What actually happens in a first online therapy session? A plain-English guide
If you've never done therapy before — or never done it online — here's a plain-language guide to what to expect in a first counselling session with a gay-led, affirming counsellor and how to prepare.
Written by Mark Clarke, BACP-registered psychotherapist (MBACP 407828)
The first session is mainly about getting a sense of each other. I'll ask what brought you here, what you're hoping might change, and a bit about your context — where you're based, who matters to you, what support you already have.
You don't need to prepare a speech You can cry, ramble, sit in silence, or say "I don't know where to start" — that's a perfectly fine place to begin. Cameras are optional for the first session if that's easier.
We'll cover practicalities too How often we'll meet, fees, cancellation policy, confidentiality limits, and what to do if you're in crisis between sessions. By the end, you should have a clear sense of whether this feels like a fit.
The free 30-minute intro call is exactly for this: no commitment, no pressure, just a conversation to see if working together makes sense.
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Great Thriving offers online, identity-affirming counselling for gay and bisexual men, in English.
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