What to Expect During Your First Therapy Session

Published: March 25, 2025

Starting therapy for addiction treatment can feel overwhelming, but understanding what to expect can help ease any anxiety. Your first session is an important step toward recovery, providing a safe and supportive space to explore the challenges you face. Therapy is designed to help you better understand your substance use, develop coping strategies, and work toward long-term sobriety.

 

Establishing a Connection

The first session is primarily about building trust between you and your therapist. They will introduce themselves, explain their approach, and set expectations for future sessions. Confidentiality will also be discussed so that you feel comfortable sharing openly. Remember, therapy is a judgment-free zone where your well-being is the top priority.

 

Discussing Your Background

Your therapist will ask about your history with substance use, including when and why you started, how often you use, and any previous attempts to quit. They may also explore your medical history, mental health conditions, and family background. This helps them create a personalized treatment plan tailored to your needs.

 

Identifying Goals for Therapy

Together, you and your therapist will set goals for your treatment. These may include reducing cravings, managing triggers, improving relationships, or developing healthier coping mechanisms. Your therapist will help you break these down into manageable steps so that progress feels achievable.

 

Exploring Emotions and Triggers

Understanding the root causes of addiction is a key part of therapy. You may discuss emotional struggles, past trauma, or life stressors that contribute to substance use. While this can be difficult, your therapist will guide you through it in a supportive and structured way.

 

Developing a Treatment Plan

By the end of the first session, your therapist will outline a treatment plan that includes the type of therapy that best suits you, whether it’s cognitive behavioral therapy (CBT), motivational interviewing, or another approach. They may also suggest group therapy or support meetings to complement individual sessions.

 

Moving Forward

The first session is just the beginning of your recovery journey. You might leave feeling relieved, hopeful, or even emotionally drained—but that’s okay. Healing takes time, and therapy provides the tools and support needed for lasting change.

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