Adult care · Practical guides

Your first therapy session: what to ask and expect

You do not need a rehearsed story or a list of diagnoses for a first appointment. A useful starting point is what has become difficult and what you would like help to change. Confirm the clinician, fee and format before booking.

An adult with an appointment notebook and space for questions.

Before the first appointment

A first meeting gives you and the clinician a chance to understand the concern and discuss possible next steps. It does not automatically mean you have agreed to a long course of treatment. Ask what the initial appointment includes and whether further assessment would be separate.

If it helps, bring a few notes about when the difficulty started, how it affects a typical day and any previous support. Keep existing reports or medication information available for the clinician, and ask how to share them securely. Avoid putting detailed medical information in an initial booking message.

Questions worth taking with you

  • What would you like to understand before recommending a plan?
  • What kind of support do you suggest, and why might it fit my goals?
  • What is confidential, what are the limits, and who can access records?
  • Can I pause, ask for an explanation or discuss something at a later session?
  • How will we decide whether the support is helping?

Discuss the cost before you commit

Ask for the adult consultation fee, session duration, payment arrangements and cancellation terms. If further sessions are proposed, ask about their fees and how often the plan will be reviewed. Adult fees are confirmed directly by IDTC; the children’s consultation price elsewhere on this site is not an adult price quote.

You can ask about cost without sharing a personal history or agreeing to treatment. If a proposed schedule is difficult financially or practically, raise that at the start so you can discuss realistic options.

At the end of the session

Before leaving, check that you understand the proposed next step: another conversation, an assessment, therapy goals or a referral. Ask who to contact about scheduling and what to do if your needs become urgent between appointments.

At IDTC, adult appointments are available in Multan and online by arrangement. You can request communication or access adjustments and discuss whether a trusted supporter should attend. Your preferences should remain part of the conversation.

Muhammad Salman Afzal, IDTC owner and clinical and child psychologist

Your first contact for adult care

Muhammad Salman Afzal is IDTC’s owner, director and clinical and child psychologist. Contact him first to discuss the appropriate clinician for your adult appointment.

  • BS Applied Psychology — Bahauddin Zakariya University, Multan.
  • Advanced Diploma in Clinical Psychology (ADCP) — Bahauddin Zakariya University, Multan.

Adult appointments are available in Multan and online by arrangement. Before booking, confirm who will see you, their experience with your concern, the fee and session length.

Read his qualifications and adult appointment information →

Sources and further reading

FAQ

Frequently asked questions

Do I have to tell everything in the first session?

You can tell the clinician that a topic is difficult, ask why a question is relevant and discuss pacing. The clinician may need some information to assess safety and suitability; ask them to explain this.

How many sessions will I need?

That cannot be decided from a website or a diagnosis label alone. Ask how the clinician will agree goals with you and review whether the plan is helping.

Take the first step

Talk through the next step

Ask about the right appointment for your concern, in Multan or online.

MPS Road, Block A Model Town, Multan (near Bloomfield Hall School, Street No. 2) · Mon–Fri, 2 PM – 6 PM

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