What To Expect In A First Therapy Session
Starting therapy for the first time can feel daunting. Many people aren't sure what to say, worry about being judged, or simply don't know what to expect. This article aims to demystify the process and give you a clear sense of what actually happens when you begin.
Before you start — the initial consultation
Before committing to regular sessions, I offer a free initial consultation. This is a short conversation — usually around 10 to 15 minutes — where we can think together about what brings you, what you're hoping to get from therapy, and whether psychodynamic therapy feels like the right fit for you. There's no obligation to proceed, and no pressure.
This is also your chance to ask any questions you might have — about how I work, what sessions are like, or anything else that's on your mind.
The first session
If you decide to go ahead, the first session is largely about getting to know one another. I'll invite you to say something about what's brought you to therapy — what's been going on for you, how long it's been difficult, what you're hoping might change. You don't need to have a polished account prepared. There's no right or wrong way to begin.
It's completely normal to feel nervous. Many people find it takes a few sessions before they begin to feel comfortable. The first session is as much about getting a sense of whether you feel at ease with me as it is about anything else.
What I won't do
I won't give you a diagnosis, tell you what to do, or offer immediate solutions. Psychodynamic therapy is not that kind of work. My role is to listen carefully, ask questions, and help you begin to explore what's going on beneath the surface — at a pace that feels right for you.
Practical things to know
Sessions are 50 minutes and take place at the same time each week. This regularity is part of what makes therapy work — it creates a reliable, consistent space that you can begin to depend on. Sessions are available in person at North London Therapy Practice in Finchley, or online via secure video.
After the session
It's not unusual to feel a range of things after a first session — relief, tiredness, or sometimes a mild unsettledness. This is completely normal. Therapy stirs things up, and that's part of how it works. These feelings usually settle, and over time most people find the process increasingly valuable.
If you're curious about taking the first step, I'd encourage you to get in touch. A free initial consultation is a low-pressure way to find out whether therapy — and this approach in particular — feels right for you.