Most people who arrive in my office for an initial session do so with a fair degree of anxiety. Understanding this, I make every effort to create an atmosphere in the first session that is relaxed and conversational, while gathering information that helps me to map out a preliminary plan. Toward the end of the first session, I provide feedback about how I might be helpful, and will elicit your thoughts as we lay out the initial steps in our work together. Fee-setting, frequency of sessions and scheduling are also addressed in the consultation process. In rare instances, I conclude that I am not the best match. In such instances, I always provide referrals to other professionals who might be better equipped to work with you. Throughout the engagement process, I encourage you to share any moments of distress, confusion or apprehension that might arise, as talking about those unsettling moments can often prove pivotal in setting the therapeutic partnership on a strong foundation.