This blog was prompted by an SMS exchange I had with a potential client who was curious about what actually happens during a psychological consultation. It made me realise that many people—especially those who haven’t sought therapy before—may feel uncertain or anxious about the process. If you’re considering reaching out for support but are unsure about what to expect, I hope this blog provides some clarity.
It’s important to note that most clients don’t come in with just one issue. More often than not, the challenges you face in one area of your life are interconnected with other aspects. For example, workplace stress can lead to anxiety, affect your relationships, and sometimes even result in unhealthy coping mechanisms like increased alcohol use. It’s perfectly normal for our sessions to explore how these issues might overlap.
What to Expect During Your First Psychology Session
Common Issues Addressed in Therapy
People seek therapy for a variety of reasons, and often, it’s not just a single concern. Here are some common issues that might bring you, or someone you know, to seek support:
- Workplace Stress: Whether you’re a manual labourer or work in an office, stress in the workplace can be overwhelming. It might stem from excessive workloads, difficult colleagues, or unrealistic deadlines. Over time, stress can lead to burnout, anxiety, or depression, affecting both your performance and personal life.
- Anxiety and Depression: Many clients come in feeling overwhelmed by persistent worries or low moods, often related to work, relationships, or significant life changes. These feelings can seep into other areas, making it hard to function day to day.
- Substance Use: Some clients struggle with alcohol or drug use. Often, they start using these substances as a way to cope with stress, anxiety, or personal problems. Together, we explore what came first—the challenges or the substance use—and work on healthier coping strategies.
- Relationship Concerns: Whether in your personal or professional life, strained relationships can be a significant source of stress. Therapy helps you navigate these dynamics, understand patterns, and improve communication.
Your First Consultation: What Happens?
The first session can feel a bit like a “form-filling” exercise, but this is necessary to ensure we’re fully prepared to support you. Here’s what to expect:
- Confidentiality and Practicalities: We’ll go over the basics, like confidentiality, fees (including any potential Medicare rebates), and emergency contacts. These administrative matters are important to cover up front, so you know exactly how things work.
- Screening Questions: To better understand your situation, I’ll ask a series of questions that help identify any immediate concerns. For example, if you’re experiencing elevated levels of anxiety, depression, or workplace stress, I may suggest further assessments or even refer you to a psychiatrist, if necessary.
- Setting Goals: One of the most important parts of our first session is identifying your goals for therapy. These goals can be specific, such as “I want to manage my workplace stress better,” or more general, like “I just want to feel more in control of my life.” Whether your goals are concrete or evolving, they help guide our sessions.
- Family History and Genogram: I often create a Genogram—a family tree-like diagram that shows how you fit into your family of origin and current relationships. This helps us explore how your background and family dynamics may play a role in your current challenges.
How Many Sessions Should You Expect?
On average, clients attend about five to six sessions. However, if you’re dealing with more complex issues, such as chronic workplace stress or substance use, we might use all the Medicare sessions available within a year. Some clients return the following year to continue their progress. Each case is unique, and together, we’ll figure out what works best for you.
Why Choose Therapy for Workplace Stress?
Workplace stress isn’t just about dealing with a difficult boss or overwhelming tasks. It can have a ripple effect on your emotional and physical well-being, relationships, and overall life satisfaction. If stress is affecting your ability to function or enjoy life, reaching out for support is a proactive step.
As someone who has worked with clients from both blue-collar and white-collar industries, I understand the unique pressures of different work environments. Whether you’re a truck driver, a teacher, a mechanic, or working in a corporate setting, stress is a common issue that can manifest in a variety of ways. Therapy provides you with the tools to manage stress, regain control, and create healthier boundaries in your professional and personal life.
Telehealth Consultations: What to Expect
If you’re opting for a Telehealth consultation, the process remains largely the same, but from the comfort of your own home, office, or even the front seat of your car (parked in a quiet place). We’ll cover the same ground—confidentiality, setting goals, exploring your history—and work through your concerns just as we would in person. Many clients appreciate the flexibility and convenience Telehealth offers, especially if work or travel constraints (e.g. FIFO work) make in-person sessions difficult (as long as you are in Australia, it can be covered by Medicare).
Take the Next Step
If you or someone you know is feeling overwhelmed by workplace stress or other personal challenges, know that help is available. You don’t have to navigate these difficulties alone. Feel free to reach out for an initial consultation with Colin Longworth, our lead psychologist. With years of experience working in diverse industries and addressing a range of personal and professional challenges, Colin can help you develop the skills and strategies you need to regain control and improve your well-being.
