Starting CBT for the first time can feel daunting, so your initial session is designed to be calm, collaborative, and at your pace. You don’t need to prepare anything or know exactly what to say — the session begins with a simple conversation about what’s been going on for you, what’s brought you to therapy, and what you’d like to change. We’ll talk through confidentiality, explore the thoughts, feelings, and behaviours that are affecting your wellbeing, and begin to make sense of the patterns that keep you stuck.
Many people feel a mix of relief and uncertainty in this first meeting, and both are completely normal.
As we talk, we’ll start shaping some early goals together so therapy has direction and feels grounded in what matters to you. If you’re coming with low self‑esteem, body image concerns, BDD‑type symptoms, or muscle dysmorphia, we’ll explore these gently and without judgement, looking at checking, comparing, avoidance, self‑criticism, and the pressures you may feel around appearance or performance. The aim of the first session isn’t to dive into anything overwhelming — it’s to help you feel understood, supported, and clear about how CBT can help you move forward.
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