Your First Time in Therapy

Everything you need to know about starting therapy — what to expect, how to prepare, and how to make the most of your experience.

What to Expect: A Timeline

1

Before Your First Session

1-2 weeks before
  • Research and choose a therapist
  • Verify insurance coverage
  • Complete intake paperwork
  • Prepare questions or topics to discuss
2

Your First Session

50-60 minutes
  • Introduction and getting to know each other
  • Discuss your concerns and goals
  • Learn about the therapist's approach
  • Ask any questions you have
3

Ongoing Sessions

Weekly or bi-weekly
  • Work through issues with guided support
  • Learn new coping strategies
  • Practice skills between sessions
  • Track progress toward goals
4

Progress Evaluation

Every 6-8 sessions
  • Review progress with your therapist
  • Adjust goals as needed
  • Discuss session frequency
  • Plan for the future

How Much Does Therapy Cost?

With Insurance

$15-50 copay

Per session with in-network provider

Self-Pay

$100-200

Per session without insurance

Employee Benefits

Free-$25

Through EAP programs (usually 3-8 sessions)

Community Resources

$20-80

Sliding scale based on income

Common Concerns

Frequently Asked Questions

Will my therapist judge me?
Absolutely not. Therapists are trained professionals who provide a non-judgmental, safe space. They've heard it all before and their goal is to help, not to judge. It's normal to feel vulnerable at first, but most people quickly feel at ease.
What if I don't know what to say?
That's completely normal! Your therapist will guide the conversation, especially in early sessions. They'll ask questions to help you explore your thoughts and feelings. There's no wrong thing to say in therapy.
How long will therapy take?
It varies by person and concern. Some people find relief in 6-8 sessions, while others benefit from longer-term therapy. Your therapist will discuss a treatment plan and help you set realistic expectations.
What if I don't connect with my therapist?
The therapeutic relationship is crucial. If you don't feel comfortable after 2-3 sessions, it's perfectly okay to try someone else. A good therapist will understand and may even help you find a better match.
Is therapy confidential?
Yes, with very few exceptions. Therapists are legally and ethically bound to protect your privacy. The only exceptions involve imminent danger to yourself or others, child or elder abuse, or court orders.
Will I need medication?
Not necessarily. Many people benefit from therapy alone. If medication might help, your therapist can discuss options and refer you to a psychiatrist. The decision is always yours.

Ready to take the first step?

Browse our directory of verified therapists in the Pasadena area.