What to Expect in Your First Couples Therapy Session...

What to Expect in Your First Couples Therapy Session

So you’re wondering what to actually walk into. Good. That’s exactly the right question to be asking before you come sit down with someone like me.

Let me just tell you what I actually do, because I think people imagine all sorts of things, and most of them are wrong.

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The first thing I want you to know is that I am not there to find out who the bad guy is. I know that’s what both of you are secretly worried about. One of you thinks, “Finally, someone’s going to hear my side.” And the other one is sitting in the waiting room thinking, “I’m about to be found out.” Neither of those things is what’s happening.

What I’m doing in that first session is I’m trying to get us all on the same page. I call it an organizing session. We’re like three scientists trying to figure out, what is actually the system you two have gotten yourselves into together? Not who started it. Not whose fault it is. What is the loop you’re both caught in?

Because here is what I know before you even open your mouth. You’re both hurting. And everything you’ve each been doing to try to make it better has probably been making it worse. That’s not a criticism. That’s just what happens when two people who love each other get scared. You’re both running around with a can you think has water in it, and it’s actually gasoline.

So in that first session, don’t expect to have some magical breakthrough moment where everything heals. That’s not realistic, and honestly it would worry me if it happened too fast. What I’m hoping for is something simpler. I want both of you to leave feeling like, “Okay, I think that person actually gets what’s happening here.” Just that. A little bit of safety. A little bit of, “We’re not completely lost on the map.”

I also want you to know that the goal of this work is for you to not need me anymore. I’m not trying to build a relationship where you’re coming to see me forever. I want to graduate you. I want to get you to a place where you understand yourselves, you understand what you’re co-creating together, and you can find your way back to each other without me in the room.

And one more thing. If one of you gets dragged there, if one of you is skeptical, that’s completely fine. I’ve worked with more skeptical partners than I can count. All I ask is that you show up. Because honestly, just showing up when things are hard? That’s already something worth honoring.

About Figs O’Sullivan, LMFT
Figs is a licensed marriage and family therapist with 16+ years of experience working with couples. He’s the co-founder of Empathi, host of the “Come Here to Me” podcast, and author of an upcoming book on relationships and the systems that shape how we love.

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Figs O'Sullivan is a Licensed Marriage and Family Therapist (LMFT #79062) and the founder of Empathi. For 17 years he has helped couples move out of disconnection and back into secure, loving connection, drawing on Emotionally Focused Therapy and attachment science. With his wife Teale, he runs a San Francisco couples therapy practice, is a relationship expert to the Stars and Silicon Valley, and built Figlet, an AI relationship coach trained on their clinical work. His approach has guided more than 58,000 relationship assessments.

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Frequently Asked Questions

What actually happens in the first couples therapy session?+
I call it an organizing session because that's exactly what it is. I'm not there to figure out who the bad guy is (even though one of you is secretly hoping I'll validate your side, and the other is terrified I'll expose them). What I'm doing is getting us all on the same page about what's really happening in your relationship. I'm listening for the Waltz of Pain, that negative cycle where your childhood strategies are colliding. By the end of that first session, we'll have a map of how you both get triggered and why you're stuck in this pattern that neither of you actually caused.
How should I prepare for my first couples therapy appointment?+
Here's the thing: you don't need to prepare a case against your partner or rehearse your talking points. That's the Versus Illusion talking, where you think your partner is the enemy instead of seeing the pattern as the problem. Come as you are. Be ready to get curious instead of being right. The most helpful thing you can do is show up willing to look at how you both contribute to the cycle, not because you're broken, but because you're Babies in Love whose nervous systems are just trying to survive.
Will the therapist take sides or judge us in the first session?+
Absolutely not. I'm not Judge Judy, and this isn't a courtroom. My job is to help you see that you're not enemies, you're two people whose childhood survival strategies are colliding in your adult relationship. I use what I call Modeling Through Self, which means I lead with my own vulnerability and the repairs I've had to make in my own marriage. This isn't about judgment, it's about getting you both out of that destructive cycle. If you want to explore this further before we meet, check out Figlet, our AI relationship coach, which can help you start understanding these patterns right away.