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Starting therapy: what to expect from your first session
Starting therapy can feel daunting. Here is what happens before, during and after your first session, so you can take the first step at your own pace.

Deciding to start therapy can take a lot of courage. It is completely natural to feel unsure, nervous or even a little sceptical before your first session. Knowing what to expect can make that first step feel more manageable.
Before your first session
Everything begins with a short message. You don’t need to explain everything at once; a brief overview of what brings you to therapy is plenty. From there, we arrange a free 20-minute consultation over Zoom. It is a chance for you to ask questions and get a sense of whether working together feels right, with no obligation to continue.
What happens in the first session
The first session is mostly about getting to know you. We might talk about what has been happening recently, what you hope to get from therapy and anything from your history that feels important. There is no right or wrong way to do this, and you are always in control of what you share and when.
We will also talk through practical things together, such as confidentiality and how we will work, so that you feel clear about the space we are creating.
How it might feel
Some people feel lighter after their first session; others feel tired or stirred up. Both are completely normal. Talking about things that matter can bring up emotions, and that is part of the process. We will move at a pace that feels safe for you.
There is no need to arrive with the right words. Therapy is a space to find them together.
Online or in person
Sessions can take place over Google Meet or in person in Walthamstow. Online sessions work best from somewhere private and comfortable where you won’t be interrupted. If you are meeting in person, you will receive full arrival details beforehand.
Taking the next step
If you are thinking about starting therapy, or returning to it, you are welcome to get in touch. Starting with a simple conversation can help you decide what feels right.

Meet Emily
Emily McDonald is an Integrative Psychotherapist offering online and in-person therapy, and group grief walks in Walthamstow. Her approach is warm, collaborative and trauma-informed.
More about Emily