Core Concepts

What Happens in a First Session?

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Anxiety is almost universal. The prospect of speaking to a stranger about what is most private or painful is genuinely daunting. Many people have thought about coming for months or years before they actually do. For many, shame has been the barrier.

The first session in psychotherapy or Jungian analysis is an initial meeting — a chance for both client and therapist to get a sense of each other, and to consider whether working together feels right. It is not an assessment, a diagnosis, or a commitment. It is a beginning.

What most people feel before the first session

Anxiety is almost universal. The prospect of speaking to a stranger about what is most private or painful is genuinely daunting. Many people have thought about coming for months or years before they actually do. For many, shame has been the barrier.

The first session does not require a person to have everything worked out. Coming is enough. The rest unfolds from that.

What the therapist is listening for

The therapist listens — to the content of what is said, but also to what is not said; to the feelings that arise in the room; to the quality of the person’s relationship with their own experience.

What you might be asked

  • What has brought you here now — what made this the moment
  • How long the difficulty has been present, and whether anything has recently changed
  • What your life looks like — work, relationships, the shape of your days
  • What you are hoping for, even if you cannot fully articulate it

After the first session

It is entirely normal to feel unsettled after a first session. The most important thing is whether something felt possible. Not certain, not comfortable — possible.


Book a consultation with Philippe Jacquet — psychotherapist and Jungian analyst, London.

Philippe Jacquet is a psychotherapist and Jungian analyst based in London with over 25 years of clinical experience. Learn more about this service →