What to Expect from Your First Psychology Session

The first appointment is the part most people feel nervous about. You are meeting a stranger and preparing to talk about things that matter. That is a lot. The good news is that a first psychology session is gentler than most people expect. Here is what actually happens, so you can walk in knowing roughly what to expect.

Before your appointment

Booking is straightforward. You can arrange a session with us online or by phone, and you do not need a referral to get started. If you would like to claim a Medicare rebate, ask your GP for a Mental Health Treatment Plan and referral letter and have them forward these to our office before your appointment.

There is no homework to do beforehand. If it helps, jot down a few points about what has been going on and what you are hoping for. That is more than enough. If getting to Eaton is difficult, or you would simply feel more at ease at home, we also offer online sessions.

What the first session actually looks like

The first session is mostly a conversation. Your psychotherapist will want to understand your story. Expect questions about what brought you in, what has been happening lately, and a little about your background, health and daily life. Sometimes you might be asked to fill in a short questionnaire, which simply helps build a clearer picture.

What you share stays private, with a small number of legal exceptions, mainly where there is a risk to someone’s safety. They will talk you through this so nothing feels hidden. Towards the end, you will usually begin to shape some goals and talk about what ongoing support might look like.

What you do not have to do

You do not need to arrive with everything sorted, or with the right words ready. You will not be pushed into painful memories before you are ready. A good first session should feel like being listened to, not interrogated. If something feels like too much, you can say so. Working at your pace is part of how safe therapy is meant to feel.

Common worries about the first session

What if I get emotional? That is completely okay, and very common. There is no need to hold it together.

What if we do not click? Fit matters, and it is not always there straight away. Sometimes it takes a couple of sessions to settle in. Other times you sense it is not the right match, and that is fine too. You are allowed to try someone else.

Will it all be confidential? Yes, within the legal limits your therapist explains at the start. Being clear about this upfront is part of building trust.

What happens after the first session

There is no set formula. Some people come weekly for a while, others fortnightly or less often. Together you will decide on a rhythm that suits you and revisit it as things change. The first session is really about laying a foundation of trust. The deeper work grows from there, once you feel safe enough for it.

Fees and Medicare rebates

We will always explain fees clearly before your appointment, so there are no surprises. If your GP has written you a Mental Health Treatment Plan, you can claim a Medicare rebate on a set number of sessions in a calendar year, currently up to ten. Telehealth sessions can be rebated in the same way.

How we make the first step easier

At Integro Health, we know reaching out takes courage, so we try to make that first visit feel as safe and unhurried as possible. We take a whole person view, looking at how the different parts of your life connect rather than focusing on one symptom alone. You can read more about working with us on our individual therapy page, or meet the team you would be seeing on our team page. When you feel ready, you can book an appointment at your own pace.

Frequently asked questions

Do I need a referral for my first psychology session?

No. You can book privately without a referral. You only need a GP referral and a Mental Health Treatment Plan if you want to claim a Medicare rebate.

How long is a first psychology session?

A standard session usually runs for 50 minutes. We will confirm the length when you book so you can plan your day.

What should I bring to my first appointment?

Bring your Mental Health Treatment Plan and referral if you have them, any relevant medical or mental health history, and a rough idea of what you would like to work on.

Is what I say confidential?

Yes. Sessions are confidential, with a few legal exceptions that mainly relate to safety. Your psychotherapist will explain these clearly at the start of your first session.

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.