All therapists are different from one another, and that goes for first sessions, too. Sometimes the therapist will ask you questions; sometimes youÂ’ll have filled out a form. Sometimes youÂ’ll be able to just start talking about whateverÂ’s on your mind. And sometimes there will be a clear structure and plan to the session. It depends on what type of therapist youÂ’re talking to..you should point that not all therapists take notes during session…My notes during session :Freak , pervert , wanker, nylon addict, nylon obsession, lifetime therapy is the best medicine!