The first session is mostly getting your bearings. Introductions, how confidentiality and consent work, what brought you, and any access needs, which is a good moment to say how you prefer to communicate. Some rough sense of what you'd want to be different. Time for your questions, including the awkward ones.
- Sessions run 50 minutes, by secure video link sent to your email
- Weekly or fortnightly is typical, and you set the rhythm with your therapist
- Nothing to install, and evening and weekend times are available
- Priorities get reviewed openly as they shift
Attending from home tends to strip out a lot of the load: no commute, no waiting room, no fluorescent lights, no small talk with a receptionist while you're already close to your limit. Your own chair, your own tea, your dog on your feet. That said, it doesn't suit everyone equally, and some people find a screen harder, not easier.
On effectiveness, the honest version: research to date generally finds therapy delivered by video comparable to in-person therapy for common difficulties like anxiety and low mood, and video-delivered talking therapy is now routine across Irish and UK services, including the HSE. Much of that research wasn't done specifically with neurodivergent adults, so it's reasonable evidence rather than a promise. If you're unsure whether it'll work for you, that's a fair thing to raise before you commit to anything.