Starting Therapy: What If I Don’t Know What to Talk About?

the gold mind blog

Written by: Matt Orlewicz, Mental Health Counselor

Starting therapy can feel daunting, especially if you’re not sure what to expect. I often hear
questions like “What am I supposed to talk about?” or “Why would I see a therapist when I
already have friends and family who listen to me?”


These concerns are completely valid. It’s natural to feel uncertain or even anxious about
beginning something new, especially something as personal as therapy. Let’s break down a
couple of the most common worries clients have:


“I don’t know what to talk about.”


Many clients begin therapy without a clear goal or specific issue to work on. Sometimes it’s just
a general sense that something feels “off,” or a desire to feel better mentally or emotionally.
That’s enough of a reason to begin.


You don’t need to have it all figured out before you walk through the door. Your therapist is
trained to guide the process by asking thoughtful questions, listening carefully, and helping you
explore what’s going on beneath the surface. Therapy isn’t about performing or having the
“right” answers. It’s about showing up as you are.


If you’re feeling stuck or unsure, say that. It’s a good starting point. Therapy provides a safe
space to explore those feelings at your own pace.


“I already have friends and family that listen to my problems.”


This is something I hear often, and it’s great that you have a support system. But therapy offers
something different.


Friends and family care deeply about you, but they’re also emotionally involved in your life. A
therapist brings an outside perspective, someone who’s not part of your daily world and can
remain neutral. They’re trained to listen in a different way, helping you unpack patterns, process
emotions, and understand yourself more deeply.


Therapy also provides consistency and structure. Unlike a casual conversation, it’s a dedicated
time just for you, focused entirely on your well-being, without expectations or interruptions.
Ultimately, it’s up to you to decide when the time feels right to begin your personal journey with
therapy. My hope is that this post helps!

Matt

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