Booking your first therapy session takes courage. Many people wait months, or years, before they reach out. If you feel nervous, that is normal. This guide explains what usually happens, so you know what to expect when you walk in or log on.
Before the session
You can book by WhatsApp, phone, or the request form. We send you a short intake form and a consent form. These ask for your contact details, your medical aid details if you plan to claim, and a few lines on why you want support. You only share what you feel ready to share.
If you are unsure whether therapy is right for you, book a free 15-minute online chat first. You can ask questions and decide afterwards.
What happens in the first session
The first session lasts about an hour. It is mostly a conversation. Mariel asks about what brought you to therapy, what is happening in your life, and what you would like to change. She may ask about your family, work, health, sleep, and support system.
You lead the pace. You do not have to tell your whole story in one session. If a question feels too much, you can say so.
At the end, you agree on next steps together. This may include how often to meet, which approach suits you, and what you hope to see change.
Your culture, your language
Your background shapes how you experience stress, family, faith, and healing. Mariel considers your culture, beliefs, and values as part of your care. Sessions run in English, isiZulu, or siSwati, so you can speak in the language that feels most natural.
Confidentiality
What you say in therapy stays private. Psychologists in South Africa must keep your information confidential under the Health Professions Act 56 of 1974 and the ethical rules of the Health Professions Council of South Africa (HPCSA). There are narrow exceptions, such as a serious risk to your safety or someone else’s. Mariel explains these at the start. Your personal information is also protected under the Protection of Personal Information Act 4 of 2013 (POPIA).
How to prepare
- Jot down what you want help with, even in a few words.
- Note any medication you take and any past therapy.
- For an online session, find a private, quiet space and test your connection.
- Bring your medical aid card if you plan to claim.
After the session
You may feel relieved, tired, or emotional. All of these are common. Give yourself some quiet time afterwards if you can.
The South African Depression and Anxiety Group (SADAG) has more free information on mental health and finding support.
Book your first session
Individual sessions cost R1,000, in person or online. See Therapy for the approaches we use, or request an appointment today.
If you are in crisis, do not wait for an appointment. Call the SADAG Suicide Crisis Helpline on 0800 567 567, free and open 24 hours.