What to Expect in Your First Couples Therapy Session 

As a psychotherapist who has welcomed countless couples into my office for their first therapy session, I understand that taking this step can feel both hopeful and uncertain. Many couples ask me what their first session will be like, and I’ve found that having a clear picture of what to expect can help ease those initial nerves and allow you to focus on what matters most – starting your journey toward a stronger relationship. 

The First Steps 

When you first arrive for couples therapy, you’ll notice that we’ve created a warm, comfortable environment designed to help you feel at ease. Many couples tell me they were surprised by how welcoming and non-clinical the space feels. This is intentional – I believe that meaningful conversations happen best in spaces where people feel comfortable being themselves. 

Your first session is primarily about getting to know each other and establishing a foundation for our work together. I’ll begin by asking what brings you to therapy now. Some couples come with specific concerns they want to address, while others might feel something isn’t quite right but can’t put their finger on it. Both are perfectly normal starting points. 

Setting the Stage 

During this initial meeting, we’ll discuss some basic ground rules that help create a safe space for both partners. This includes ensuring that each person has equal opportunity to share their perspective and that we maintain an atmosphere of respect, even when discussing difficult topics. I often tell couples that my role isn’t to take sides or determine who’s “right” – instead, I’m here to help you understand each other better and find solutions together. 

The Assessment Process 

The first session involves gathering important information about your relationship history. I’ll ask about how you met, what drew you together, and what challenges you’ve faced along the way. We might explore: 

• Your relationship’s strengths and the qualities that initially attracted you to each other 
• Current concerns and what you hope to achieve through therapy 
• Your individual and shared goals for our work together 
• Any significant life events or transitions that have impacted your relationship 

 This information helps me understand your unique dynamic and allows us to create a meaningful roadmap for our future sessions.