# What should I expect at my first therapy session?

URL: https://tymirahealth.com/resources/faqs/what-should-i-expect-at-my-first-therapy-session
For: Patients | Mental health | Reviewed by Independent clinical reviewer, Registered mental health clinician, Kenya | Last reviewed 23 October 2026

**Answer:** Your first therapy session is mostly about getting to know each other. The therapist will explain confidentiality and fees, ask what brings you to therapy, and talk about your goals. You can ask questions about their approach and experience. It is normal to feel nervous, and you only need to share what you are comfortable with.

### What usually happens

**A typical first session**

- Consent, confidentiality and fees are explained.
- You talk about what is worrying you and why now.
- The therapist asks about your health, history and support network.
- You agree goals and how often to meet.
- You can ask about their training and approach.

### How to prepare

Write down a few things you want to talk about, any medication you take, and questions about fees or scheduling. Arrive a few minutes early, or test your connection if the session is online.

> **Important:** If you or someone you know is in immediate danger or thinking about suicide, call 999 or 112, go to the nearest hospital emergency department, or call the free Kenya Red Cross line 1199. This article is general information. It does not diagnose, treat or replace care from a qualified professional.

## More questions

### How long is a therapy session?

Most sessions last 45 to 60 minutes. First sessions are sometimes longer.

### What if I do not connect with my therapist?

That is okay. A good fit matters, and you can try a different therapist.

### Will I have to talk about my childhood?

Only if it is relevant to your goals and you are ready. You are in control of what you share.

## Related questions

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- [How do I book a therapy appointment online in Kenya?](https://tymirahealth.com/resources/faqs/how-do-i-book-a-therapy-appointment-online-in-kenya)

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**About Tymira Health:** Tymira Health is a healthcare technology company based in Nairobi, Kenya. It builds Tymira360, a practice management and EHR platform for mental health, physiotherapy and dental providers, clinics, hospitals, NGOs and insurers across Africa.

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