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How to Prepare for Your First Therapy Session: A Simple Guide to Getting Started
March 18, 2024

So, you’ve scheduled your first therapy appointment—congratulations! That first step takes courage. But now, you might be wondering:
“What should I expect?”
“What do I say?”
“How do I prepare for my first therapy session?”

At PeachTree Behavioral, LLC, we know that the unknown can feel intimidating. This guide is here to help you walk into your first session with confidence, clarity, and peace of mind.

1. Reflect on Why You Scheduled the Session

Before your appointment, take a few minutes to ask yourself:

  • What brought me to therapy now?
  • What am I hoping to get out of this?
  • Have there been specific experiences, patterns, or symptoms that feel overwhelming?

You don’t need to have all the answers—just being aware of your intentions can help guide the conversation.

2. Jot Down Notes or Questions

You might forget important thoughts in the moment, especially if you’re nervous. That’s why it helps to write down:

  • Key emotions or stressors you’ve been feeling
  • Specific questions you’d like to ask
  • Any goals you have (even if they’re vague)

Bringing notes to your first therapy session is a great way to stay focused and make the most of your time.

3. Manage Your Expectations

Therapy is a process. It’s not about solving everything in one visit. Your first session is about:

  • Getting to know your therapist
  • Discussing your history, symptoms, or current challenges
  • Outlining goals and possible next steps

Give yourself permission to be open—but also remember that it’s okay to take things slow.

4. Understand That It’s Normal to Be Nervous

Feeling anxious about your first therapy session is completely normal. Many people worry about being judged or not knowing what to say.

The truth is, your therapist is trained to guide the conversation. You don’t need to “perform” or have the perfect words. Just show up—and be yourself.

5. Choose a Comfortable Setting (If Virtual)

If you’re attending a virtual or phone-based session with PeachTree Behavioral:

  • Find a quiet, private place
  • Use headphones if you want extra privacy
  • Grab a notebook or glass of water to feel more at ease

Creating a safe space can help you relax and focus on what matters—your healing.

6. Bring Any Relevant Information

If you’ve received previous treatment or have a diagnosis, you can bring:

  • Medical or psychological records (if available)
  • Medication list
  • Names of past providers (if applicable)

Don’t stress if you don’t have this. Your therapist will meet you where you are.

7. Be Honest (Even If It’s Hard)

Your therapist isn’t there to judge—they’re there to help. The more honest you can be about your emotions, thoughts, and experiences, the more effective your sessions will be.

Even if all you can say is, “I don’t know where to start,” that’s okay. That’s a start.

What to Expect at PeachTree Behavioral

When you arrive for your first therapy session, here’s what you can expect:

  • A warm, welcoming environment
  • A licensed professional who listens without judgment
  • A focus on understanding your needs and building trust
  • A discussion of what therapy could look like for you moving forward

Whether in person or by phone, your comfort and confidentiality are always our priority.

Starting therapy can feel like a big leap—but it’s also a powerful investment in your well-being. At PeachTree Behavioral, LLC, we’re here to walk with you—step by step, session by session.