What to Expect When You Start Seeing an East Bay Therapist

Compassionate, empowering care in Orinda, Lafayette, Walnut Creek, and online across California

Starting therapy is a brave and hopeful step, especially if you’ve been carrying a lot on your own for a long time. Whether you're feeling overwhelmed, stuck, anxious, or low, reaching out to an East Bay therapist can be the beginning of something meaningful: clarity, relief, and a renewed sense of connection to yourself.

If you’re considering counseling in Orinda, Lafayette, Walnut Creek, or anywhere nearby, this guide can help you understand what to expect and how therapy might support you.

Starting Therapy Takes Courage: You’re Already Taking a Powerful First Step

If you’re here, you’re probably already thinking about getting support, and that matters. Many people hesitate to reach out, wondering if their problems are “big enough” or fearing they’ll be judged. The truth is, therapy isn’t about being broken; it’s about being human. Working with an East Bay therapist gives you a space to breathe, reflect, and feel supported while moving toward the life you want.

What Happens in the First Session with an East Bay Therapist?

Your first session is all about getting to know each other. You don’t have to dive into everything right away. In fact, many people aren’t sure where to start, and that’s completely okay.

We’ll talk about what’s been feeling hard, what brought you to therapy now, and what you hope to get out of it. We’ll also share a bit about how we work so you can decide if it feels like the right fit. This first conversation is a chance for you to feel heard, not pressured.

You Don’t Need to Have It All Figured Out to Start

You don’t need a clear diagnosis or a life-shattering event to benefit from therapy. Maybe you're just tired of feeling anxious all the time. Maybe you’ve lost your motivation, or your relationships feel off. Maybe something in your life has shifted, and you’re trying to find your footing again.

Therapy is a place to sort through the confusion, make sense of your feelings, and begin to feel more like yourself again. You bring whatever you have, messy thoughts, half-formed questions, or just a sense that something’s not working. We start there, together.

Support for Anxiety and Overthinking: There Is a Way Forward

Anxiety can show up as racing thoughts, sleepless nights, a pit in your stomach, or the constant pressure to keep it together. It’s exhausting, and often invisible to others.

As East Bay therapists who support clients with anxiety, We offer tools to help calm your nervous system, gently challenge spiraling thoughts, and understand what’s driving the anxiety beneath the surface. Together, we’ll create space for more peace, presence, and trust in yourself.

Finding Hope Through Depression: Even When It Feels Out of Reach

When you're in the middle of depression, it can feel like nothing will ever change. The heaviness, the numbness, the sense of disconnection, it’s real. But it’s not forever.

Counseling in Walnut Creek, Orinda, or Lafayette can give you a safe place to speak the truth about how hard things have been, and to start reconnecting with the parts of you that still long for joy, purpose, and connection. You don’t have to carry it alone.

Life Transitions Can Be Overwhelming: Therapy Helps You Find Solid Ground

Big changes, like a breakup, a career shift, becoming a parent, or navigating midlife, can shake your sense of identity. Even if you “should” be excited, transitions can bring up grief, self-doubt, or emotional overwhelm.

Working with an East Bay therapist offers support during these turning points. Therapy can help you process what’s ending, honor your feelings, and step into what’s next with more clarity and confidence.

Moving Through Grief: Honoring Loss While Reclaiming Life

Grief doesn’t follow a neat timeline. It can come in waves, anger, numbness, deep sadness, and even moments of laughter that feel strange. Whether you're grieving a loved one, a relationship, or a vision of your life that’s changed, your experience is valid.

Through counseling in Lafayette, Orinda, or Walnut Creek, you’ll have space to feel what needs to be felt, without judgment, and to slowly build a life around the loss, not despite it.

Working with a Relational, Integrative Therapist: You’re Not Just a Diagnosis

Our approach is relational and integrative, which means we see you as a whole person, not a set of symptoms. We draw from multiple evidence-based approaches, but always tailor them to your unique story, personality, and pace.

Our relationship is central. Therapy isn’t something we do to you, it’s something we build together. We’re here to support you, reflect with you, and walk alongside you as you rediscover your own inner wisdom and resilience.

Ready to Feel More Grounded, Connected, and Supported?

If you’re looking for an East Bay therapist, whether you’re in Orinda, Lafayette, Walnut Creek, or anywhere across California, we’re here to help you move toward clarity, calm, and meaningful change.

Still Have Questions?

Starting therapy can bring up a lot of questions, especially if it’s your first time or if past experiences have left you unsure of what to expect. That’s completely normal.

If you're wondering things like:

  • “How often do we meet?”

  • “Do you offer online sessions?”

  • “What’s the difference between relational and integrative therapy?”

  • “Do you take insurance?”

We’ve answered these and more in our Frequently Asked Questions section. Feel free to explore them.

You don’t have to do this alone.

Reach out today to schedule a free 20-minute consultation and see if working together feels like the right fit.

Anita Bardsley, MA, LMFT

Anita Bardsley, MA, LMFT, is a relational, integrative therapist based in Orinda, CA. She supports adults and teens across the East Bay and online throughout California.

https://www.bountifulhealth.com
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