What to expect from your first psychology appointment

For some people of people, booking a first psychology appointment is the easy part. It's the lead-up to the first session, the not quite knowing what to expect, wondering what you'll be asked, or whether you'll have to talk about things you're not ready to talk about, that can feel harder.

This is a straightforward guide to what a first appointment at Ember Psychology Clinic actually looks like, so you can come in knowing what to expect.

Before the appointment

When you book, you'll receive an intake form to complete before your session. This covers some background information - what's brought you to therapy, a bit about your history, and any relevant details about your current situation. It helps your psychologist come into the first session with some context, rather than starting from scratch. You don't need to write a lot. A few sentences about what's been going on and what you're hoping to get from therapy is enough. There are no right or wrong answers.

If you're using a Medicare referral, bring your Mental Health Treatment Plan and referral letter to your first appointment, or upload it via the intake form.

What happens in the first session

The first appointment is primarily a conversation. Your psychologist will ask about what's brought you in, what's been going on, and what you're hoping to get from therapy.

You might be asked about how things have been affecting you day to day - your sleep, your relationships, your work, how long things have been difficult. You might be asked a bit about your background and history, though this is typically explored gradually over time, not all at once in the first session.

The first session is also a chance for you to get a sense of the psychologist and how they work. Therapy is a collaborative process, and the fit between you and your psychologist matters. It's okay to notice how you feel in the room and whether it feels like a space you can work in.

Do I have to talk about everything straight away?

No. A good therapist works at your pace. You're not expected to go deep in the first session, and you're always in control of what you share and when.

There may be things that feel too raw or too difficult to talk about yet. That's normal. The first session is about beginning to build a picture together - not about uncovering everything at once.

What if I cry or get emotional?

This is one of the things people worry about most, and it's worth addressing directly: getting emotional in a psychology session is completely normal. Often it's a sign that something important is being touched on.

Your psychologist is there to hold that space. You won't be judged for it, and you won't be pushed further than you want to go.

What happens after the first session?

Towards the end of the first session, your psychologist will often share some initial impressions and talk through what therapy might look like going forward - how often you might meet, what areas you'll focus on, and what approaches might be useful.

You'll have the opportunity to ask questions and decide whether you'd like to continue. There's no obligation after a first session, and it's okay if you need a bit of time to think about it.

How many sessions will I need?

This varies a lot depending on what you're working on and what you're hoping to get from therapy. Some people come for a focused number of sessions around a specific issue. Others find therapy useful over a longer period as a space for ongoing reflection and support.

Your psychologist will talk through this with you as you get a clearer picture of what's most helpful. If you're using Medicare, it's worth knowing you have access to up to 10 sessions per calendar year with a referral from your GP.

A few practical things to know

Sessions at Ember Psychology Clinic are 50 minutes. They're available in person in Sydney and via telehealth across Australia. If you're attending via telehealth, you'll receive a Zoom link with your booking confirmation.

If you need to cancel or reschedule, please give at least 24 hours notice. Late cancellations and non-attendance incur a fee.

One last thing

It takes courage to book a first appointment. If you've been sitting with the idea for a while, the fact that you're reading this probably means you're closer than you think.

If you'd like to book a first appointment at Ember Psychology Clinic, sessions are available in person in Sydney and via telehealth across Australia. Medicare rebates are available with a GP referral.

This article is for educational purposes only and does not constitute psychological advice. If you are experiencing difficulties, please speak with a registered health professional or your GP.