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What to Expect on your First Therapy Session

For some people the idea of going to therapy and talking to a therapist can be quite the daunting and uncomfortable proposition. The idea of paying a stranger to sit with you and talk about some of the most vulnerable, embarrassing or traumatic parts of your life can be scary or
challenging. Even for me, as a therapist, meeting with a therapist for the first time can be quite the nerve wracking experience. Sometimes the neutrality and objectivity of talking to someone you don’t know can help you move forward and make the changes you want in your life. Here I plan to tell you what you should expect from your first therapy session.

The first thing that you want to keep in mind when it comes to the first session is that you do not have to say everything about you or everything you have experienced in this session. Feel free to take things slow and to share only what you feel comfortable sharing. In a therapist’s mind this is only the start of your therapy journey so feel free to start with what you are comfortable talking about and building a relationship with your therapist. The therapist wants to build a relationship of trust with you in order to make having those difficult conversations easier. Also feel free to ask questions to your therapist about your concerns about the therapy or the journey that you are about to embark on. Remember the therapist wants to get to know you better and he/she will use various different methods to do that. Some of these can be through assessments, surveys or forms that he/she may have you complete prior to the first session. One of the most important things is that you are in control of what is discussed during this session so make the session about what you want to talk about.

First sessions with a therapist can be terrifying to some people and that is totally fine and normal. I hope this has helped ease some of your fears or concerns about the first session. If you still have questions, concerns or feel ready to take the next step and schedule your first session
then feel free to reach out!

Written by Nicholas Pujol, Registered Mental Health Intern #27522

Helping Kids Manage Holiday Stress and Anxiety: A Parent’s Guide

The holidays are a time for joy and celebration—but they can also bring stress, especially for children who thrive on routine and predictability especially those who deal with social anxiety. Last month, we asked parents about their biggest concerns during the holiday season. Unsurprisingly, the top concern was how to prepare kids for the many events and changes that come with the holidays.

It’s completely normal to feel this way. As exciting as the season can be, it can also feel overwhelming for both kids and caregivers. But here’s the good news: two simple ideas—comfort and routine—can make all the difference. By keeping these concepts in mind, you can help your child navigate holiday festivities with more ease.

And remember: It’s okay to take it slow and savor the moment. The holidays are also a time to create new memories with loved ones, even if things don’t go perfectly. To help, we’ve put together a flexible game plan to make this season (and other big events, like weddings or birthdays) more manageable for your family.

The Science of Routine and Anxiety
Why is routine so important for managing stress and anxiety—especially for children? Here are some research-backed reasons:

1. Predictability Reduces Uncertainty: When children know what to expect, it eliminates the anxiety that comes with the unknown. A consistent routine acts as an “anchor” during stressful times.

2. Builds a Sense of Control: Familiar routines give children a sense of stability and control, which can significantly lower stress.

3. Lowers Cortisol Levels: Studies show that predictable routines can reduce cortisol, the stress hormone, helping kids feel calmer in potentially overwhelming situations.

4. Supports Emotional Regulation: Routine provides opportunities to practice and regulate emotions in familiar settings, making it easier to manage those feelings during new or challenging situations.

By integrating routine into holiday preparations, you provide a safe framework for your child to navigate the season with more confidence and calmness.

Your Holiday Game Plan for Stress-Free Events

1. Prepare with Social Stories
Help your child understand what to expect using social stories—simple visuals or narratives that outline the day’s events step by step. For example:

  • Getting ready for the gathering.
  • Arriving at the location.
  • Greeting family members.
  • Activities like eating or playing.
  • Saying goodbye at the end.

Social stories are powerful tools for helping kids adjust to new situations and process emotions. They can also ease transitions by giving your child a clear roadmap of what’s ahead.

(you can find our example Social Story here)

2. Practice Positive Behaviors in Advance
Set your child up for success by practicing situations they might encounter. For example:

  • If you’re attending a buffet-style dinner, practice waiting in line and taking turns.
  • Role-play greetings with family members.
  • Show pictures of guests in advance so your child can recognize familiar faces.

This kind of preparation builds confidence and creates a sense of routine and familiarity.

3. Plan for Early Arrival
Arriving before the crowd gives your child time to adjust to the new environment. If possible, ask the host if you can arrive early. Use this quiet time to:

  • Let your child explore the space.
  • Review the social story together.
  • Discuss who will be there and what activities to expect.

This can help reduce anxiety and make your child feel more at ease.

4. Provide Preferred Food Options
Mealtime can be tricky, but a little planning goes a long way! Check with the host about the menu or bring a backup meal your child enjoys. This ensures they’ll have something familiar to eat, making the experience more comfortable for everyone.

5. Promote Sensory Comfort
Holiday gatherings can be overstimulating. Be ready to support your child’s sensory needs by:

  • Bringing headphones to block out noise.
  • Providing favorite toys, books, or a tablet for downtime.
  • Allowing breaks to walk around or sit in a quieter area.

Encourage your child to use tools and strategies that help them self-regulate, whether it’s fidget toys, deep breaths, or simply stepping away when needed.

A Final Thought
The holiday season is filled with joy but can also feel overwhelming with its endless to-do lists and family obligations. By focusing on comfort and routine, you can create a more relaxed and enjoyable experience for your child—and yourself.

Remember, every family is unique, and this game plan is meant to be adaptable. Use what works best for your child, and don’t be afraid to take breaks, adjust plans, or simply focus on what matters most: spending meaningful time together.

Happy Holidays from our team to yours! 

Written by Johana Calvo, IMFT, BCaBA – Registered Marriage and Family Therapist Intern

Prioritizing Mental Health When Going Back to School

Going back to school can be exciting but also bring a wave of stress, pressure, and anxiety. Whether you’re a student, parent, or educator, the transition from summer break to another school year is a major shift that can impact one’s mental health in several ways.

For students, returning to class can mean academic expectations, social challenges, and the pressure to perform. It’s important to acknowledge these feelings rather than dismiss them. Feeling overwhelmed doesn’t mean you’re not good enough; it means you’re human. Creating a routine that includes sleep, time for fun, and self-care can make a huge difference in maintaining one’s mental well-being throughout the year.

Parents, too, may feel the stress of new schedules, homework battles, or supporting children with their mental health struggles. It’s okay to seek support and remember that you don’t have to have all the answers. Simply being present and listening can help your child feel more secure.

As the school year begins, let’s normalize conversations about mental health. Encourage students to speak up if they’re struggling. Support each other with empathy and patience. And most importantly, know that it’s okay to ask for help, whether from a counselor, teacher, parent, or peer.

School is more than just grades; it’s about growth, and growth is never linear. By putting mental health at the forefront, we set ourselves up not just for academic success but for a healthier and more balanced life.

Written by Antonio Garland, Registered Marriage and Family Therapist Intern #4363