First Session

What To Expect During Your First Session

What happens in therapy?

Counselling involves a series of formal sessions where the therapist and the client talk about the client’s issues and feelings. Even short term therapy typically involves six to 12 sessions. The sessions take place at a regular, agreed time and in a ‘safe’ private place where the client and therapist will not be overheard or interrupted. 

Therapy may involve talking about life events, feelings, emotions, relationships, ways of thinking and patterns of behaviour. The therapist will listen, encourage and empathise, but will also challenge to help the client to see their issues more clearly or in a different way.

Counselling is not about giving advice or opinions, nor is it a friendly chat with a friend. The therapist helps the client to understand themselves better and find their own solutions to resolve or cope with their situation.


During your first session you have the opportunity to evaluate your current situation with your Counsellor. This is primarily done by the asking of some questions to help you clarify and describe your issues. Some clients have a detailed picture or idea of the area where they would like to achieve change, while other clients may be starting to explore difficult issues for the first time in their lives.

You also have the opportunity to fill out several questionnaires allowing us to evaluate levels of depression, anxiety, functioning & well-being. The standard outcome of an Intake session includes an estimated duration (number of sessions) of therapy and an informed consent about treatment options.

Counselling services at Counselling Madrid are in accordance with the BACP (British Association for Counselling & Psychotherapy) code of ethics which means we are ethically committed to confidentiality. We encourage you to discuss any concerns you might have regarding confidentiality with your therapist.

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