08/23/2025
Common Worries Before Your First Therapy Session
1. What if the therapist judges me?
Therapists are trained to listen without judgment. Their role is to support, not criticize.
2. What if I don’t know what to say?
It’s completely okay. Therapists are skilled at guiding the conversation. Even silence can be part of the process.
3. What if I cry or get too emotional?
That’s normal and welcomed in therapy. Strong feelings are a sign you’re being real and honest.
4. Will the therapist think my problems are too small—or too big?
No problem is “too small” or “too big” to bring up. If it matters to you, it matters in therapy.
5. What if I don’t “click” with my therapist?
It’s important to feel comfortable. If it doesn’t feel like a good fit, you can always switch therapists.
6. Will my information be kept private?
Yes. Therapy is confidential, with only a few legal exceptions (like safety concerns).
7. How long will it take before I start to feel better?
Everyone is different. Some people feel relief right away, others take more time. Therapy is a process.
8. What if I say something “wrong”?
There are no “wrong” things to say in therapy. Honesty is more important than perfection.
9. Am I going to be diagnosed with something?
Not always. Some therapists provide a diagnosis if needed (especially for insurance), but therapy can be about growth, not just labels.
10. Will I be forced to take medication?
No. Therapists can’t prescribe medication (unless they’re also a psychiatrist or certain nurse practitioners). Medication is always your choice.
11. Is it my fault I’m struggling?
No. Mental health challenges are not a personal failure—they’re human experiences.
12. Will I be understood, or will I have to explain myself over and over?
Therapists are trained to listen deeply and work to understand your unique story.
13. What if therapy doesn’t work for me?
There are many approaches to therapy. If one method or therapist doesn’t work, another might. You’re not “untreatable.”
14. What if it makes things worse before they get better?
Sometimes digging into hard topics can bring up tough emotions. This is normal, and therapists help you move through it safely.
15. How much should I share in the first session?
As much as you feel comfortable with. You don’t have to share everything right away.
16. Will I be pressured to talk about things I’m not ready for?
No. Therapy should go at your pace. A good therapist will respect your boundaries.
17. How do I pay for this, and will insurance cover it?
This depends on the therapist and your insurance. It’s okay to ask about fees, insurance, or sliding scales before starting.
18. What if people in my life judge me for going to therapy?
Going to therapy is a sign of strength. Many people find that those who matter most support their choice.
