What to Expect in a Therapy Consultation (And Why It Matters).

A therapy consultation is a great opportunity to connect with a potential therapist, ask questions, and get a feel for whether it’s a good fit. These calls usually last around 15-20 minutes and are intended to gather a general overview of what is bringing you in. Here is what I typically cover during a consultation with folks interested in individual or couples counseling. 

A Quick Introduction

I like to start with a brief introduction about me, my approach to therapy, and my experience. It’s important to me that potential clients get a sense of who I am and how I work. I provide Telehealth therapy for couples and individuals across Washington, with a virtual office in Spokane. 

I tend to be client centered and strength based, which means I value collaboration and building on what is already working. Other providers may take a different approach that works for them. Sharing details about how I work is a way for the potential client to decide if my approach feels like a good fit for them. 

A Few Questions From Me

There are a few brief questions that I make sure to ask to get a better sense of a client's needs and whether I’m the right person to support them. This part of the consultation helps us both assess whether we’re a good match. 

Here are a few things I might ask:

What is bringing you into therapy?

We often reach out when things feel stuck, overwhelming, or like they’re getting worse. Hearing more about what’s going on helps me understand your experience and how therapy might support you.

What made now feel like the right time to reach out?

Sometimes we can cope with something for a long time before deciding to get help. If something recently changed, like an increase in stress or a major life event, it’s helpful for me to understand that context.

Have you been in therapy before?

Everyone brings different experiences, expectations, and sometimes hesitations about therapy. I love hearing about what’s worked (or not worked) for you in the past. If this is your first time, we can talk about what to expect and address any concerns you may have.

What do you hope will be different as a result from therapy?

This question is one of my favorites. Even when things feel heavy, it’s powerful to imagine what healing or growth could look like. I want to understand your hopes and make sure I can realistically support you in moving toward them.

Checking-In on Safety.

Part of the consultation includes a brief check-in around safety. I screen for concerns that might require a different level of care than I can offer in an outpatient setting. These questions can sometimes feel vulnerable, especially with someone new, but they’re meant to make sure you get the support that best fits your needs. If I feel like another provider might be a better match – due to safety concerns or scope – I’ll always share that openly and offer referrals.

Time for Your Questions.

This is your time, too! I make sure there’s space for any questions you might have. You might want to ask about my approach, experience with your specific concerns, session structure, fees, or anything else on your mind.

If there are values or identities that are important to you – like working with a queer-inclusive therapist, or someone who has experience with the LGBTQ+ community – I absolutely encourage you to share that. Feeling seen and understood is crucial in therapy.

Logistics and Next Steps.

Towards the end of our chat, I’ll go over practical details like fees, scheduling, and how telehealth sessions work. If it feels like a mutual fit, I’ll offer an invitation to schedule our first session, or offer time to think about it if you need space to reflect.

And if I’m not the right fit – whether due to scope, scheduling, or anything else – I’ll be upfront about that and help point you toward other providers who might be a better match. My priority is making sure you receive the care that feels right for you.

Final Thoughts.

Finding a therapist you feel connected to can be hard, but it’s so worth it. Research shows that the relationship between client and therapist is the #1 predictor of positive outcomes in therapy. That means it’s not just about techniques or theories; it’s about how safe, supported, and understood you feel in the room (or on the screen).

You deserve to work with someone you trust. Someone who makes you feel seen, heard, and empowered. Whether we end up working together or not, I’m honored to be part of your search for support!

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Ready to Take the Next Step?

If you're feeling curious, hopeful, or even a little nervous about starting therapy – you're not alone. A consultation is a great first step to explore whether we might be a good fit. There's no pressure and no commitment, just a chance to connect.

Click here to schedule a free video consultation and let’s see how I can support you.

Still have questions? Read more about me here. Feel free to reach out to me at kelseygraham@fenandfircounseling.com – I’m happy to help.

You don’t have to figure it all out alone. Let’s take the first step together.

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Disclaimer: this post is intended for educational and entertainment purposes only. It does not substitute or provide mental help.