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ArticleAdult Wellbeing 6 min read 28 Jun 2026

Starting therapy as an adult — what the first month actually looks like

An honest, unhurried walk-through of what to expect in your first few counselling sessions.

By Dr. Kavita Nair

You don't need a crisis to start therapy. Most of the adults we meet arrive with 'I've been meaning to do this for years.' Here's what the first four sessions usually look like.

Session one — an unhurried conversation

Nothing to prepare. Your therapist will ask what brought you here, what's been going on, and what you'd hope to feel differently. That's it.

Sessions two and three — mapping the terrain

We spend a couple of sessions understanding patterns, history, and current stressors — before we decide together what to work on first.

Session four — a shared plan

By session four you have a clear picture of your therapist's approach, a rhythm you're comfortable with, and one or two goals you'll return to regularly.

Wondering if this applies to your child or your situation? Our care team offers a gentle 20-minute consultation, at no cost.
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