Your first appointment with a therapist is typically considered a “consultation.” In a consultation the therapist asks questions to understand your needs and wants from therapy. It is also an opportunity for you to learn what you can expect from the therapist. Here are 22 questions to consider for your first visit.
Cultural Competence
Culture is not limited to race and/or ethnicity, it also includes sexuality, sexual orientation, gender identity, economic status, immigration status, substance use history, relationship status, and life values. Social identities are intrinsic to our being. Consider discussing the therapist’s comfort level with the social identities that you wish to explore in therapy.
- Can you tell me about your multicultural training?
- Have you ever had supervision based solely on culture?
- What was your biggest clinical mistake with a patient of color? What did you learn from that situation?
- How do you navigate your personal biases?
- Are you interested in issues related to my cultural group?
Scheduling
Scheduling is based on a few factors such as your availability, the therapist’s availability, your goals, and your budget. It helps to discuss the recommended meeting schedule that is agreeable with your needs and what you are able or willing to spend.
- How often can we meet?
- How far in advance do I need to schedule your appointment?
- What is the best way to schedule an appointment?
Payment
Therapy is affordable in different ways. Insurance is a great way to cover costs, however insurance is typically limited to specific diagnoses and number of sessions. It helps to ask about alternative payment options should the need arise.
- Do you accept insurance?
- Will insurance cover my therapy needs?
- What if I can no longer afford treatment?
- What are your sliding-scale options?
- Do you offer pro-bono treatment?
Therapist Style
Every therapist has their own style and preferences. It’s helpful to discuss their preferences and if they align with your style and preferences.
- How do you prefer to communicate outside of sessions?
- How would you manage an emergency session?
- What is your treatment style?
- What kind of homework do you give?
Expectations
Therapy is a unique experience compared to working with a medical professional. Some therapists prepare an agenda and others encourage the client to identify what they would like to discuss at the beginning of the session. It’s helpful to discuss what you can expect to ensure it is aligned with your needs.
- What is a typical session like?
- How do you set up goals?
- Do you manage accountability?
- How will I know if my needs are being met?
- What are signs that therapy is working?