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What to Expect in Your First Therapy Session

Felise De Novo Felise De Novo Last Updated: July 29, 2025

Key Takeaways:

  • The First Session is a Foundation, Not an Interrogation. The primary purpose of your initial meeting is to establish a safe, compassionate connection with your therapist. It’s a two-way conversation to see if you are a good fit for one another, learn about the process, and gently outline your hopes for therapy—not to be pressured into sharing your deepest secrets all at once.

  • You Are in Control of Your Journey. From the very first moment, you set the pace. You decide what to share and when you are comfortable sharing it. The session is your space to feel heard and understood, and you have the power to decide if the therapist is the right person to walk alongside you, with no obligation to continue if it doesn’t feel right.

¡Hola! My name is Felise De Novo, and as my last name suggests, I believe in new beginnings. Coming to therapy for the first time can feel like stepping into the unknown, a little like setting sail on a new voyage. It’s natural to feel a mix of emotions – perhaps a flicker of hope, tinged with a bit of nervousness, or even fear. If you’re reading this, chances are you’re considering taking that brave first step, and for that, te felicito – I congratulate you.

From my heart, a place where understanding and acceptance blossom, I want to share what you can generally expect during your first therapy session. My aim is to demystify the process, to show you that it’s a safe and supportive space where we begin to gently explore what brings you here. Think of it as a conversation, a heartfelt charla between two people, where one person – me, in this case – is trained to listen deeply and guide you with compassion.

Many of the people I speak with carry a weight of worries about this first encounter. ¿Qué voy a decir? ¿Me van a juzgar? ¿Será incómodo? (What am I going to say? Will they judge me? Will it be awkward?) These are valid questions, and I want to assure you that my primary goal is to create a warm, non-judgmental environment where you can feel comfortable being yourself, auténtico.

Let’s walk through what typically unfolds in that initial meeting.

Building a Bridge: Introductions and Getting to Know You

Our first session is largely about building a connection, a therapeutic relationship. I’ll start by introducing myself, explaining a little about my background and approach to therapy. I might briefly mention my belief in the power of love and understanding to facilitate healing and growth, drawing from the wisdom that resonates with a heart-centered perspective. Then, it will be your turn. I’ll invite you to share what brought you to therapy. There’s no pressure to tell your entire life story right away. We can start with what feels most pressing or what you feel most comfortable sharing. This is your space, and you set the pace. I will be actively listening, offering empathy, and perhaps asking clarifying questions to better understand your experiences and feelings. It’s like beginning to sketch the outline of a picture – we’re just starting to get a sense of the landscape.

Navigating the Map: Understanding Your Goals and Expectations

Once we’ve started to explore what’s on your heart, I’ll likely ask about your goals for therapy. What are you hoping to achieve? What kind of changes would you like to see in your life? Sometimes people come in with very specific goals, while others have a more general sense of wanting things to feel different. That’s perfectly okay. We can work together to clarify your intentions and create a roadmap for our journey together. I might also discuss my role as your therapist and what you can expect from me. This includes things like confidentiality – ensuring that what you share remains private and safe – and the collaborative nature of our work. Think of it as setting our intentions together before we embark on our exploration.

Laying the Foundation: Practicalities and Next Steps

While the emotional and relational aspects are crucial, there are also some practical matters to cover in the first session. This might include discussing session frequency, duration, fees, and policies around scheduling and cancellations. I will also likely explain the limits of confidentiality, which are important for you to understand (for example, in cases of harm to yourself or others). These details help to create a clear and secure framework for our work. By the end of the session, we’ll usually talk about whether you feel comfortable moving forward with therapy and what our next steps might be. There’s absolutely no obligation to return after the first session if it doesn’t feel like a good fit. Finding the right therapist is an important part of the process.

My deepest hope for you is that you leave our first session feeling a little lighter, perhaps with a sense of being heard and understood. Taking this first step is a sign of strength and a commitment to your well-being. Remember, no estás solo/a – you are not alone. I am here to walk alongside you, with compassion and understanding, as you navigate your path towards healing and growth.

Conclusions

I hope this gives you a clearer picture of what to expect. If you’re ready to take that first step, I would be honored to walk alongside you. Contact me today!  Con mucho amor y esperanza,

Felise De Novo, LCP

Frequently Asked Questions

If you feel comfortable moving forward, we will likely schedule a follow-up session to continue our conversation and delve deeper into what you're experiencing.

Yes, with very limited exceptions (such as harm to yourself or others), everything you share in therapy is confidential. I will discuss the limits of confidentiality with you during our first session.

It's crucial to feel comfortable with your therapist. If you don't feel it's a good fit after the first session, you are not obligated to return. Finding the right therapist is important.

I usually do a 15 minute trial session to get to know you, and to see if we both feel comfortable moving forward.

It's perfectly normal to feel emotions in therapy. I am here to provide a safe and supportive space for you to express yourself.

Absolutely not. You can share what you feel comfortable sharing. The first session is about getting to know each other and understanding what brings you to therapy.

You don't need to bring anything specific. If you have any questions written down, feel free to bring those. Otherwise, just bring yourself.

Some bilingual people switch between Spanish and English during therapy sessions, even during a first session. I am attuned to these nuances and understand the potential impact on emotional expression and communication in our sessions.

Of course. That is what I am here for.

I discuss this in-depth here.

Felise De Novo
Felise De Novo
Felise De Novo has been in private practice since 2000. She became licensed by the Texas State Board of Examiners of Professional Counselors in 2000 (#16133) and earned her supervisory status in 2022. Ms. De Novo completed her Master’s Degree from the University of Texas at San Antonio in 1997. She accepted employment in 1997 as a Child Development Specialist at El Centro del Barrio’s Healthcare for the Homeless where she began her internship. Ms. De Novo completed her internship in 2000 as a Clinician II at Family Service Association.
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