Your First Therapy Session: What to Expect and What to Bring
MHD Editorial Team · 5 February 2026
You have made the appointment, which is a massive win. As the date approaches, you might feel some first-day jitters. You may wonder what to say or fear that you have to disclose everything at once. The first session focuses on building a foundation rather than "fixing" everything in an hour.
The Practical Checklist: What to Bring
- Your Referral and MHTP: If you want a Medicare rebate, your therapist requires a copy of your GP's referral.
- Medicare and Insurance Cards: These facilitate your rebate and any gap payments.
- Your "Top 3" List: Although you don't need a script, identifying three key issues (sleep, work stress, relationships) helps guide the initial talk.
The "Intake" Phase: Paperwork and Privacy
Before the conversation deepens, you must complete some essential business.
Consent Forms: You will sign a document regarding confidentiality. Your therapist will explain that your words stay in the room unless they identify a risk of serious harm.
Clinical Questionnaires: Many psychologists use tools like the K10. These are not tests; they help the therapist measure your distress and track your progress.
The Flow: How the 50 Minutes Usually Go
An Initial Assessment typically follows a predictable rhythm:
1. The Admin Check: The therapist confirms your details and consent. 2. The Opening Question: Usually they ask what brought you in today. 3. The Broad Picture: The therapist explores your history and health to gain a holistic view. 4. Goal Setting: Together, you define what "better" looks like for you. 5. The Wrap-Up: The therapist suggests a plan for future sessions.
Frequently asked questions:
Can I bring a support person? Yes. Most therapists encourage you to bring a friend or family member for the first few minutes if it helps you feel comfortable.
What if I don't know what to say? This is very common. Your therapist knows how to lead the conversation with gentle questions.
How long does a session last? Most clinicians use the "50-minute hour," which leaves 10 minutes for their clinical notes.