Deciding to start counseling is a big step, and it's normal to feel a little nervous before the first appointment. Many people wonder what they'll talk about, whether they need to have everything figured out, or what happens if they get emotional. This post walks through what a first session at Power Within Mental Wellness usually looks like, so you can come in (or log on) knowing what to expect.
Before your first session
After you request a free consultation through our contact page, we'll set up a short call to talk about what you're looking for and whether we're a good fit. If you decide to move forward, you'll receive intake paperwork to complete before your first appointment. This usually covers contact information, a few background questions, and our policies on confidentiality, cancellations and fees.
Insurance is often one of the least clear parts of starting therapy, and it can feel frustrating when the details aren't straightforward. Coverage depends on each therapist, and it can change, so the most reliable step is to reach out to the counselor you're considering and ask what they currently accept. If you choose to pay privately, sessions are $150 each. With private pay, no diagnosis or treatment information is sent to an insurance company. Self-pay clients also have the right to a Good Faith Estimate of expected charges under the federal No Surprises Act.
Where we meet: Sessions are available online now, and in person at our Centennial office (9085 East Mineral Circle, Suite 380) starting December 2026.
What happens in the first session
A first session is mostly about getting to know each other. You can expect your counselor to:
Ask what brings you in. You don't need the "right" words. "I've been feeling off and I'm not sure why" is a perfectly good place to start.
Ask about your background. Questions about your health, relationships, work or school, and past experiences help your counselor understand the bigger picture. You can always say "I'm not ready to talk about that yet." (Curious why we ask so many questions? See why therapists ask questions.)
Talk about what you hope for. Together you'll start to name what you'd like to be different, which helps shape how you work together.
Explain confidentiality and its limits. Your counselor will explain what stays private and the few situations where the law requires sharing information, such as a risk of serious harm.
Leave room for your questions. How does your counselor usually work? How often will you meet? What does a typical session look like? You're welcome to ask anything.
How you might feel afterward
Some people leave a first session feeling lighter; others feel tired or stirred up. Both are normal. It can help to plan something gentle afterward, like a short walk or a quiet cup of tea. Fit matters in counseling, and it's okay to notice how the conversation felt. For more on that, read how to find the right therapist.
A few tips for showing up
Come as you are. There's no right way to show up.
Jot down a few notes about what's on your mind, if that helps.
Find a private, quiet spot if you're meeting online.
Bring your questions. A first session is a two-way conversation.
Frequently asked questions
Do I have to talk about everything in the first session?
No. You decide what to share and when. Your counselor will follow your pace.
How long is a first session?
The first session is 60 minutes.
What if I cry or get emotional?
That's okay and common. Your counselor is there to support you, and you can take a pause anytime.
Can I meet online?
Yes. Sessions are available online now for people located in Colorado, and in person at our Centennial office starting December 2026.
More answers are on our FAQ page.
Ready to take the first step?
If you're thinking about counseling in Centennial or anywhere in Colorado, we'd be glad to talk. Request a free consultation to get started, or learn more about Amanda.
About the author: Amanda Bear, MA, LPC, LAC, is the founder of Power Within Mental Wellness in Centennial, Colorado. She is a Licensed Professional Counselor and Licensed Addiction Counselor in Colorado.
This post is for general information and isn't a substitute for professional care. If you're in crisis, call or text 988, or call 911 in an emergency. Colorado Crisis Services: 1-844-493-8255 or text TALK to 38255. Our website, messages and comments are not monitored for crisis support.
