🧠 Questions About Starting Psychotherapy
- What is psychotherapy, exactly?
Psychotherapy (therapy) is a process where you work with a trained mental health professional to explore thoughts, feelings, behaviors, and patterns that may be causing distress or interfering with your life. It’s important to keep in mind therapy is a joint effort between your therapist and you. Therapists don’t “fix” their patients. Therapists work with their patients to find methods of helping the patient slive a more fulfilling life.
- How do I know if I need therapy?
You don’t need to be in crisis to benefit. Therapy can help with:
- Anxiety, depression, or stress
- Relationship issues
- Life transitions
- Trauma or grief
- Self-esteem or identity questions
- Simply wanting to understand yourself better
- What happens in the first session?
The first session is usually an intake or assessment. The therapist may ask about:
- Your reasons for seeking therapy
- Your personal and medical history
- Goals you’d like to work on
- It’s also a chance for you to ask questions and see if the therapist feels like a good fit.
- Will the therapist tell me what to do?
Therapists guide, support, and challenge you, but they don’t give direct advice like a coach. Instead, they help you explore your own insights and choices.
- Is everything I say confidential?
Mostly yes. Therapists are legally and ethically bound to keep your information private. HIPAA rules are very clear as to whom and when we can release your records. All of the HIPAA rules will be in the Portal documents you’ll receive. Some exceptions include:
- If you’re at risk of harming yourself or others
- If there’s abuse of a child, elder, or vulnerable adult
- If a court orders us to release your records to them
- How long does therapy last?
It varies. Some people go for a few sessions, others for months or years. It depends on your goals, the type of therapy, and your personal pace.
- What if I don’t feel comfortable with my therapist?
That’s okay — not every therapist will be the right match for you. You’re allowed to switch and find someone who feels safe, respectful, and effective for you.
- Do I have to talk about everything right away?
No. You set the pace. You don’t have to share anything you’re not ready to. Building trust takes time.
- Will therapy make me feel worse before I feel better?
Sometimes, yes. Digging into painful emotions can be uncomfortable at first, but it’s often part of the healing process.