What Actually Happens in Counseling? A First-Timer’s Guide

You’ve thought about going to therapy—but something keeps holding you back. Maybe it’s uncertainty. Maybe it’s the unknown.
You're not alone. One of the most common questions people ask is: “What actually happens in counseling?”

If you’re curious (or even a little nervous), this first-timer’s guide will walk you through the counseling process, from the first session to the kind of growth you can expect along the way.

Step 1: Reaching Out for the First Time

The counseling journey begins with a simple step: reaching out. Whether you submit a contact form or schedule a consultation call, this first connection is low-pressure. It’s a chance for you to share a little about what’s going on and ask any questions.

At TN Oaks Counseling, I offer a free 15-minute consultation to talk through fit, goals, and next steps. No commitment—just clarity.

Step 2: The First Counseling Session 

The first session is about getting to know you. You won’t be rushed, diagnosed, or judged. Instead, we’ll talk about what brought you in, what your hopes are, and how therapy can support you.

Topics we may cover include:

  • What’s been challenging lately

  • Past or current stressors (family, work, school, etc.)

  • Your support system

  • What you’re hoping to change or understand

  • Any fears or questions you have about the counseling process

This is also your chance to see if you feel comfortable. A good therapeutic fit matters

Step 2: Building Trust and Setting Goals

As sessions continue, we’ll begin to identify themes, patterns, and priorities. Together, we may:

  • Set small, clear goals (like managing anxiety or improving confidence)

  • Explore your story, beliefs, or habits

  • Develop tools to navigate emotions, relationships, or stress

  • Reframe unhelpful thoughts

  • Practice self-awareness and self-compassion

Therapy is collaborative. It’s not about giving advice—it’s about asking the right questions and making space for growth.

You don’t have to have it all figured out to start. You just have to start

What to Expect Emotionally

It’s normal to feel unsure, uncomfortable, or even emotional early in the process. That doesn’t mean therapy isn’t working—it means you’re doing the real work of showing up for yourself.

Therapy isn’t always easy. But it’s a safe space to be honest, ask hard questions, and be met with empathy, not judgment.

How Often Should You Go To Therapy

Most people begin with weekly or bi-weekly sessions, depending on their needs and schedule. We’ll check in regularly to see how you’re feeling and whether your goals are being met.
Therapy isn’t forever—but it can have lasting impact.

Taking the First Step

Starting therapy might feel intimidating—but you’re not expected to have all the answers.

If you’re wondering what life could look like with more clarity, calm, or connection, counseling might be the next right step.

Schedule a free consultation today →

Next
Next

Signs Your Teen Might Be Struggling—Even If They Won’t Say It