What to Expect at Your First Psychology Appointment
The first appointment is a chance to understand what has brought you to therapy, discuss what you would like to change and decide whether the service and approach are a suitable fit. You do not need to arrive with a diagnosis, a perfect explanation or a complete history.
Before your appointment
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Check the date, time, location or secure video instructions in your written confirmation.
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Complete any consent or intake form you have been sent.
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Bring an eligible referral if you intend to claim a Medicare benefit, or written funding approval if another organisation may pay.
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Write down important questions, current medications or supports if that helps you remember them.
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For telehealth, choose a private place, test your device and keep a back-up phone available.
What happens in the first session
1. Practical details. The psychologist confirms consent, privacy, fees or funding, contact details and the planned length of the appointment.
2. Your reasons for attending. You can describe the main concerns, how they affect daily life and what has prompted you to seek support now.
3. Relevant background and safety. The discussion may include health, relationships, work or study, supports, previous care and current risks. You can ask why information is relevant.
4. Goals and next steps. You and the psychologist discuss initial priorities, possible approaches, expected frequency and whether another service or assessment may be needed.
How much do I need to share?
Share what feels possible and relevant. You are not expected to describe every difficult event in detail during the first appointment. The psychologist may ask focused questions to understand safety, functioning and the most appropriate next step.
Confidentiality and consent
Psychology information is handled privately and used for the agreed purpose. Confidentiality and its limits are explained, including circumstances where disclosure is required or permitted by law or needed to respond to a serious safety concern. Communication with a GP, referrer, family member, insurer or other party is discussed with you and managed according to consent and applicable obligations.
After the appointment
You may agree on a further appointment, receive a brief task or resource, or be asked to provide a referral or funding document. If the service is not the right fit, the next step may be clarified before further sessions are booked.
FAQs
Do I have to prepare notes?
No. Notes are optional. A short list of priorities or questions can help if you are worried about forgetting something.
Can I bring a support person?
Ask before the appointment. A support person may be helpful in some circumstances, but consent, privacy, the purpose of their involvement and part of the session being individual may need to be discussed.
Will I receive a diagnosis in the first session?
Not necessarily. The first session focuses on understanding the concern and planning. A diagnosis, where relevant, requires sufficient evidence and may need further assessment.
What if I decide the fit is not right?
You can raise questions or concerns about fit and approach. The next step can be discussed, including whether another type of service may be more appropriate.
Is the first appointment an emergency service?
No. If there is immediate danger, call 000. For crisis support, call Lifeline on 13 11 14.
