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How a first consultation with a psychologist goes

From what I have seen, people often put off a first consultation not because of the price but because they don't know what to expect: what is actually going to happen there? I'll take you through it step by step — the way it works in my practice.

  • Lyudmila Chernysheva, psychologist and hypnotherapist
  • Updated: September 28, 2026
Two armchairs set at a slight angle to each other, with a small table beside them

Step by step

Before the session

You message me on WhatsApp or choose a service on the booking page. We agree on a time — I work around your schedule and time zone. Online sessions are paid in full when you book; the link arrives the day before. For an in-person session in Almaty you pay a 10,000 ₸ deposit when you book and the rest on the day. There is nothing to prepare: you don't need to arrive with the “right” way to describe what you want to work on or rehearse what you're going to say.

The opening minutes

We introduce ourselves and I briefly run through the rules: what is said in our sessions stays between us. The exceptions are a direct threat to life (yours or someone else's) and cases where the law requires disclosure. You can ask me any question about how I work.

The main part

You describe what is going on and what you have already tried — in your own words, at your own pace. I ask questions not to fill in a form but to see how the situation is put together: what sets it off, what keeps it going and why earlier attempts haven't worked. If there is something you would rather not talk about, you don't have to: you set the boundaries here.

By the end of the session

As a rule, by this point we have a rough map of the situation: what to work on first and what the next step will be. We set a goal that can be checked — not “become calmer” but observable signs: “I fall asleep within half an hour, without my phone”, “a conversation about money no longer ends in an argument”.

Afterwards

Whether to continue is your decision. There is no default “course of ten sessions”: how long the work goes on is something we discuss openly and regularly.

Common questions

How long is a session?

An individual consultation lasts an hour (an extended one, two hours), a couple's session up to 120 minutes, a child's session 50 minutes.

What if it is hard to talk, or I feel like crying?

That is normal: you can pause, stay silent, cry — I will not rush you.

What if it is about a child?

Work with a child always starts with a meeting for the parents. You can also book this meeting on its own — if you need to talk about your child without their involvement.

What stays confidential if the client is a child or a teenager?

I tell parents about the dynamics, but I do not retell the content of the sessions. If a child's safety is at risk, I arrange appropriate help and act in accordance with the law, taking the child's safety into account when deciding what to disclose and to whom.

The limits of this article

This article is for information only: it does not replace a consultation or a doctor's help.

  • This is the author's explanation from practice, not a summary of research.

If you feel very bad right now — in Kazakhstan call 112 or 103; free round-the-clock psychological help — 1303 (Almaty).

If you would rather first understand how the work is set up — the consultation page has the format, the price and what happens at the first meeting.