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Writer's pictureDr Wayne Bullock

How Gay Men Can Prepare For Your First Therapy Session

Updated: Oct 24

Embarking on therapy can be both exciting and daunting, especially if it's your first time. For gay men seeking therapy, finding the right fit and feeling comfortable is crucial. Here’s a guide to help you prepare for your first session and make the most of it.


Reflect on Your Goals and Expectations

Before your first session, take some time to reflect on what you hope to achieve through therapy. Are you dealing with specific issues related to your identity, relationships, or personal growth? Clarifying your goals can help you communicate effectively with your therapist and ensure that your sessions are productive. Remember, therapy is a collaborative process, and being open about your expectations can guide your therapist in supporting you. 


However, it is also entirely normal to for some to come to therapy knowing you want help but being unsure what goals you have or exactly what you need. Your expectation in this case might be for you and your therapist to work together to better understand what is bringing you into therapy. 


Choose the Right Therapist

It’s important to find the right therapist who understands and respects your experiences as a gay man. Look for professionals who specialize in LGBTQ+ issues or have experience working with patients from diverse backgrounds. Reading reviews or asking for recommendations can help you find someone who aligns with your needs. If you’re not sure, don’t hesitate to ask potential therapists about their experience with LGBTQ+ issues during an initial consultation.


Prepare to Discuss Sensitive Topics

Therapy is a space where you should feel safe to explore your thoughts and feelings, including those that may be difficult to discuss. It can be helpful to jot down any topics or concerns you want to address. Whether it’s navigating relationships, dealing with societal pressures, or personal insecurities, having a list can make it easier to start the conversation.


Practice Self-Care

Leading up to your session, engage in activities that help you feel relaxed and centered. Therapy can be emotionally intense, so taking care of your well-being beforehand can help you approach your session with a clear mind. Whether it’s through exercise, meditation, or spending time with loved ones, self-care can set a positive tone for your therapy experience.


Be Open and Honest

The success of therapy relies on honesty and openness. It’s normal to feel nervous, but try to be as open as possible about your experiences, thoughts, and feelings. Your therapist is there to support you without judgment, and the more you share, the better they can help you work through your challenges.


Set Realistic Expectations

Remember that therapy is a journey, and progress takes time. Be patient with yourself and with the process. It’s okay if you don’t have all the answers right away or if it takes time to build trust with your therapist.


Preparing for your first therapy session with these steps can help set a positive foundation for your journey. Embrace the process with openness and curiosity, and trust that you’re taking a significant step toward personal growth and well-being.


Dr. Wayne Bullock is a compassionate, experienced, and licensed counselor in Washington D.C. focused on the needs of gay men and the LGBTQ community. Specialties include the treatment of trauma, depression, anxiety, and sexual issues.

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