What to Expect From Your First Therapy Appointment in a Group Practice Setting
A Clear, Supportive Introduction to Beginning Therapy
Starting therapy can feel intimidating, especially if this is your first experience working with a mental health professional. As a psychologist and the owner of a group practice that includes both Psychologists and Licensed Marriage and Family Therapists (LMFTs), I often speak with individuals who are unsure of what to expect during their initial appointment. Understanding the structure and purpose of the first session can help reduce anxiety and create a sense of confidence as you begin the therapeutic process.
Before Your First Appointment: The Intake and Matching Process
In a group practice setting, care begins before you meet your therapist. Most practices use a structured intake process to gather information about your concerns, history, and goals for therapy. This allows the practice to thoughtfully match you with a psychologist or LMFT whose training and clinical focus align with your needs.
One of the advantages of a group practice is access to multiple licensed clinicians with diverse specialties. This increases the likelihood of being paired with a provider who is well-suited to address your specific concerns, whether they involve anxiety, depression, trauma, relationship challenges, or life transitions.
The First Session: Building Rapport and Understanding Your Needs
Your first therapy appointment is primarily focused on establishing rapport and gaining a clear understanding of why you are seeking support. This session is often referred to as an intake or assessment session. Rather than problem-solving immediately, your therapist’s goal is to listen, ask thoughtful questions, and begin forming a comprehensive picture of your experiences.
You will be invited to talk about current stressors, emotional symptoms, or relational concerns. There is no pressure to share everything at once. Therapy moves at a pace that feels comfortable and respectful of your boundaries.
What Your Therapist May Ask About
During the initial session, your therapist may ask questions related to your mental health history, personal background, relationships, and coping strategies. Psychologists often focus on thought patterns, emotional regulation, and behavior, while LMFTs may explore family systems, communication styles, and relational dynamics.
In a group practice, clinicians often collaborate behind the scenes, ensuring that treatment planning reflects a well-rounded clinical perspective. This team-based approach enhances the quality and continuity of care.
Confidentiality, Consent, and Creating a Safe Space
A critical part of the first appointment is reviewing confidentiality and informed consent. Your therapist will explain how your information is protected and discuss the limits of confidentiality, such as situations involving safety concerns. This transparency is essential for creating a safe, trusting therapeutic environment.
Setting Goals and Expectations for Therapy
Therapy is a collaborative process. During your first session, you and your therapist will begin identifying goals and discussing what you hope to gain from treatment. This may include symptom reduction, improved relationships, increased self-awareness, or healthier coping strategies.
Your therapist will also discuss the recommended frequency of sessions and the general structure of therapy. These decisions are made collaboratively and can be adjusted over time as your needs evolve.
The Benefits of a Group Practice Model
One of the key benefits of receiving care in a group practice is access to integrated support. If additional expertise is needed, your therapist can consult with colleagues or recommend complementary services within the practice. This flexibility ensures continuity of care without requiring you to start over with a new provider elsewhere.
After the First Session: What You May Feel
It is normal to experience a range of emotions after your first therapy appointment. Some individuals feel relief, while others may feel emotionally tired or uncertain. These reactions are common and often lessen as trust and comfort develop over time.
A Strong Foundation for Ongoing Support
Your first therapy appointment is not about having immediate answers or solutions. It is the beginning of a professional relationship focused on understanding, growth, and meaningful change. In a group practice setting, clients benefit from a collaborative, clinically grounded approach that supports long-term mental health and well-being.
If you would like to booking a session our team, please call us at 858-371-3737 or click here to visit our Contact Us page.
