Starting therapy can feel like a big step, even when you know you need it. A lot of people worry they will not know what to say, or that they will say it wrong. You don’t have to perform.
First session focus
Early sessions are usually about clarifying what is going on right now, what has been hard, what you have already tried, and what you want to be different. You and your therapist will start shaping goals that feel real, not vague.
Early work that feels tangible
In the first month, therapy often includes:
- Noticing patterns you’ve been living inside of for years
- Identifying triggers and the automatic responses that follow
- Building coping tools you can actually use in the moment
- Practicing communication, boundaries, and emotional regulation
- Checking what is working and adjusting when it’s not
Some sessions will feel lighter. Some may feel emotional. That’s normal. The overall direction should feel like movement, even if it is gradual.
When This Practice May Not Be the Right Fit
Not every practice is designed for every need, and it’s better to be direct about that. Citron Hennessey Therapy does not specialize in Bipolar I disorder, borderline personality disorder, heavy substance use, eating disorders, or schizophrenia. If one of these is a primary concern, the practice can provide referral options to connect you with the right level and type of care.
Local Rochester Support Between Sessions
Therapy is one part of support. The rest is what you do between sessions, especially on the days when you feel stretched thin.
If you want a low-effort reset, Highland Park is a solid option for a walk, a quiet bench, or a short break from screens. If moving helps you clear your head, the Genesee Riverway Trail is a multi-use trail along the river that many people use for walking or biking.
You don’t need to do anything impressive. You just need a repeatable moment where your nervous system gets a break.
Crisis resources for Monroe County
If you’re in immediate danger, call 911. Otherwise:
- If you need immediate emotional support, you can call or text 988 to reach the 988 Suicide and Crisis Lifeline.
- In Monroe County, the UR Medicine Crisis Call Line is available 24 hours a day, 7 days a week at 585-275-8686.
- Monroe County’s crisis services guide also notes that you can call 211 for crisis support and connection to services.