Hello and welcome to The Therapist Diaries,
Starting therapy for the first time can feel overwhelming, intimidating, or even awkward. You’re not alone if you have a head full of questions but aren’t quite sure how to ask them. In this edition of The Therapist Diaries, I’m breaking down the most common questions I get from first-time clients- along with honest answers to ease your mind and help you feel prepared.
“Is what I’m going through even *bad enough* for therapy?”
This is hands down one of the most common things people ask, either out loud or quietly to themselves. The short answer? Yes. If something is bothering you, interrupting your day, weighing on your chest, or confusing you, therapy is a space where you can talk about it without judgment. You don’t need to hit “rock bottom” to seek help. I’ve said this before and I’ll say it again but therapy isn’t only for crises, it’s also for growth, prevention, processing, and self-understanding.
“What if I don’t know what to say?”
Totally normal. Some people arrive with a list, others sit down and feel stuck. That’s OK. It’s the therapist’s job to help guide the conversation and make it feel safe enough for you to open up. You don’t have to perform, prepare a speech, or come with answers. Just bring yourself and we’ll figure it out together.
“Will my therapist judge me?”
No. And if you ever do feel judged, that’s something to bring up (yes, really). Therapists are trained to work with all kinds of people and experiences. You might be holding onto shame, fear, or guilt, but therapy is a space where all of that is welcomed, not criticized. We’re not here to judge you. We’re here to support you.
“How long will therapy take?”
As mentioned in a previous post, length of therapy depends on your goals. Some people come to therapy for a few sessions to get through a tough time, while others build a longer-term relationship focused on healing deep wounds or navigating ongoing challenges. You’re not locked in. Therapy is flexible and should always be collaborative. You get to check in and reassess your needs at any point. Your therapist should be doing this too. Remember, discharge is always the goal!
“Will you tell anyone what I say?”
Confidentiality is a huge part of therapy. What you share stays between you and your therapist, with a few exceptions:
If you're at immediate risk of harming yourself or someone else, or if there’s abuse involving a minor or vulnerable adult, therapists are legally required to act to ensure safety. Outside of that, your privacy is respected and protected. This has been a big topic in the US recently given new Executive Orders which influence mental health treatment but try to remember to trust in your therapist!
“What if I cry or get emotional?”
Then you’re in the right place. My coffee table has tissues for a reason. Tears, anger, silence, confusion, all of it is part of the therapeutic process. Therapy is one of the few spaces where your emotions don’t need to be hidden or apologized for. If you cry, we’ll pass the tissues, possibly the chocolate, and then keep going.
“Is it weird to talk about my therapist with my therapist?”
Not at all! In fact, it’s incredibly helpful. If something feels off, confusing, or even just interesting in your relationship with your therapist, bring it up. That relationship is a huge part of the work and exploring it can deepen trust and insight.
“What if I don’t click with my therapist?”
Sometimes it happens. And it doesn’t mean therapy isn’t for you. It just means that the fit might not be right. A good therapist will understand and even help you find someone better suited to your needs. You deserve a therapist who makes you feel safe, seen, and supported.
“Do I have to talk about my childhood?”
Not unless you want to. While our past often influences our present, therapy doesn’t have to go into your childhood if that’s not what you need or feel ready for. Many clients start with current stressors and, over time, explore the past when and if it feels relevant. And if you opt for a therapy method such as Accelerated Resolution Therapy, you don’t have to take about your history at all.
“What if I don’t get better?”
Healing is not a straight line. Some weeks will feel like huge progress, and others might feel like a step back. That’s part of the process. Therapy isn’t about “fixing” you, it’s about learning, growing, and building tools to handle life with more clarity and self-compassion. You might not notice the changes right away, but they often build slowly over time.
Final Thoughts: Starting therapy is a brave, powerful choice. It means you’re taking your wellbeing seriously and that matters. If you’re considering it, I hope these answers help you feel more confident in taking that first step.Remember therapy is your space. It moves at your pace, follows your needs, and is always open to your questions.
I hope you’ve enjoyed this four part New to Therapy Series and I hope you’ve found it helpful. If you still have questions drop them in the comments below or as always reach out to me at georgina.m.lloyd@outlook.com
Until next time- be kind to your mind.
—The Therapist Diaries
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