What to Expect: What is Therapy Like?

Your First Counselling Consultation

Attending your first therapy session — whether for individual counselling or psychology, or couples counselling — can feel daunting. You might feel uncertain about opening up, or unsure what to expect. These feelings are completely normal, especially when meeting someone new to talk about deeply personal matters. Rest assured, you are under no pressure to share anything before you're ready.

We create a safe, supportive, and judgement-free space where you're encouraged to explore your concerns at your own pace. There is no obligation to tell your entire story upfront — or even at all. The goal is to ensure you feel comfortable, informed, and empowered to take the first step in creating meaningful change.

It's worth recognising that by attending your initial session, you've already taken a significant step towards improving your wellbeing.

What Should You Expect?

We understand that no two people are the same, which is why your journey with us is always tailored to your unique situation. While every experience is different, the general structure below can help you know what to expect.

Initial Session (Session 1)

This is an opportunity to share what's brought you to therapy, discuss your current concerns, and clarify what you're hoping to gain. Your practitioner will also ask about your background and history where relevant. Together, you'll review key information such as confidentiality, session structure, consent, and any referral documentation (e.g. Mental Health Care Plan). This session also allows you to decide whether the practitioner feels like the right fit.

Early Sessions (Sessions 2–4)

These sessions focus on developing a shared understanding of your difficulties, identifying goals, and beginning evidence-informed strategies or therapeutic discussions. This is also when the therapeutic relationship continues to strengthen — a key factor in positive outcomes.

Ongoing Sessions (Session 5+)

Depending on your progress and goals, therapy may involve deepening your insight, testing strategies, or managing specific symptoms or life stressors. Your progress is monitored and reviewed collaboratively, and adjustments can be made along the way.

Duration and Frequency

Some clients attend for a few sessions and feel confident to end therapy; others benefit from medium- or long-term support. Weekly sessions are often recommended at the beginning, though this can shift based on your needs, goals, and practical circumstances.

Getting Help is Easy

Follow the four steps and attend your first session with Head Start Counselling & Psychology

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What’s the Difference Between Psychology and Counselling?

Psychologists and counsellors are both trained to support your mental health and emotional wellbeing, but they differ in qualifications, methods, and scope of practice.

Psychologists are AHPRA-registered health professionals who have completed a minimum of six years of accredited study and supervised training. They are qualified to assess, diagnose, and treat mental health conditions such as anxiety, depression, and trauma. Psychologists use evidence-based interventions, formulate case conceptualisations, and may provide formal reports, psychological assessments, and treatment plans. With a valid Mental Health Care Plan and referral, clients may be eligible for Medicare rebates. Psychologists often work in collaboration with your GP to ensure coordinated and ongoing support for your mental health.

Counsellors provide talk-based therapy for everyday emotional challenges. They support clients experiencing stress, relationship difficulties, life transitions, grief, burnout, and personal growth. Counselling is often more accessible, with shorter wait times and lower fees, making it a helpful option for people who are not experiencing a diagnosable mental health condition but are seeking support, clarity, or direction. Our counsellors are qualified and ACA-registered; however, they do not provide formal diagnoses or Medicare rebates. You can book directly without needing a GP referral or Mental Health Care Plan.

Both approaches are collaborative, confidential, and grounded in trust. The best option depends on your goals, needs, and personal preference.

Still Unsure?

It might be helpful to read through our Frequently Asked Questions