All therapists are different from one another, and that goes for first sessions, too. Sometimes the therapist will ask you questions; sometimes you’ll have filled out a form. Sometimes you’ll be able to just start talking about whatever’s on your mind. And sometimes there will be a clear structure and plan to the session. It depends on what type of therapist you’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!