BOOK SERVICES
GIFT CARDS
FILL OUT A NEW PATIENT QUESTIONNAIRE
Astute • Evidence-Based Care

What to Expect in Therapy

Starting therapy can feel overwhelming — and that’s completely normal.
New Patient Questionnaire Email Us
You’re Not Alone

Asking for help can seem overwhelming, and making that first appointment can be difficult. While therapy may feel scary or anxiety-producing at first, those feelings are normal — and often an important part of the self-discovery process.

Step 1 — Making Your First Appointment First, congratulate yourself on making the decision to start psychotherapy.

Schedule your first appointment by:
  • Calling (773) 799-8966 to speak with our receptionist and schedule a consultation
  • Emailing info@astutecounseling.com for more information
Step 2 — Before Your First Appointment Come prepared to reflect on questions such as:
  • What leads you to seek therapy at this time?
  • What symptoms are you currently experiencing?
  • How are they affecting your daily life, work, or relationships?
  • What have you tried so far to feel better?
  • What do you hope to accomplish in therapy?
Before your first session, please also:
  • Review our payment and insurance information
  • Complete and submit all required forms through the Patient Portal
  • Prepare any relevant medical paperwork (medication lists, past treatment history)
If you are unable to complete forms in advance, please contact us at info@astutecounseling.com.
Step 3 — Your First Appointment Your first session typically lasts 60–75 minutes and focuses on information gathering. During this session, we will:
  • Review intake forms and confidentiality practices
  • Discuss your history, concerns, and symptoms
  • Explore your expectations and goals
  • Discuss treatment philosophy and approaches
  • Identify strategies for future sessions
A tentative diagnosis may be discussed; however, this can evolve as therapy progresses.
Step 4 — Progressing Through Counseling Subsequent appointments last approximately 50 minutes. We will focus on goals, treatment planning, and therapeutic techniques to manage symptoms.

As therapy continues, we encourage you to:
  • Keep regularly scheduled appointments
  • Provide at least 24 hours notice for cancellations
  • Ask questions
  • Be honest about how you’re feeling
  • Complete recommended homework or exercises
There is no predetermined length of therapy. Each client and therapeutic relationship is unique. The duration depends on your goals, commitment, diagnosis, and personal circumstances.
Ready to begin? Complete our New Patient Questionnaire or email info@astutecounseling.com .