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  • Writer's pictureRachel at Epiphany Center

What to Expect at Your First Therapy Session

Updated: Mar 27, 2022

by Rachel Tombaugh

Many people who think that therapy might help them are nonetheless scared to start the process. Some people with diagnosed or suspected OCD feel an even greater sense of trepidation due to the nature of their obsessions, which can include very distressing and taboo content. Sufferers of PTSD may fear that they will be asked to describe their traumatic experiences in detail right away to a stranger, and this anxiety may serve as an additional barrier to seeking care.

Building a trusting and warm rapport is an essential element of the therapeutic process and will help you feel a sense of hope and confidence that your therapist can help you get better.

If this describes you, know you are not alone! Many people who come to therapy for the first time are understandably nervous and don't know what to expect. A free telephone or in-person consultation can help to introduce you to the process of therapy and to your prospective therapist. This allows both of you to make sure that you are a good fit for one another and that the problems you are facing are ones your potential therapist is equipped to help you overcome. When you attend your initial consultation or first therapy appointment, your therapist will help to set you at ease and get to know you as a person. Building a trusting and warm rapport is an essential element of the therapeutic process and will help you feel a sense of hope and confidence that your therapist can help you get better.


For sufferers of OCD, your therapist will ask you some initial questions to understand your experience of OCD and will help to normalize your symptoms and assure you that you are not alone. Some treatment options will be offered to you to help you make informed decisions about your care. Individuals who are seeking care due to a traumatic experience can rest assured that their therapist will be sensitive to their feelings of anxiety and hesitation and work to create feelings of trust and safety that will allow therapy to proceed successfully.


Seeking therapy is a brave and healthy decision and one that can have a tremendously positive impact on your life and wellbeing. Your therapist will work to help you feel comfortable and cared for and to offer you options regarding your care that you can trust.


©2022 Epiphany Center for OCD and PTSD PLLC

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