Psychotherapy is a joint effort between both the client and therapist. And it is a process in which time is set aside on a regular basis to discuss a myriad of issues, events, experiences, and memories for the purposes of creating positive change so that life can be experienced more fully and creativity can be more uniquely expressed. Opportunities are provided to better and more deeply understand oneself, as well as any problems or difficulties that may be occurring.

It is not unusual for people to feel a little anxious when talking about their concerns with someone they have just met. You will become more comfortable and less anxious each time you meet. Progress and success may vary depending upon the particular problems or issues being addressed, as well as many other factors. The length of treatment varies from person to person, from issue to issue. Sometimes it only takes a few sessions to resolve a specific issue, other times it takes longer. The length of psychotherapy conforms to your needs. 

Some people report feeling better after the first session, usually because this is the first time they have really spoken to someone about their issues. Others may feel worse initially. Realistically, it may take a few sessions to notice a difference or to see a different outcome. Periodically, the list of goals that you created will be checked to see if progress is being made.