychotherapy is often the one people worry about most — not because of what happens in it, but because of the uncertainty beforehand. What should you say? Do you need to have your story ready? What if you don’t know where to start?
Here’s what actually happens.
Before the session
You’ll receive a link for a video call at an agreed time. Find a private space where you won’t be interrupted. You don’t need to prepare anything — no notes, no narrative, no diagnosis.
The first few minutes
I’ll say hello, check the connection is working, and explain briefly how I work and what confidentiality means. Then I’ll invite you to say whatever comes to mind about what’s brought you here.
There’s no script. Some people arrive with a clear sense of what they want to talk about; others need time to find their way in. Both are fine.
What we talk about
Typically, a first session covers:
- What’s brought you to therapy now
- What you’ve tried before, if anything
- What you’re hoping for — even if that’s just “I’m not sure, but something needs to change”
- Any questions you have about how I work
You won’t be interrogated, diagnosed, or told what your problem is. The first session is as much about whether we’re a good fit as it is about the content of what you bring.
What you don’t need to do
- Have a clear narrative ready
- Know exactly what kind of therapy you want
- Commit to ongoing work
- Share anything you’re not ready to share
After the session
There’s no pressure to book a second session immediately. If we both feel it’s a good fit, we’ll agree a regular weekly time. If not — for any reason — I’ll do my best to signpost you elsewhere.
First sessions are 50 minutes at £75. A free 15-minute introductory call is available beforehand if you’d prefer to talk before committing.