What to expect during your first therapy visit.

I will greet you at the beginning of your appointment time, and show you to my office. We will meet in a secure, private setting where anything can be discussed. A few minutes will be devoted to nuts-and-bolts items such as confidentiality, disclosure and consent. I will ask you to talk about your concerns and goals. We will talk about your expectations and any reservations you might have about beginning this process.

I will have quite a few questions to begin, in order to get some of the basic information I will need. For instance, I will want to know about your background and current circumstances, your strengths and the obstacles you face. I may ask about your family. I will ask about alcohol/drug use and will have you list the symptoms and problems you encounter. I will want to know about any medications you are taking, questions you may have about psychoactive medications, and whether I should coordinate care with your physician.

I'll be interested to know about your thoughts on what kind of therapy you think is most helpful, for instance, directive and concrete, or something of an unfolding process of exploration. It will be okay if you don't know the answers to all of my questions. There will be no pressure placed upon you at any time.

I'll want to give time to all the initial questions you have.

We will formulate some initial goals for our work together, so that we are in agreement on what the milestones will be as well as how to recognize when your goals have been achieved. We should have a rough idea about how long the process will take so that you know what you are getting into.

It is my hope that when we end our first session, you will be feeling that you have just spoken with someone who seems keenly able to understand what you experience and can begin to shed new light on what isn't working in your life the way you want it to, and what you can do about it.