What to Expect in Your First Session
Starting therapy can feel nerve-wracking, so here’s what to expect. It’s a conversation, not an interrogation, and you decide how much you share and how quickly.
In our first meeting, we’ll get to know each other. I’ll ask what brought you in, how substance use is affecting your health, relationships, work, and daily life, and about your mental health and support system. We’ll talk about your goals, and I’ll meet you where you are, without judgment or pressure.
I’ll also introduce how CBT-SUD works: looking at the connection between your thoughts, feelings, and behaviors, and learning to spot the triggers that lead to use. Before we finish, we’ll sketch out an initial plan together, which may include a simple skill to practice, like tracking cravings. We’ll also decide how often to meet, and I’m happy to answer any questions about confidentiality or scheduling.
For Family Members
If someone you love is struggling with substance use, you don’t need to have it all figured out to begin. The first session is a supportive conversation focused on you, not on fixing the person you’re worried about.
We’ll talk about how this has been affecting your stress, relationships, and well-being, and you share only what feels comfortable. We’ll look at patterns that may have developed, like rescuing or putting your own needs last. These are common responses to addiction, with no blame or shame. Together, we’ll work on what you’d like to change, whether that’s setting firm but caring boundaries, managing guilt, or supporting someone without losing yourself. You’ll leave with a clear next step.