What To Expect In A First Mental Health Counseling Session
- For those experiencing suicidal thoughts, please contact the 988 Suicide & Crisis Lifeline at 988
- For those experiencing abuse, please contact the Domestic Violence Hotline at 1-800-799-SAFE (7233)
- For those experiencing substance use, please contact SAMHSA National Helpline at 1-800-662-4357
Signing up for counseling might feel intimidating if you have never seen a therapist before. It is not unusual for someone to be nervous about contacting a therapist and making an appointment; you might not know what to expect. You may be worried that the interactions will be awkward or intimidating, which can cause anxiety. These concerns are typical, and learning about what happens at the first therapy session is one way to prepare and reduce your stress.
There are many reasons to see a therapist, whether for individual counseling, group counseling, or specialized therapy sessions. A mental health professional can help you navigate any life situations that need counseling, and therapists can provide specialized care in many areas. For example, if you need assistance with relationship problems and work disputes, or if you have a substance use problem, you can turn to a dedicated professional with experience and education in these specific areas.
Whether you're seeking counseling sessions or just a one-time contact, a guidance counselor can give you emotional support and objective feedback in a non-judgmental way. You do not have to have a diagnosed mental health condition to benefit from seeing a counselor. Instead, many people seek help because they are facing a difficult life challenge and want to benefit from a professional’s guidance and support.
The therapist will get to know you
Your counselor may send you some forms before the first session or ask you to come to your appointment early to complete them, just as a new doctor usually does. These forms will likely contain information about the counselor’s practice, information, and assessment questions for you to answer.
What your counselor will ask about in your first counseling session
When you first talk with a therapist, they will also ask questions about your life and background. These questions could include things such as your occupation, your academic experience, and your hobbies. Aside from general questions, the counselor will also ask about your life situation. Questions about your relationships will come up, and all of your answers will help them understand you and your life situation.
These types of questions are necessary so that the therapist can get to know you, make an initial assessment, and plan how best to help you. Initial conversations are often more about discovering the concerns that have led you to seek counseling rather than immediately jumping into more profound issues. Even if you don’t feel noticeably different or better after your first session, it does not indicate that you will not have a successful treatment if you keep going.
Discussing your challenges and why you are seeking counseling
Of course, the counselor will also want to hear the reasons why you are seeking counseling. Even if you do not discuss these issues in detail during the first session, they can be addressed in-depth during later conversations. You determine what you want to tell and work on and the level and pace comfortable for you. You do not have to tell your counselor your deepest secrets or anything that you are not ready to reveal.
Being able to talk openly about your reasons for seeking counseling is essential. For example, some people have severe stress and anxiety due to a demanding career. If this is the case, your counselor may wish to discuss some of the challenging aspects of your job to get a better picture of why these issues are happening and how they affect you.
Setting goals for therapy
Your initial visit might include discussions about the types of therapy the counselor specializes in. The counselor may also work with you to develop goals for therapy, which can be personalized as you achieve specific milestones. Over time, you may also realize problems beneath the surface that you were unaware of until you started talking to a counselor.
Prevalence of mental health issues
According to the Centers for Disease Control and Prevention (CDC), if you have a mental health condition, you are not alone. In 2019, over 19 % of adults in the US sought out help for a mental health condition during the previous 12 months. In addition, nearly 10 % received ongoing counseling to help them resolve their symptoms.
Discussing your symptoms with your counselor
Mental health symptoms often impact many areas of life and functioning. The counselor may wish to discuss how your symptoms carry over into other aspects of life, such as sleep, work, health, and relationships. It is important to openly discuss these symptoms with your counselor, as it helps them understand the full scope of your challenges. Sometimes people get nervous talking about their symptoms. If this is a problem for you, you can tell the therapist, and they can put you at ease by doing things at a comfortable pace.
Try to be open and honest during your sessions
Feeling embarrassed when discussing uncomfortable information is common, and being completely honest might not be easy. In some cases, people have the urge to lie or avoid answering specific questions with complete accuracy. However, when you are not open and honest with your counselor, the session will likely not be as effective. It can be easier to make true breakthroughs if a counselor knows what is going on. It is perfectly okay if you are not ready to talk about something, but instead of being evasive, it is better to tell the counselor you are not ready now.
A safe environment
It is not part of a therapist’s job to judge you - your counselor talks to people about highly personal matters every day. Your counselor wants to create a safe environment for you to talk about hard things, and it might take time for you to feel comfortable divulging specific concerns, which is okay.
That means your therapist cannot reveal any information about what you’re saying in your sessions to anyone, by law.
Discreteness and your counselor’s legal duties
The limitations to this vary by state, but in general, they include the following:
- If you are a danger to yourself or someone else, your counselor is responsible for getting you appropriate help.
- Counselors are mandated reporters for child abuse and elder abuse.
Your counselor cannot even tell someone that you are a client unless you sign a consent for the release of information.
Don’t be afraid to ask questions
You don’t need to be afraid to ask your counselor questions. If you have any concerns about the counseling process, telling your therapist is the best way to resolve them. Your counselor would much rather know that you are not connecting or getting better than for you to cancel your next session and never come back. You can talk to your counselor about anything you want and expect professional and objective feedback and suggestions. If you decide that the person you are seeing is not a good fit for you, you can always ask for a referral to someone else or seek another therapist on your own.
Engaging for progress in your counseling sessions
If you take the time to engage with your counselor, it increases the chances that your sessions will be successful. Remember depending on the type of therapy, progress can be uncomfortable and slow at times. You may be talking about things you don’t feel safe talking to other people about or maybe something you haven’t told anyone before. It is your counselor’s job to help you make progress, not always to make you feel happy all the time. Growth and positive change often start with some discomfort. Just as you do not build muscle and endurance without challenging workouts, the same is valid for making progress in counseling.
If you are new to therapy, online options might be a good fit
Researchers have concluded that online therapy can be as effective as seeing someone in-person. While online treatment is not appropriate for every mental health condition, it has been found effective for treating depression, anxiety, phobias, post-traumatic stress disorder, panic disorder, and many other conditions.
Benefits of online therapy
If you are nervous about talking to a counselor, online therapy might help you feel more comfortable. In addition, with online therapy, it is much easier to seek counseling at times that work best for you. Online therapy platforms allow for connecting with a counselor through chat sessions, text messaging, video calls, and by phone. You can find out more about online therapy options by following this link.
Takeaway
Starting therapy can feel intimidating and overwhelming. However, trained mental health professionals see clients with all types of mental health challenges every day. They work with their clients at a pace that matches the client’s comfort level and needs, and they do so in a non-judgmental way. Talking to a therapist online can make getting started more comfortable.
What are the 5 stages of counseling sessions?
In psychotherapy, individual counseling sessions can be broken down into five distinct stages. The five stages of counseling include:
- Stage One: Initial counseling sessions, relationship building
- Stage Two: Exploration, assessment
- Stage Three: Goal Setting
- Stage Four: Intervention
- Stage Five: Evaluation, termination, or referral
The initial stage focuses on rapport-building and case conceptualization, while follow up appointments focus on creating goals and implementing treatment. For example, in the case of someone with anxiety this could include identifying triggers and automatic thoughts, and then shifting these thoughts into healthier directions.
How do you start a counseling session?
In the very first session, a therapist will often use open-ended questions to find out from the client what brings them in for counseling. Follow up sessions will focus on learning more about the needs of the client, and then personalizing the treatment methods and schedule to meet those needs.
What is the purpose of counseling?
Counseling is having a licensed professional who is trained in the latest evidence-based practices offer guidance as well as skills and tools to help manage mental health conditions, stress, increase self-esteem and self-worth, and learn to build and maintain healthy relationships.
What is the benefit of counseling sessions?
Counseling can be helpful in a number of ways. A trained therapist can help their clients manage stressful life events, cope with mental health or physical health problems, learn to form healthy relationships with others, and guide people through marriage or relationship difficulties.
Why is the first counseling session important?
The first counseling session can be important because this is the start of building a strong therapist/client relationship. The importance of trust can’t be overstated when it comes to a client’s treatment. By establishing rapport with the client, a therapist will increase the chances of continued treatment and fulfillment of the client’s treatment goals.
How does counseling help the mental health of students?
Counseling can be helpful for students by offering tools to manage school stress, which directly impacts their mental health. It also provides guidance for life decisions, and helps mediate relationship difficulties with friends and family members, all of which contribute to a student's overall mental well-being.
How important is the role of the counselor in students' success?
Depending on the student, a counselor can be important to student success. If a student is having difficulty managing stress or achieving balance in their school and home life, or if they are unsure about their future, a counselor can help guide them through these challenges and encourage them on a path toward a career that suits their goals and talents.
How does a counselor improve the lives of clients when it comes to students?
Students in this category are typically adolescents and young adults, which ages can be a difficult and transformative part of the lifespan. Counselors lend a non-judgmental listening ear, offer guidance, and are mandatory reporters in cases of abuse. They can partner with a student to work on decision-making skills, model stress-management, and help improve self-esteem.
What are the roles and functions of counselors during a counseling session?
Counselors may do the following:
- Offer strategies for managing stressful situations
- Work on treatment strategies to manage the symptoms of mental health issues
- Offer coping mechanisms for acute or chronic physical conditions
- Educate on healthy relationship-building and maintenance
- Partner with the client on career or education decisions/development
How do I become an ideal and effective counselor?
An effective counselor may work on empathy building, and active listening skills. To help clients, it’s important to be able to identify challenges, build trust, and offer help in a way that is acceptable to the individual.
What are the main counseling skills?
Why is silence important in counseling?
What is the first step in preparing for a counseling session?
How do I prepare myself for a counseling session?
How do you know if mental health counseling is effective?
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