Steps for Starting Therapy

Starting the therapy process can be simultaneously exciting and nerve-racking, especially if you have never done it before. There may be a lot of questions regarding what it looks like or what to expect. You might even be envisioning what we see in TV shows or movies where you have a client laying on a couch and staring at the ceiling while the therapist is sitting nearby, jotting things on a clipboard, and asking, “How does that make you feel?” In a space of many questions and uncertainties, I have found that these guidelines can help out tremendously in preparing for a therapy session and ensuring you feel comfortable and informed.

Identify the reason(s) why you want to receive therapy – This can include symptoms, life stressors, personal development, and so on.

Do research on providers – This part is twofold: (1) Find providers that are covered by your insurance or have rates that work best for you and (2) explore what the therapists of that practice specialize in; the aim is to pair your needs with someone who knows how to tend to them.

Schedule a consultation – If you have further questions you would like answered before your session (i.e. rates, scheduling, etc.), set up a phone call with the office manager to gather more information.

Test it out – Like a good pair of jeans, you want to test out your therapist to see if it is a good fit. While they are the experts of how to treat mental health issues, you are the expert on your sense of safety and comfort. You should never feel unseen, unsafe, or dismissed with your therapist.

Maintain open communication – If you have questions, concerns, thoughts, or anything at all, be sure to talk about it with your therapist and be as transparent as possible. The only way to fully assess your needs and come alongside you to lend support is to fully know what you are experiencing.

Work collaboratively – While the therapist is learning more about you, you will also be learning more about yourself. Some interventions might work and others might not, but so long as you continue collaborating with your therapist, the both of you will learn what works best and what helps you get to where you want to go.

While the logistics of each session may vary, these guidelines should become standard practice. If you are going to enter into a space where you are required to be vulnerable and open, you should ensure you take all the measures possible to be informed and feel prepared for what is to come.