What to Expect in a One-on-One Counselling Session
- Josef Rozio

- Aug 1
- 3 min read
Starting counselling can feel like stepping into the unknown. Many people wonder what happens during a one-on-one counselling session and how it might help them. Understanding the process can ease anxiety and prepare you to get the most from your time with a counsellor. This article will guide you through what to expect, how to prepare, and practical tips for making your sessions effective.
Understanding One-on-One Counselling
One-on-one counselling is a private, confidential conversation between you and a trained professional. It provides a safe space to explore your thoughts, feelings, and challenges. The counsellor listens without judgment and helps you develop strategies to cope or make changes.
During a typical session, you might discuss personal issues such as stress, anxiety, relationships, or life transitions. The counsellor may ask questions to understand your situation better and encourage you to express yourself openly. The goal is to support your mental and emotional wellbeing.
One-on-one counselling is flexible. Sessions usually last between 45 to 60 minutes and can be weekly or at intervals that suit your needs. The pace and focus depend on your goals and comfort level.

What Happens in a One-on-One Counselling Session?
When you attend your first session, the counsellor will likely start by explaining confidentiality and how the sessions work. This helps build trust and sets clear boundaries. You will be encouraged to share what brought you to counselling and what you hope to achieve.
The counsellor may use different techniques depending on their training and your needs. These can include:
Active listening and reflection
Cognitive-behavioural strategies
Mindfulness and relaxation exercises
Goal setting and problem-solving
You are in control of how much you share. It’s normal to feel nervous or unsure at first. Over time, as trust grows, you may find it easier to open up.
To prepare for your session, consider writing down key points or questions you want to discuss. This can help you stay focused and make the most of your time.
If you want to explore more about what an individual counselling session involves, visiting a professional website can provide additional insights.

How Many Counselling Sessions Are Covered by Medicare?
In Australia, Medicare provides rebates for a limited number of counselling sessions under the Better Access initiative. Generally, you can access up to 10 individual sessions per calendar year with a registered mental health professional.
To qualify, you need a referral from a General Practitioner (GP) or psychiatrist. The referral is called a Mental Health Treatment Plan. It outlines your mental health needs and allows you to claim Medicare rebates for your sessions.
It’s important to note:
The 10 sessions are per calendar year, not per condition.
You can use these sessions with different providers if needed.
Some private health insurance policies may offer additional coverage.
Knowing this can help you plan your counselling journey and manage costs effectively.

Tips for Making the Most of Your One-on-One Counselling
To get the best results from your counselling sessions, consider these practical tips:
Be honest and open - Sharing your true feelings helps the counsellor understand you better.
Set clear goals - Think about what you want to achieve and communicate this with your counsellor.
Attend regularly - Consistency helps build momentum and progress.
Practice outside sessions - Apply strategies and exercises suggested by your counsellor in daily life.
Ask questions - If you don’t understand something, ask for clarification.
Give feedback - Let your counsellor know what is working or not working for you.
Remember, counselling is a collaborative process. Your active participation is key to success.
What to Expect After Your Counselling Sessions
After a few sessions, you may notice changes in how you think, feel, or cope with challenges. Some people experience relief from stress or anxiety, while others gain new perspectives on their problems.
Counselling can also help you develop skills such as:
Improved communication
Better emotional regulation
Increased self-awareness
Enhanced problem-solving abilities
It’s normal for progress to be gradual. Sometimes, sessions may bring up difficult emotions, but this is part of the healing process.
If you feel stuck or unsure, discuss this with your counsellor. They can adjust the approach or suggest additional support.
Taking care of your mental health is an ongoing journey. One-on-one counselling is a valuable step towards greater wellbeing.
Exploring a one-on-one counselling session can be a positive and empowering experience. With the right preparation and mindset, you can make meaningful progress towards your personal goals. If you are considering counselling, remember that help is available, and taking the first step is a sign of strength.




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