Practical guide · UK

Your first therapy appointment: what to expect and what to take

You do not need to arrive with a perfect explanation of everything. Your first appointment is usually about understanding what has been happening, what is affecting you and what kind of help may fit.

A few notes can make it easier

  • Write down the main problem in one or two sentences.
  • Note roughly when it started, what makes it better or worse and how it affects sleep, work, relationships or daily tasks.
  • List current medicines and relevant health conditions if you think you may forget them.
  • Write down one or two things you hope will be different if treatment helps.

Things you may be asked about

  • Your mood, anxiety, thoughts, sleep, appetite and day-to-day functioning.
  • Previous treatment or support and what did or did not help.
  • Alcohol or drug use where relevant.
  • Your safety, including whether you have had thoughts of harming yourself. These questions are routine and help the clinician understand the support you need.

Questions you can ask

  • What type of therapy or support are you suggesting, and why?
  • How often are appointments and how long does treatment usually run?
  • What happens if I miss an appointment or need to rearrange?
  • Who should I contact if things get worse between appointments?
Keep it manageable

You do not have to solve the whole waiting period today. Pick the smallest useful next step: save a number, write down a question, send one message or ask someone you trust to sit with you while you call.

Trusted sources and next steps

NHS: talking therapies ↗NHS: cognitive behavioural therapy ↗

General UK information, not a diagnosis or personal treatment plan. Services and pathways vary by area and UK nation. Information reviewed 31 August 2026.