What to Expect in Therapy

Julia Ferre

12/9/20253 min read

Soft natural light and shoreline creating a calm, grounding atmosphere
Soft natural light and shoreline creating a calm, grounding atmosphere

What to Expect in Therapy: A Warm, Grounded Look at the Process

Beginning therapy is often less about being sure and more about being curious. Many people come to therapy feeling a mix of hope, uncertainty, and vulnerability. You may know something needs attention, even if you can’t yet put it into words.

This page is meant to offer a calm, transparent look at what therapy is like, how the process works, and what you can expect if you decide to begin. My intention is to help you feel informed, respected, and emotionally safe as you consider whether therapy is the right next step.

Why People Come to Therapy

People seek therapy for many different reasons. Some arrive during a specific life challenge, while others sense a longer‑standing pattern they want to understand more deeply.

Common reasons include:

  • Anxiety, chronic stress, or feeling overwhelmed

  • Relationship or communication difficulties

  • Life transitions, grief, or loss

  • Feeling stuck despite insight and effort

  • Wanting greater emotional balance or self‑understanding

You don’t need to be in crisis to benefit from therapy. Often, therapy is a space to slow down, listen inwardly, and develop more supportive ways of relating to yourself and others.

What the First Therapy Session Is Like

The first session is about establishing safety, clarity, and connection. It’s a time for us to get to know each other and to begin understanding what brings you in.

In a first session, you can expect:

  • A conversation about your concerns, goals, and hopes for therapy

  • Questions about your history, relationships, and current stressors

  • An explanation of confidentiality and how therapy works

  • Time for your questions and reflections

There is no expectation to share everything at once or to know exactly what to say. Therapy moves at a pace that respects your nervous system and your readiness.

For couples, the first session may include time together to understand the relationship dynamic, and at times individual check‑ins to gain a fuller picture of the relationship.

What Ongoing Therapy Looks Like

Most therapy sessions are 50 minutes and are scheduled weekly or bi‑weekly, depending on your needs. Over time, therapy often includes:

  • Gently exploring emotional and relational patterns

  • Learning tools for emotional regulation and communication

  • Developing awareness of how stress and past experiences affect the nervous system

  • Practicing new ways of responding rather than reacting

Therapy is collaborative and respectful. You remain an active participant in shaping the work, and your feedback is always welcome.

A Note About Hypnotherapy Sessions

When we work together using clinical hypnotherapy, sessions are structured a bit differently. Hypnotherapy sessions are typically 90 minutes, allowing time for preparation, integration, and depth.

In most hypnotherapy sessions, hypnosis is included in the first session. This initial experience is often focused on relaxation, stress relief, and helping your nervous system settle into a sense of safety and ease. Hypnosis is not about losing control; rather, it is a state of focused attention that supports access to inner resources and insight.

Hypnotherapy is always collaborative and tailored to your comfort level. We move gently and intentionally, and you are fully aware and able to communicate throughout the process. For many people experiencing anxiety or chronic stress, hypnotherapy can support nervous-system regulation by helping the body shift out of survival mode and into a state of greater calm and safety.

What Therapy Is — and What It Is Not

Therapy is:

  • A collaborative, client‑centered process

  • Grounded in evidence‑based and trauma‑informed care

  • A space for honesty, curiosity, and compassion

Therapy is not:

  • Someone telling you what to do

  • Being pushed to relive experiences before you’re ready

  • About judgment, fixing, or pathologizing

Your autonomy is central. You decide what to share and when.

How Change Happens

Many people come to therapy with strong insight — they understand why they feel the way they do, yet still feel stuck. This is very common.

Meaningful change tends to occur when:

  • Insight is paired with emotional and nervous‑system regulation

  • New experiences of safety and connection are created

  • Patterns are explored with compassion rather than pressure

This is why therapy may include mindfulness, body‑based awareness, or experiential approaches that support both mind and nervous system. Change is often gradual, layered, and deeply personal.

Common Questions

“What if I don’t know what to talk about?”
That’s completely okay. Therapy is a space where clarity unfolds over time.

“What if I get emotional?”
Emotions are welcome. Therapy is designed to support you through them safely.

“How long does therapy take?”
There is no single timeline. Therapy is individualized and responsive to your needs.

“Is online therapy effective?”
Research shows that online therapy can be just as effective as in‑person therapy for many concerns.

A Gentle Invitation

Beginning therapy doesn’t mean committing to having everything figured out. It simply means being open to support and exploration.

If you’re feeling curious, cautious, or quietly hopeful, those are meaningful places to begin. Therapy can be a space to feel heard, understood, and supported as you move toward greater clarity and ease — at your own pace.