First Psychology Session 2026: Structure & Protocol

The first psychology session drives over 60% of the patient's decision on whether to return. It's where the therapeutic alliance is established.

Before the patient enters

• Review the intake form.
• Read the consultation reason.
• Ventilated, quiet room.
• Silence notifications.
• Breathe: your state transmits.

Step-by-step structure

1. Welcome (2-3 min).
2. Initial framing (5 min).
3. Reason for consultation (10-15 min).
4. Anamnesis (15-20 min).
5. Risk assessment (5 min).
6. Closing framing (5 min).
7. Wrap-up and homework (5 min).

Anamnesis: key areas

• Problem history.
• Significant bonds.
• Work, education, finances.
• Physical health, sleep, eating.
• Personal and family psychological history.
• Personal resources.

Framing and therapeutic contract

• Frequency, duration, fees.
• Cancellation: 24-48h.
• Between-session contact.
• Confidentiality and exceptions.
• Signed informed consent.

Homework and closing

• Emotional diary 5 min/day.
• Short psychoeducation reading.
• List of reasons to come.
• Note triggers.

Close with synthesis: 'Today we saw X, we'll work with Y, you take Z.'

How to secure the second visit

1. Leave with next appointment already scheduled.
2. Automatic reminder 48h before.
3. Optional follow-up email.

Closing the second appointment in the first session lifts retention 30-40%.

Mistakes that drive patients away

1. Talking more than the patient.
2. Giving definitive diagnosis.
3. Selling many techniques without listening.
4. Forgetting the financial framing.
5. Not signing consent.
6. Closing without next appointment.