First steps

5 min read

What actually happens in a first session

What actually happens in a first session

What actually happens in a first session

No couch, no tests. A plain description of the fifty minutes.

No couch, no tests. A plain description of the fifty minutes.

Hands holding a cup of coffee

Written by

Dr. Elise Marlow

If you have never been to therapy, the first session can feel like a black box. There is no couch and there are no tests. Here is what we actually do in those fifty minutes.

The first twenty minutes

We start with what brought you here, in your own words and at your own pace. I will ask some questions, but you decide how much to say. There are no wrong answers and nothing you need to prepare.

The middle

We look at what you’d like to be different. Sometimes that is clear, sometimes it isn’t yet, and that’s fine. I will also explain how I work and what the next few sessions might look like.

“You don’t need to know what to say. That’s part of the work.”

The last ten minutes

We agree on whether to continue and how often. You leave with a rough plan, and you are free to take time to think about it.

Book

Start with a free 15‑minute call.

First step

A short phone or video call. We talk about what’s going on and whether I’m the right person.

A short phone or video call. We talk about what’s going on and whether I’m the right person.

Where

Marylebone, London, 5 minutes from Baker Street. Or online.

Marylebone, London, 5 minutes from Baker Street. Or online.

Hours

Monday to Thursday, 9:00–19:00. Friday, 9:00–14:00.

Monday to Thursday, 9:00–19:00. Friday, 9:00–14:00.

Write

elise@marlow-therapy.co.uk

I reply within one working day.

Dr. Elise Marlow, clinical psychologist

Dr. Elise Marlow

Clinical psychologist

If you need help now

This practice doesn’t offer emergency support. If you are in danger, call 999 or go to A&E. Samaritans are there any time on 116 123.

© 2026 Elise Marlow

© 2026 Elise Marlow

HCPC registered, PYL 04821

HCPC registered, PYL 04821

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