Your first therapy session: what to expect

Think of one or two things you would like the clinician to understand. It can be a feeling, a situation, or simply, "I don't know where to start." Write it down if that helps. You can also ask what the session will involve and whether a family member may join.

Check the practical details: fee, length, online or in-person, cancellation policy, and what happens if you need to reschedule. It is fine to ask these before booking.

The clinician will likely ask what brings you, what has helped before, and what you want to be different. They may ask about sleep, health, relationships and safety. You can decline a question and say you would rather not discuss it yet.

The first session is also a chance to see whether the fit feels right. You are allowed to ask about the clinician's approach, experience and language. If it does not feel workable, you can say so and look for someone else.

Ask how your information is stored, who can see it, and what the limits of confidentiality are. Clinicians should explain when they may need to share information to keep you or someone else safe. You can ask for this in writing.