Man in a long sleeve green shirt wearing glasses sits on a blue couch breathing into his hands. A box of tissues is on the table and a therapist's back is in the foreground.

10 things that may surprise first-time therapy goers

October 28, 2025
Drazen Zigic // Shutterstock

10 things that may surprise first-time therapy goers

Starting therapy can feel like stepping into the unknown. Awkwardness, emotions, and discomfort may bubble up. These feelings are pretty universal among clients. shares 10 things that surprise most first-time therapy clients:

1. You Might Feel Nervous 鈥 Everyone Does

If you鈥檙e nervous before your first session, you鈥檙e in good company. Being vulnerable with a new person is nerve-racking. The good news is therapists have years of experience in working with people coming to therapy for the first time, so they鈥檙e highly attuned to it and can help ease those nerves.

If you鈥檙e nervous for a specific reason, like you get anxious in new settings or you鈥檙e worried about being judged, communicate that with your therapist and they can help guide you through this. From the first session, this can give you a really clear idea of their style and approach.

2. You Don鈥檛 Need to Have 鈥淏ig Trauma鈥

Therapy isn鈥檛 just for rock-bottom moments or huge life events. It鈥檚 also for those more persistent, everyday issues like stress, anxiety, sleep issues, substance use, burnout, relationship challenges, or even feeling unfulfilled by life.

While a major traumatic event is often a catalyst for people to get into therapy, it鈥檚 not the only reason people start.

3. Big Emotions are Common in Therapy, and Okay

Emotional responses, such as crying or anger, are completely normal. They鈥檙e a sign that you鈥檙e processing things that are coming up. Strong emotional responses like this can often even feel like a release as you let go of the things that have been weighing on you.

4. You Can Take Breaks

It鈥檚 okay to say, 鈥淚 need to slow down,鈥 or 鈥淚 need someone to listen to me first and ask questions later.鈥

Therapy works best when you go at a pace that works for you. Being honest with your therapist can help you get more out of it. Don鈥檛 worry about giving them direction on what you need; they鈥檙e experts at navigating this.

5. It Might Feel Awkward at First

New relationships take time, and a therapeutic relationship is no different. Even if it feels awkward, that doesn鈥檛 mean it鈥檚 not working. If your first session feels off, give it a second chance. If after the first few sessions, it鈥檚 still not any less awkward, that might be a good sign that it鈥檚 time to change therapists.

6. It鈥檚 Not Always Deep

While some sessions may bring tears, others may focus on everyday challenges like sleep, work stress, or how to text your ex back. Building emotional resilience takes time and practice, and working through the smaller moments helps prepare you for the bigger ones.

7. You Don鈥檛 Have to Talk About Everything Immediately

Like any relationship, it takes time to build trust. You don鈥檛 need to give your whole life story and most intimate thoughts in your first session. It may take time to build trust and comfortability, that鈥檚 perfectly normal. Always remember: you鈥檙e in control of what you share and when you share it.

8. Your Therapist Wants to Help You Find a Good Fit

Your therapist is your cheerleader and coach. They want therapy to help you, it鈥檚 why they got into the mental health field in the first place! If it鈥檚 not clicking with them, the style isn鈥檛 what you鈥檙e looking for or your schedule doesn鈥檛 match theirs, it鈥檚 okay to switch. Therapists won鈥檛 take it personally; they鈥檙e experts in managing this.

9. You Might Feel Worse Before You Feel Better

You鈥檝e probably heard somewhere that 鈥渉ealing isn鈥檛 linear.鈥 There鈥檚 a lot of truth to that, because therapy can stir up some temporary discomfort, so you may feel worse before you feel better. It鈥檚 all part of the journey. Don鈥檛 take it as a sign that therapy isn鈥檛 for you or that it鈥檚 not working.

10. You鈥檒l Start Noticing Small Wins in the Beginning

Whether it鈥檚 feeling more comfortable in your body or surroundings, or successfully using the coping skills you鈥檝e developed with your therapist, these small victories don鈥檛 take years of therapy.

Therapy is your time to explore and grow in the ways that matter most to you. From learning new coping skills to learning to navigate emotions, each session helps you build resilience and self-awareness.

was produced by and reviewed and distributed by 麻豆原创.


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