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Anxiety & panic

What happens in your first online therapy session

Nervous about starting therapy online? Here is what a first session by video usually looks like, and how to get the most from it.

Starting therapy can feel like a big step, and doing it online can bring its own questions. Will it feel awkward? Will it work as well as being in the same room? It is completely normal to feel a little nervous before your first session.

Before the session

Once we have agreed a time, I will send you a secure video link. You do not need to download anything complicated. It helps to find a quiet, private space where you won't be interrupted, with headphones if others are at home, and a glass of water nearby.

What we talk about

The first session is mostly about getting to know you. I may ask what has brought you to therapy now, how things are affecting your daily life, and what you would like to be different. You only share what you feel ready to share. There are no right or wrong answers.

We will also talk about practical things: confidentiality and its limits, how often we might meet, and what you can expect from me.

Does online therapy really work?

For many people, yes. Research suggests that therapy by video can be as helpful as face-to-face sessions for common difficulties such as anxiety and low mood. Some people find it easier to open up from the comfort of their own home.

  • No travel time, so it fits around work and family
  • You can join from anywhere in the UK
  • You are in a familiar, private space

After the first session

At the end, we will decide together whether to continue. It is important that you feel comfortable with your therapist, so take your time. If you would like to begin, you can get in touch by email or message, and I will reply as soon as I can.

About the author

Claudia Meresca is a psychotherapist & counsellor in Windsor, Berkshire & online. Person-centred psychotherapist, EMDR trained (EMDR Academy for Trauma-Focused Therapy).

More about me

This article is general information, not a substitute for professional advice. If you are in immediate danger, call 999. For urgent support, call NHS 111, or Samaritans free on 116 123 (24 hours, UK and Ireland). This practice cannot offer crisis support.

Would you like to talk?

Call, email or send a short message to arrange your first session. I usually reply within one working day.