The first appointment is an opportunity for me to fully understand the difficulties you are experiencing, to talk through what you would like to get out of our time together and make a plan. I'm likely to ask you lots of questions in the first session.
I might ask you to try some techniques that I think would be helpful, rather than just listen to me talking about them. I will encourage you to take the skills you have learnt in session and apply them in your day to day life. Regular appointments are most beneficial; however, sessions can be weekly, fortnightly, monthly, or however often is helpful for you. Appointments can be face to face or via telehealth (e.g., Zoom), or a mixture of both.