By Dr Chloe Bedford, HCPC Registered Counselling Psychologist · Updated 13 October 2026
Starting therapy can feel unfamiliar. Some young people are keen to talk; others are unsure what to say or whether they want to be there. You don’t need to have everything worked out before your first appointment.
Before the appointment
If it helps, write down anything you would like me to know or any questions you want to ask. You can do this with a parent or another adult you trust. You don’t have to bring notes, and you don’t need to tell your whole story at once.
I will email the practical arrangements before your first session. Appointments last 50 minutes and cost £140, online or in person. We will discuss who should attend.
What happens in the first session?
We begin getting to know one another and understanding what has brought you to therapy. You can ask questions too. If something is hard to explain, it is okay to say so. Building trust takes time.
For children and teenagers, I usually involve parents in the initial assessment. The arrangements depend on your age and what you need. Parents may join some sessions or have separate appointments, and I usually include them in reviews every six weeks.
What stays private?
We will talk about confidentiality and what information is shared with parents or other people involved in your care. There are limits to confidentiality, including when information needs to be shared to protect someone from serious harm or to meet a legal obligation. I will explain these and discuss any concerns with you wherever possible.
Read about confidentiality and appointment terms.
If your appointment is online
Choose a private space where you can speak comfortably and are unlikely to be interrupted. Have a drink of water nearby and make sure your device is ready for the call. We can discuss arrangements that fit your circumstances beforehand.
After the session
Give yourself a little time to pause if you need it. A walk, drawing or another familiar activity may help you settle back into your day. People feel differently after a first appointment; there is no particular way you are supposed to feel.
A note for parents
Your child does not need a prepared explanation or to be ready to talk about everything. You can let them know that the first appointment is a chance to meet me, ask questions and begin thinking together about what might help.
Arrange a free initial call · Fees and insurance · Support for parents