Starting Therapy: How to Answer "What Brings You to Therapy?"

Starting therapy can be a transformative step towards personal growth, healing, and self-discovery. One of the first questions you’ll likely encounter in your initial therapy session is, “What brings you to therapy?” This question is more than a simple inquiry—it’s a gateway to understanding your needs, goals, and the challenges you’re facing. Answering it thoughtfully can set the tone for your therapeutic journey. Here’s a guide on how to approach this question and make the most of your therapy experience.

Understanding the Question

When a therapist asks, “What brings you to therapy?” they are seeking to understand the specific issues or goals that prompted you to seek help. This question helps them gain insight into your current situation and determine how best to support you. It’s an opportunity for you to articulate your reasons for seeking therapy and to start building a collaborative relationship with your therapist.

Tips for Answering the Question

1. Reflect on Your Reasons

Before your first session, take some time to reflect on why you decided to seek therapy. Consider the specific issues or challenges you’re facing, as well as any goals you hope to achieve. Writing down your thoughts can help you organize them and make it easier to articulate your reasons during the session.

2. Be Honest and Open

Therapy is a safe space where honesty is crucial. Be as open and honest as you can about your feelings, experiences, and concerns. Sharing your true thoughts and emotions allows your therapist to understand your situation better and provide the most effective support.

3. Identify Specific Issues

Try to pinpoint specific issues that are troubling you. Are you dealing with anxiety, depression, relationship problems, stress, or grief? Identifying specific concerns helps your therapist understand what you’re going through and how to tailor their approach to your needs.

4. Share Your Goals

In addition to discussing your challenges, talk about your goals for therapy. What do you hope to achieve? Are you looking to improve your mental health, develop coping strategies, enhance your relationships, or gain a better understanding of yourself? Clear goals can guide your therapeutic process and provide a sense of direction.

5. Consider Recent Events

Think about any recent events or changes in your life that may have contributed to your decision to seek therapy. This could include major life transitions, losses, conflicts, or other significant experiences. Understanding the context of your current situation can help your therapist provide more targeted support.

Examples of How to Answer

Example 1: Addressing Anxiety and Stress

“I’ve been feeling extremely anxious and stressed lately. I’m having trouble sleeping, and my mind is constantly racing with worry. I want to learn how to manage my anxiety better and develop healthier coping mechanisms.”

Example 2: Navigating Relationship Issues

“My partner and I have been arguing a lot, and it’s affecting our relationship. I’m here because I want to understand why this is happening and learn how to communicate better and resolve conflicts.”

Example 3: Coping with Grief

“I recently lost a close family member, and I’m struggling to cope with the grief. I’m finding it hard to focus on my daily tasks and feel overwhelmed by sadness. I’m hoping therapy can help me navigate this difficult time.”

Example 4: Seeking Personal Growth

“I’ve been feeling stuck and unfulfilled in my life. I’m not sure what I want or where I’m headed. I’m here because I want to explore my feelings and gain clarity on my goals and purpose.”

Answering the question, “What brings you to therapy?” is a crucial first step in your therapeutic journey. By reflecting on your reasons, being honest and open, identifying specific issues, sharing your goals, and considering recent events, you can provide your therapist with valuable insights into your situation. Remember, therapy is a collaborative process, and your willingness to share and engage openly will help you get the most out of your sessions. Embrace this opportunity for growth and healing, and take the first step towards a healthier, more fulfilling life.


Julie Kolzet, Ph.D.