New to Therapy?

If this is your first time accessing therapy, the process might seem complicated. We’ll walk you through five steps to getting started, to help you get the most out of the process

1.  Clarify your intentions

Deciding to seek therapy is a significant step towards improving your well-being. However, once you have made the decision, you may find yourself wondering just what you specifically want to accomplish.

It can be helpful to reflect on what brings you to seek therapy. Consider writing down the specific problems, feelings, and situations that you are currently experiencing, as well as the goals you have. Are you feeling angry with your partner, and wanting to communicate those feelings? Are you feeling confused about your life, and wanting to find deeper purpose? Identifying the problem, and what you think could help the problem, can help both you and your therapist ensure that your work is both focused and effective.

Be open and honest with yourself about what you hope to achieve through therapy. Remember that therapy is a collaborative process. Your therapist will be there to provide guidance, support, and an accepting space for you to explore your experiences. By clarifying your intentions and goals for therapy, you can better ensure that you arrive at the goals you’re hoping to achieve.

2.  Confirm your benefits

Before you begin looking for a therapist, it’s important to know what you can manage financially. Depending on what you’re experiencing, how long you’ve experienced it, and what your goals are, therapy can be brief, or can be a longer term process.

If you have insurance benefits, check whether your insurance covers mental health services. If it does, confirm how much is covered, and the therapist designations it covers. If your plan covers Registered Social Workers or Registered Clinical Counsellors, therapy will be much more accessible for you. (Keep in mind there are many different types of therapists in BC, so be sure to double-check your plan!)

Deeper or long-standing concerns usually need extra time and space to untangle. Planning for a longer journey (and checking in on that plan as you go) helps you avoid surprises and keeps the focus on steady, sustainable progress.

3.  Choose a therapist

We know from research that the fit between you and your therapist is the most important factor in determining whether you reach your therapy goals. Consider the people whom you feel most comfortable with. What values do you share? How do they treat you? What are your conversations like? The answers to these questions likely reveal what’s most important to you in a therapist.

When you’ve got a clear idea of what you want in a therapist, read through their bios. They should provide a clear indication of how they approach therapy, as well as their values, and what it’s like to do therapy with them. Check to see that they have experience working with the specific concerns that you’re looking to address. At Fieldwork, we ensure that all this information is clear and honest in therapists’ profiles.

Remember, choosing a therapist is a personal decision, and it may take time to find the right fit. Don’t hesitate to book introductory conversations (discussed next) with a few therapists before making a final decision. Prioritizing these considerations can increase the likelihood of finding a therapist who you can truly connect with.

4.  Share a first conversation

Booking a first conversation is a key first step in finding the right therapist for you. Consults are usually about 15 minutes in length, and are offered by virtually all therapists.

During your conversation, you’re invited to have an open discussion about your concerns, goals, and expectations for therapy. This meeting is an opportunity for you to share a little about yourself, and for the therapist to learn more about your background, current situation, and the challenges you’re facing. They will also explain their therapeutic approach and how they can assist you, including sharing information about different techniques or interventions they use. You can feel free to ask questions and seek clarification on anything you may be curious about.

By the end of the conversation, you should have a good sense of whether the therapist is right for you. If you want to proceed (and you don’t need to make a decision right then) you will discuss the next steps in booking a first session. If you feel that the therapist is not the right fit, don’t be afraid to say so!

5.  Book your first session

In your first therapy session, it is important to establish a strong foundation for the therapeutic relationship. Your therapist will typically begin by explaining the therapeutic process and addressing any concerns or questions you might have. 

During this early stage, your therapist’s focus will be on getting to know you, so they’ll be asking you questions about your background, your situation today, and your inner experiences. If your primary concern is of a clinical nature, your therapist may also ask questions to better understand your emotional, mental, and physical well-being. Overall, the first therapy session sets the stage for future sessions and allows you and your therapist to begin working collaboratively towards your goals.

This first session is just the beginning of a journey towards healing and growth. It is normal to have mixed feelings, and it may take time for you to feel comfortable disclosing more sensitive experiences. Try to be open during the session, and communicate your expectations and goals for the therapeutic process. Together, you and your therapist can work towards improving your mental well-being and overall quality of life.

Ready to get started?

The relationship you share with your therapist is the strongest predictor of meaningful progress in therapy. That’s why each therapist offers a complimentary introductory conversation, so you can get a feel for their style and decide whether they’re a fit for you.

Every therapist holds sessions online and in-person out of Fieldwork’s offices at Main and Broadway, and each holds advanced graduate-level training and experience.