How to Start Therapy: A Simple Guide for You or Your Child

If you’re reading this, chances are you already have an inkling that therapy might be helpful for you or your child. That’s a big first step—recognizing the need for support is often the hardest part.

Starting therapy can feel vulnerable and overwhelming, but knowing what to expect can make the process a lot smoother. Below is a simple guide to walk you through the typical steps to beginning therapy.

1. Recognize the Need for Therapy

If you’ve noticed emotional reactions, thoughts, or behaviors that disrupt your daily life—and they aren’t getting better despite your usual coping strategies—therapy may be the next best step. Therapy provides a safe space to explore and address these struggles with the support of a trained professional.

2. Find a Few Potential Therapists

Here are a few ways to find the right therapist for your needs:

• Check your insurance to see who’s in-network.

• If paying out of pocket, look for therapists with rates that fit your budget.

• Use online directories like Psychology Today or local Houston-based resources like Mosaics of Mercy.

• Ask friends or family if they have a trusted therapist they’d recommend.

3. Make the First Call

When you’re ready, call the therapist’s office to inquire about availability. Be prepared for one of two scenarios:

• You may be placed on a waitlist (don’t worry, this is common!).

• If they’re accepting new clients, you’ll likely be asked for:

  • Basic contact information

  • Insurance details (if applicable)

  • Reason for seeking therapy

  • Payment method

4. Complete Intake Paperwork

Before your first session, you’ll need to fill out intake forms and sign consent paperwork. This gives your therapist important background information to better understand your needs and concerns.

5. Attend the Initial Session or Consultation

This first meeting is a chance for both you and the therapist to get to know each other. Here’s what to expect:

• They’ll ask about your history, current concerns, and goals.

• You can ask about their therapy style and approach.

• Most importantly, see if you feel safe, heard, and understood—these are key to a good therapeutic relationship.

Remember: Not every therapist will be the right fit—and that’s perfectly okay.

6. Commit to the Process

If the therapist feels like a good fit, you can decide together on a schedule. Most clients begin with weekly sessions to build rapport and momentum. As you progress and feel more stable, you may move to biweekly or monthly check-ins.