What Questions Should You Ask Before Starting Your First Therapy Session?

Starting therapy can feel like a big step, and it’s natural to have questions before diving in. Whether you’re seeking counseling for personal growth, mental health support, or dealing with a specific challenge, asking the right questions beforehand can help you feel more confident and prepared. Here’s a guide to what you might want to ask your therapist before your first session.


1. What Are Your Qualifications?

Knowing your therapist’s background can help you feel assured of their expertise. You can ask:

  • Are you licensed, and what is your area of specialization?
  • What training or certifications do you have?
  • How long have you been practicing?
  • Are you a member of a regulatory body like BACP?

Understanding their qualifications ensures you’re working with someone equipped to help you with your specific needs.


2. What Is Your Approach to Therapy?

Therapists often use different methods depending on their training and your needs. Some questions to consider include:

  • What therapy techniques do you use (e.g., Cognitive Behavioral Therapy, Psychodynamic Therapy)?
  • Is your approach structured or more flexible?
  • How do you typically work with clients facing challenges similar to mine?

Their response will give you insight into how sessions might flow and whether their approach aligns with what you’re looking for.


3. Do You Have Experience With My Specific Concerns?

Therapists often specialize in particular areas, such as anxiety, depression, relationships, or trauma. Ask:

  • Have you worked with clients dealing with issues like mine?
  • What has been your experience or success rate in helping clients with similar challenges?

Choosing someone familiar with your concerns can make a big difference in how effective the therapy feels.


4. What Can I Expect From Therapy?

Starting therapy can feel uncertain, but understanding what to expect can ease your mind. Consider asking:

  • How often will we meet, and for how long?
  • How long do clients typically stay in therapy for issues like mine?
  • What will the first few sessions focus on?

This helps set clear expectations and gives you a sense of the time commitment involved.

Questions to ask before therapy

5. What Are Your Fees and Payment Policies?

Therapy is an investment in your well-being, so it’s essential to understand the financial aspects upfront. Ask:

  • What is the cost per session?
  • Do you offer sliding-scale fees based on income?
  • Do you accept insurance, and will you assist with reimbursement claims?

Knowing the financial details beforehand can help you plan and avoid surprises later.


6. What Are Your Policies on Confidentiality?

Confidentiality is a cornerstone of therapy, but there are legal and ethical limits to it. Questions to clarify this include:

  • How is my privacy protected?
  • In what situations might you need to break confidentiality?
  • How do you handle session notes or records?

Understanding these policies ensures you feel safe sharing personal information.


7. How Will We Measure Progress?

Tracking your growth in therapy is essential. Ask:

  • How do you evaluate progress?
  • Will we set goals together, and how will we revisit them?
  • What happens if I feel therapy isn’t helping?

These questions highlight the collaborative nature of therapy and set a framework for your journey.


8. What Happens If I Need to Cancel or Reschedule?

Life happens, and it’s good to know your therapist’s policies. Consider asking:

  • What is your cancellation policy?
  • How much notice is required to reschedule?
  • Are there fees for late cancellations or missed appointments?

Understanding these details helps you navigate scheduling with ease.


9. Can I Contact You Between Sessions?

Some therapists have policies on communication outside of scheduled sessions. Clarify:

  • Can I email or call if I have urgent concerns?
  • Do you have a response time policy?
  • Are there boundaries for out-of-session communication?

Knowing the answer ensures you respect their availability while getting the support you need.


10. How Will We Handle Endings?

Therapy doesn’t last forever, and understanding how your therapist handles the conclusion of therapy is important. Ask:

  • How do we know when it’s time to stop therapy?
  • Will there be a final session to reflect on progress?
  • What happens if I need therapy again in the future?

Discussing this early can make the transition out of therapy smoother when the time comes.


Conclusion

Asking questions before starting therapy empowers you to make informed decisions about your mental health care. A good therapist will welcome your curiosity and provide clear, supportive answers. By being proactive, you set the stage for a trusting and productive therapeutic relationship.

Take your time to find the right therapist and remember—starting therapy is a step toward a healthier and more fulfilled you.