What to Expect from Your First Psychology Session
Nervous about your first psychology appointment? Here is what actually happens, how to prepare, what you do not have to do, and…
June 11, 2026
by Dr Paul King on 22 Jul 2026
| Watch for change | Emotional struggle in young people often shows up as changed behaviour, not words. Look for withdrawal, irritability, sleep changes, school avoidance or physical complaints. |
|---|---|
| Lead with connection | Respond with calm curiosity rather than alarm. Feeling safe and accepted is what helps a child open up. |
| Look after the basics | Sleep, food, movement, routine and downtime all support emotional wellbeing. They matter more than they seem. |
| When to seek help | If difficulties are lasting, getting worse, or affecting daily life, it is worth reaching out. Earlier support is easier than waiting. |
| You are not alone | Support is available for your child and for you as a parent. You do not have to have all the answers. |
When your child or teenager is struggling and you cannot quite reach them, it is one of the hardest parts of parenting. You want to help, but you are not sure what is wrong or what to say. This is a practical guide to spotting the signs, opening the conversation, and knowing when to seek support, written with the reassurance that you do not have to work it out on your own.
Young people often do not have the words for what they are feeling, so distress tends to show up in behaviour instead. No single sign means something is wrong, but a cluster of changes that lasts more than a week or two is worth paying attention to. Things to notice include:
You know your child. If your usually settled kid has seemed sad, angry or anxious for a while, trust that instinct. It is not about labelling them. It is about noticing that something has shifted.
When we are worried, it is natural to jump in with questions or solutions. For a young person, that can feel like pressure and make them close up. What helps most is feeling safe and accepted first.
Try to stay calm and curious rather than alarmed, even if what they share worries you. Pick a low pressure moment, side by side rather than face to face if that suits them, like in the car or on a walk. Listen more than you speak. And resist the urge to fix it straight away. Sometimes the most powerful thing you can say is simply, “That sounds really hard. I am glad you told me.”
Validation matters here. You do not have to agree with everything, but letting them know their feelings make sense, given what they are going through, tells them they are not alone. That is often what opens the door to more.
It is easy to overlook, but the ordinary foundations of daily life have a real effect on how a young person feels. Enough sleep, regular meals, some movement, time outdoors, and a bit of unhurried downtime all help steady the emotional ground beneath them. So does predictable routine, and knowing you are around and available, even when they seem to want space. During adolescence in particular, teens often want connection differently, not less.
With the best intentions, some responses can quietly shut a young person down. Try to avoid minimising what they feel (“you will be fine”, “it is not that bad”), reacting with panic, or turning the conversation into an interrogation. Jumping straight to fixing, before they feel heard, can also land as though the feeling itself is a problem to be solved. If a conversation stalls, that is okay. Leaving the door open often works better than pushing through it.
Reaching out for support is not an overreaction, and you do not need to wait until things are severe. It is worth speaking to a professional when the difficulties are persistent, are getting worse, or are affecting everyday life such as school, friendships, sleep or family relationships. Early support is almost always gentler and more effective than waiting for things to escalate.
A good first step is often your GP, who can talk through options and, where helpful, write a Mental Health Treatment Plan for rebated sessions. From there, support might involve seeing a psychotherapist or a family therapist.
If you are worried about safety right now
If your child is in immediate danger or you are worried they may harm themselves, call 000. For support any time, day or night, you can reach Kids Helpline on 1800 55 1800 (for young people up to 25), Lifeline on 13 11 14, or Beyond Blue on 1300 22 4636. You do not have to wait until things reach a crisis to ask for help.
At Integro Health in Eaton, near Bunbury, we support both the young person and the family around them, because a child’s wellbeing is woven through their relationships and daily world. We take a whole person view rather than focusing on a single symptom.
For younger children, approaches like play and expressive therapies let them process feelings and experiences without having to put everything into words. For teenagers, therapy offers a private, judgement free space of their own. Depending on what is going on, that might also mean gentle support around anxiety or low mood. You can read more about our child therapy and teenage counselling, or meet our team. When you feel ready, you are welcome to reach out, for your child or for a conversation about how to help them.
Ordinary ups and downs pass. It is worth seeking help when changes are persistent, are getting worse, or are affecting daily life such as school, sleep, friendships or family. If you are unsure, a chat with your GP is a good, low pressure place to start.
Keep the door open without forcing it. Choose low pressure moments, listen without rushing to fix, and let them know you are there when they are ready. Sometimes a young person finds it easier to open up to a neutral professional, and that is completely okay.
Children of most ages can be supported, with the approach matched to their stage. Younger children often benefit from play based and expressive therapies, while teenagers usually engage in more conversation based sessions.
You can book privately without a referral. A GP referral and Mental Health Treatment Plan are only needed if you want to claim a Medicare rebate.
Written and medically reviewed by Dr Paul King, General Practitioner (MBBS, FRACGP)
This article is general information and is not a substitute for personal advice. For support tailored to you, please speak with your GP or one of our practitioners.

Dr Paul King
General Practitioner
A childhood illness inspired Paul to become a doctor.
Paul studied medicine at the University of Western Australia. After graduation, he worked in multiple hospitals in Perth before moving to the Bunbury area in 2006 to complete his General Practice Fellowship training. Paul has made the Bunbury area his home, working for over 15 years in Eaton and Australind.
Paul’s special interest is mental health, especially the interaction between physical illness, mental health, social issues and relationships.
Paul combines his extensive General Practice experience with training in Focussed Psychological Strategies, including cognitive behavioural and mindfulness therapies and E.M.D.R.
Paul brings a calm and assuring demeanour to his practice, enabling clients to grow towards wellness in a safe environment effectively.
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