What to Expect in Therapy

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It’s normal to be nervous or even overwhelmed while you make the decision to call a counselor and take the first step to getting help. Your willingness to explore this option and take the first step shows how brave you can be and how much you care about improving your life.

Sometimes all that’s holding us back from making the phone call is that we have no idea what to expect from the counseling experience, so we’re unsure if it will even help. Although each experience is different, here is a breakdown of what to expect when working with me:

What to Expect in Therapy

Before You Reach Out

Maybe you haven’t been feeling good about your life, self or relationships. You feel stuck and you’ve tried many different ways to make it better.

You think you need help from a professional, but you feel nervous about reaching out to someone.

You do some research, maybe get advice from a trusted friend, and you eventually come across our website.

You Schedule Your Appointment

Everything you read on our website is SPOT ON.  Is this too good to be true–will someone really be able to help me? You think.

You read through the therapist bios and perhaps some blogs.  You know just who you would like to work with.

You peruse our FAQ page and decide you are ready to schedule an appointment.

You think “this is easier than I thought it would be.” You feel relieved.

You make our first appointment and you receive a confirmation email and fill out the necessary forms within a couple days.

First Appointment

You wake up the day of the appointment. “Today is the day,” you think. Maybe you are nervous, excited, or scared. Maybe you are all of these things.

You make the drive to my office, park the car, walk through the glass doors of the building, and down the hallway. You find my office and enter the waiting room.

I come out and introduce myself. I’m smiling and I thank you for coming. I take you back to my office and you take a seat on the couch.

I spend the first few minutes reviewing the forms you completed and going over housekeeping items. We spend the next 45 minutes getting to know each other and I begin to learn more about you, your life, and how you have been feeling.

Some things are hard to talk about, but you notice a feeling of relief as you open up about what you are struggling with. You feel like I care about you and your experiences; you begin to trust that I can help you.

Therapy Progresses

After the first 1-2 sessions, I have a better idea of who you are as a person and what is troubling you.

You have gotten clearer on where your real problems are and I get clear on how I’m going to help you. We collaborate on your treatment plan to be sure we are working toward your goals.

We each make a commitment: you to come regularly to counseling with a willingness to participate with honesty and openness; me to be respectful, compassionate and supportive of you while you work towards your goals.

Sometimes you leave feeling relieved and sometimes you leave feeling vulnerable because you shared something new.

I assure you this is part of the process and you notice with time that your situation is changing.

Discuss Conclusion of Therapy

You have reached your goals.

You feel confident that you will be okay without our weekly appointments and you discuss this me.

We talk about the progress you have made, any questions you have and your hopes for the future.

Say goodbye or goodbye for now

On our last appointment, we say goodbye or goodbye for now. I tell you that my door is always open. Your life feels different now. You are grateful that you put in the effort and opened up to new ways to be.

~.~

In this brief overview, I did not include sudden crises or changes that may interrupt the progress of your therapy such as a death in the family, loss of a job, or the decision to end a relationship. In these cases, your goals for therapy may change and I will do my best to support you with the changes.

Love Heal Grow Therapists
Filter & Find Your Match

Megan Negendank, LMFT, CST Founder (she/her)

Megan Negendank, LMFT, CST Founder (she/her)

CEO & Founder | 450 per session | Relationship & Sex Therapy, Relationship Trauma, Emotional & Physical Intimacy, Executives & Creatives | Not accepting new clients
Madison Hamzy, LMFT (Online Only, she/her)

Madison Hamzy, LMFT (Online Only, she/her)

Therapist & Assistant Director | 250 per session | Relationship & Sex Therapy, Intimate Connection & Less Stress, Men with ED or ADHD, People who get stuck in their heads and worry a lot
Natalie Delfin, LCSW (she/they)

Natalie Delfin, LCSW (she/they)

Therapist & Clinical Supervisor | 200 per session | Relationship & Sex Therapy, More Pleasurable Sex, Men learning to express feelings, CNM & Kink, Queer & Trans
Rachel Cloud, LCSW (she/her)

Rachel Cloud, LCSW (she/her)

Therapist & Clinical Supervisor | 220 per session | Relationship & Sex Therapy, Healing from Abuse & Betrayal, Queer & Trans Identity, People who care deeply and are told they are "too much"
Ann Marie McKnight, LMFT (she/her)

Ann Marie McKnight, LMFT (she/her)

Therapist | 250 per session | Relationship & Sex Therapy, Grief & Loss, Childhood Emotional Neglect, Family Therapy for Parents & Adult Children | Contact therapist to be added to waitlist
Jessie Regan, LMFT (she/her)

Jessie Regan, LMFT (she/her)

Therapist & Clinical Supervisor | 270 per session | Relationship & Sex Therapy, Healing from Infidelity, Discernment & Divorce, Workplace Stress & Pressure
Linda Rolufs, LMFT (Online Only, she/her)

Linda Rolufs, LMFT (Online Only, she/her)

Therapist | 240 per session | Relationship & Sex Therapy, Anxiety & OCD, Menopausal and post-menopausal women wanting more pleasure in sex, Women who feel invisible
Ashley Barnes, LMFT (she/her)

Ashley Barnes, LMFT (she/her)

Therapist | 200 per session | Relationship & Sex Therapy, High-Achievers & Type-A Personalities, Intimacy & Connection, Low Self Esteem, Trauma & Anxiety
Lindsay Glass, LMFT (Online Only, she/her)

Lindsay Glass, LMFT (Online Only, she/her)

Therapist | 200 per session | Relationship & Sex Therapy, Parenting Couples, Cycle-breaking Moms, Deep Thinkers & Deep Feelers
Maegan Tanner, AMFT (she/her)

Maegan Tanner, AMFT (she/her)

Therapist | 180 per session | Relationship & Sex Therapy, Stress & Burnout, LGBTQ+, People who judge themselves a lot
Susan DuBay, LMFT (she/they)

Susan DuBay, LMFT (she/they)

IFS Therapist | 250 per session | Relationship & Sex Therapy, Communication & Intimacy, LGBTQ+, Folks wanting to go deep in their trauma work
Emily Alampi, AMFT (Online Only, she/her)

Emily Alampi, AMFT (Online Only, she/her)

Therapist | 170 per session | Relationship & Sex Therapy, Anxiety & Stress, Frustration & Anger, Queer & Trans, Neurodivergence, People who feel like they don't fit in
Charisse Brass, AMFT (she/her)

Charisse Brass, AMFT (she/her)

Therapist | 170 per session | Relationship & Sex Therapy, Emotional & Physical Connection, Stress & Burnout in Highly Productive People, Existential Angst & Life Meaning | Not accepting new clients
Joanna de Leon, AMFT (Online Only, she/her)

Joanna de Leon, AMFT (Online Only, she/her)

Therapist | 170 per session | Relationship & Sex Therapy, Burnout & Pressure to be Successful, Immigrants & First Gen, Current & Former Athletes, People who Avoid Conflict
Flo Oliveira, AMFT (they/them)

Flo Oliveira, AMFT (they/them)

Sex Therapist | 170 per session | Relationship & Sex Therapy, QTBIPOC, More Pleasure in Sex, CNM & Kink Affirming, People worried about their porn-use & sexual behaviors
Maria Dimachkie, ACSW (she/her)

Maria Dimachkie, ACSW (she/her)

Trauma Therapist | 180 per session | Relationship & Sex Therapy, Survivors of Trauma: Sexual Assault & Relationship Abuse; People who have been hurt by loved ones; People who question themselves a lot
Samaria Parada, AMFT (she/ella)

Samaria Parada, AMFT (she/ella)

Bilingual Therapist | 160 per session | Relationship & Sex Therapy, Communication & Connection, Family & Cultural Stress & Trauma, BIPOC & First Gen
Madilyn Schweikert, AMFT (she/her)

Madilyn Schweikert, AMFT (she/her)

Therapist | 160 per session | Relationship & Sex Therapy, Communication & Intimacy, Betrayal & Infidelity, Couples with age gaps, Creatives & Sensitive People
Ella Sword, AMFT (she/her)

Ella Sword, AMFT (she/her)

Therapist | 160 per session | Relationship & Sex Therapy, Communication & Connection, Parenting, Anxiety & Depression | Contact therapist directly to be placed on waitlist
Hannah Slicton-Williams, LMFT (she/her)

Hannah Slicton-Williams, LMFT (she/her)

Trauma Therapist | 200 per session | Relationship & Sex Therapy, Healing from Trauma - Relationship Abuse, Violence, and Sexual Assault, Love after Trauma
Abby Hollandsworth, AMFT (she/they)

Abby Hollandsworth, AMFT (she/they)

Therapist | 160 per session | Relationship & Sex Therapy, Communication & Intimate Connection, Anxiety-Depression-Anger, LGBTQ+, Religious Trauma & Grief | Contact therapist to be added to waitlist
Liza Haroldson, LCSW (she/her)

Liza Haroldson, LCSW (she/her)

Therapist | 240 per session | Relationship & Sex Therapy, Disconnected & Bickering Couples, Depleted & Exhausted Working Moms, Low Self Esteem, Trauma & Anxiety
Love Heal Grow Relationship Therapy Center Sacramento

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*How to Find a Therapist

*What to Expect in Your First Appointment

*How to Get the Most Out of Therapy

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