What Happens During a Therapy Intake Session?
- Mila Taylor

- Jul 30
- 4 min read
Updated: Jul 31
Starting therapy can feel like stepping into the unknown. Many people wonder what exactly happens during their first meeting with a therapist. This initial meeting, often called an intake session, is a crucial step in the therapeutic process. It sets the foundation for future sessions and helps both the client and therapist understand what to expect. This therapy session guide will walk you through the key elements of a therapy intake session, what you can expect, and how to prepare for it.
Understanding the Therapy Session Guide: What to Expect
When you decide to seek therapy, the first step is usually an intake session. This session is designed to gather important information about your background, current challenges, and goals for therapy. It is a time for you to share your story and for the therapist to get a clear picture of your needs.
During this session, I will ask questions about your mental health history, physical health, family background, and any previous therapy experiences. I may also inquire about your lifestyle, relationships, and any specific issues you want to address. This comprehensive overview helps me tailor the treatment plan to suit you.
Key points to remember:
The intake session is not a therapy session itself but a fact-finding meeting.
It usually lasts 55 minutes
Following the introductory session, you can expect to fill out some paperwork, including consent forms and questionnaires on the intake form.
I will explain confidentiality and how your information will be used.

Mila Taylor Counselling - Intake Form header
Preparing for Your Therapy Session Guide
Preparation can help ease any anxiety about your first therapy meeting. Here are some practical tips to get ready:
Write down your reasons for seeking therapy. Think about what brought you here and what you hope to achieve.
List any symptoms or issues you are experiencing. This could include mood changes, stress, anxiety, or physical symptoms.
Gather relevant medical or psychological history. If you have seen other professionals, bring any reports or notes.
Think about your support system. Who do you talk to about your feelings? What relationships are important to you?
Prepare questions for the therapist. This might include asking about my approach, session frequency, or confidentiality.
Being open and honest during the intake session will help me understand your situation better and create a more effective treatment plan.

What Happens During an Intake Meeting?
The intake meeting is a structured conversation that helps both you and the therapist get to know each other. Here’s a step-by-step overview of what typically happens:
Introduction and rapport building: The therapist will introduce themselves, explain their role, and create a welcoming environment.
Review of confidentiality: You will learn about your privacy rights and any limits to confidentiality, such as risk of harm.
Discussion of your history: This includes mental health, physical health, family background, and any significant life events.
Current concerns: You will describe the issues that brought you to therapy and how they affect your daily life.
Assessment of risk: The therapist may ask about suicidal thoughts, self-harm, or harm to others to ensure your safety.
Goal setting: Together, you will start to identify what you want to work on in therapy.
Questions and next steps: You can ask any questions, and the therapist will explain what to expect moving forward.
This meeting is a two-way conversation. It’s important to feel comfortable and ask for clarification if anything is unclear.
How to Make the Most of Your Therapy Intake Session
To get the best out of your first session, consider these actionable recommendations:
Be honest and open. Even if some topics feel difficult, sharing them helps your therapist understand you better.
Take your time. There is no rush to share everything at once. The intake session is just the beginning.
Ask questions. Understanding the therapy process can reduce anxiety and build trust.
Set realistic goals. Think about what you want to achieve in the short and long term.
Follow up. After the intake session, reflect on how you felt and communicate any concerns in future sessions.
Remember, the intake session is a starting point. Therapy is a journey, and your active participation is key to success.
What to Expect After the Therapy Intake Session
Once the intake session is complete, I will develop a treatment plan tailored to your needs. This plan may include:
The type of therapy that suits you best (e.g., cognitive-behavioural therapy, psychodynamic therapy).
The frequency and length of sessions.
Homework or exercises to practice between sessions.
Goals to work towards during therapy.
You will also have the opportunity to discuss any preferences or concerns about the therapy process. If you feel the therapist is not the right fit, it’s okay to seek another professional.
If you want to learn more or book your first meeting, consider a therapy intake session to get started on your path to well-being.
Starting therapy can be a positive step towards better mental health. Understanding what happens during the intake session can help you feel more prepared and confident. Remember, this session is about building a foundation for your healing journey. Take your time, be open, and know that support is available.




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