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What Should You Expect in Your First Emotional Trauma Counseling Session?

  • Lana Shatil
  • Apr 15
  • 5 min read

Updated: Apr 17

Commencing psychological therapy seems very much an overwhelming experience. It is your very first emotional trauma counseling, and you begin to ruminate about what is going to happen within the session, what the most pertinent things to say are, and if you are ready for your disclosure on things. These types of feelings are normal. The best thing about it, however, is that the first session is not about pressure or judgment but is simply a great step towards healing in a space that is safe and supportive.




In this blog, you will be guided as to what goes on in the first session in counseling, making you feel ready, at ease, and confident in starting on this new path.


Understanding the Purpose of the First Session


The first session is really about building the foundation of your own healing journey. It will be a time when you will both take some time to get to know each other, discuss your various concerns, and outline your therapeutic objectives.


Your Therapist Will:


  • Ask you about your reason for therapy.

  • Make you feel welcome and supported.

  • Gather historical information relevant to your past and emotional conflicts.

  • Help you understand the counseling process.

  • Discuss your goals and hopes for therapy.


This first conversation should not bring to the surface all those horrible memories at once. It is the time for trust to develop and for some understanding of how you ended up in therapy.


Step 1: Setting the Scene for Safety and Comfort


Any decent therapist should know that trauma is hardly an easy thing to talk about. Hence, our first session will begin by creating a safe space where your voice is heard.


Your therapist might ask:


  • What has brought you to therapy at this point in time?

  • Have you been in therapy before? If so, what worked for you? What didn't?

  • Are there certain triggers or situations that worsen your feeling of trauma? 


You get to control what gets shared or not. It is okay to say no if you feel uncomfortable going into that territory. Therapy is at your speed.







Step 2: Understanding Your History


They will discuss your most relevant personal history - what your past is like, how it has shaped your emotional life - to glean some sort of evidence about what emotional foundation (or set of beliefs) you have been constructed on. Such questions may include:


  • Early childhood experiences and family environment

  • Previous relationships or attachments

  • Significant events or trauma in one's life

  • Present life conflict in securing better health


These details allow the therapist to better comprehend the holistic perspective and to personalize the therapy process. 

Step 3: Recognizing All Symptoms And Emotional Responses


Trauma takes many forms and manifests itself in symptoms of anxiety, depression, numbness, and so on. They may also manifest through the body, causing physical symptoms such as headaches and fatigue. Symptoms experienced by the patient give the therapist an idea of how the trauma is being felt by the patient in terms of functioning in everyday scenarios.


Some examples of questions include:


  • Intrusive recollections, flashbacks, nightmares... 

  • Do you feel disconnected from yourself or from other people?

  • What situations or people trigger particularly strong emotional responses in you? 

  • What do you usually do when things become too hectic?


This section is vital for your therapist to chart out patterns leading toward a strategy to offset emotional imbalance.




Step 4: Establishing Objectives for Therapy


Every healing journey is unique, and thus, goal setting gives structure to therapy. Here are some questions that your therapist might ask: 


  • What do you want out of therapy? 

  • Are there certain areas of your life you want to focus on? 

  • What would healing look like for you?


Your goals may include:


  • Lessening anxiety and stress

  • Having better control over emotional triggers

  • Improving relationships and communication skills

  • Processing past experiences without feeling overwhelmed


Now, if you are not sure what your goals are, it is all right. Your therapist will help you figure those out over time.


Step 5: Explanation of Therapy Process 


Your therapist will detail the format of therapy: 


  • The different approaches they may utilize (cognitive-behavioral therapy, mindfulness, trauma-focused techniques)

  • Frequency of sessions

  • Confidentiality and its limits (for example, in cases of self-harm or harm to others)

  • Discussing this will make you cognizant of the whole process and comfortable enough to move on.




Step 6: Addressing Any Questions or Concerns


Therapy may raise questions in your mind, and your first session would be an ideal moment to express some of these queries. Common concerns include:


Will this be a short stay in therapy? The healing process is a very personal journey for each individual and carries no fixed timeline. Some individuals would feel better in a few months, while others require longer.


What if I cry or have strong feelings? Crying or having strong feelings is okay. Everything is acceptable in therapy. Your therapist is there for your support.


What if I am not able to tell the story of my trauma? You do not have to choose the proper words. Your therapist will facilitate the conversation gently while still being safe for you.


How Family and Relationship Therapy Can Support Healing


Trauma creates a ripple effect, where not only the victim suffers but also their family, friends, and partners suffer as a result. Therefore, many people believe that family and relationship therapy offers a significant advantage in addition to individual therapy. 


For example, if trauma has severely affected your ability to trust or to communicate, such therapy will help you reconnect. It teaches you:


  • How to set healthy boundaries

  • Ways to express one's emotions without feeling guilty 

  • How others can support your healing journey


In fact, even if your choice is to seek therapy on your own, a significant part of healing could lie in understanding how trauma affects relationships.




The Importance of Emotional Trauma Counseling in the Healing Journey


Healing should not be about "fixing" yourself. It's more about understanding your emotional state, processing it, and slowly regaining control. Counselling for emotional trauma allows you to heal in your own time, without any scrutiny whatsoever.


Through therapy, you will:


  • Gain insights and coping skills

  • Manage your emotional triggers

  • Strengthen your resilience and inner strength


Trauma may have been a part of your story, but it does not have to be the story of your future.


Lana Shatil Psychotherapy: Helping You Heal and Rebuild


The treatment that I do at Lana Shatil Psychotherapy is with clients who want to work through trauma, heal emotional wounds, and have relationships that are not so easily shattered. Healing your emotional traumas through counseling or therapy for your family and relationships will allow you to rebuild your life with compassion and personalization in all aspects. 


You can heal, and you will never do it alone. 


Take the First Step Toward Healing


Starting a therapy session can be anxiety-provoking, and this first step is really an act of courage. This first session will be dedicated to setting up a safe space to allow your feelings to unravel at the beginning of your healing process. 


If you feel ready, I will be there with you. 


Contact me to arrange your first session.


 
 
 

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