Can a diagnosis be provided during the first session?

In most cases, a definitive diagnosis is not provided during the first session. This initial meeting, often called an intake, is primarily dedicated to gathering personal history and understanding immediate concerns. Because many conditions share overlapping symptoms, rushing a diagnosis can lead to inaccuracies. It usually takes a few sessions to observe patterns and ensure a comprehensive picture of the client's experience. While a formal diagnosis is rarely finalized immediately, the therapist may share a "provisional" impression. This is an initial working theory that helps guide the early stages of treatment. If the situation is complex, they may also recommend specific assessment tools or screenings in follow-up appointments to gain more clarity. The priority of the first encounter is to build a foundation of trust and develop a roadmap for your care rather than simply checking off a diagnostic box.

How long are the sessions?

First meetings usually last longer than regular ones. These intake sessions can take 50 minutes to 1.5 hours. The extra time allows for a thorough review of the background and personal history. After that, regular sessions typically last between 45 minutes and 1 hour. This standard time provides enough space to check in and work on goals.