Question

What should I expect at my first therapy session?

Plain-language answer for people in Kenya searching "first therapy session". For clinical review before publication.

Audience
Patients
Topic
Mental health
Reviewed
Oct 23, 2026
Medical reviewer
Independent clinical reviewer, Registered mental health clinician, Kenya

Quick 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.

On this page

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.

Provider pathway

Find the right care path

Patient content should guide people toward provider discovery, appointment preparation, or related guidance.

Provider pathway cards will appear here when provider discovery data is available. Until then, patient pages should continue to point to preparation and access guidance.

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FAQs

Common questions

FAQs are written for readers first and only use structured data if visible content supports it.

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.