Geenishka Khanna
Student of Psychology, University of Windsor, Ontario
Starting therapy in a new country can feel overwhelming — especially when you’re adjusting to a new culture, new systems, and maybe even a new language. If you’re a newcomer to Canada and starting therapy, this blog is for you. Getting into therapy, is a brave and courageous act, you might wonder: What will my therapist ask me? Will they understand where I’m coming from?
The good news? Therapy isn’t an interrogation. It’s a conversation. And for newcomers, it’s a space to feel seen, supported in a safe and culturally aware space.
Here are 10 thoughtful questions your therapist may ask — and how each one helps shape your healing journey.
This question might seem practical, but it holds deep emotional significance. Whether you came to Canada for work, education, family, safety, or opportunity, your reason for immigrating helps your therapist understand the context of your current life. If your move was due to conflict, persecution, or trauma, your therapist will approach those stories gently and with care. If it was voluntary but still challenging, that’s just as important to explore. This helps set the tone for a therapy plan that supports your long-term adjustment.
Adjusting to a new country affects more than just your physical environment — it impacts your mental and emotional well-being too. Your therapist may ask about your experiences with housing, work, school, or relationships in Canada. They might also ask how you feel about your identity in this new setting. Are you feeling welcomed? Is there culture shock? Do you feel isolated or connected? These answers help identify stressors that may not be obvious at first.
Many newcomers leave behind strong networks of family and friends. Your therapist will want to understand who supports you now — whether it’s family in Canada, community members, coworkers, or online connections. If you’re feeling alone, this question is a gentle way to explore how to rebuild your social circle. Therapists can also help connect you with local support groups or multicultural associations that help newcomers thrive.
This question is about understanding your cultural background and any beliefs you hold about therapy or mental health. In many parts of the world, therapy may be considered taboo or misunderstood. Your therapist wants to know if this is your first experience with mental health support, or if you’ve had positive or negative experiences in the past. This helps them adjust their approach and avoid assumptions.
What are you hoping to gain from therapy?
You don’t need to have a perfect answer. Maybe you just want to feel better. Maybe you’re tired of overthinking. Maybe you want tools to handle stress. All of these are valid. This question helps your therapist understand your goals. Do you want emotional support? Coping strategies? Trauma healing? Clarity about your identity or direction in life? Together, you can co-create a plan that feels right.
This is one of the most common and important questions. It invites you to talk about real-life struggles:
Sharing these issues allows your therapist to validate your experiences and offer culturally informed support.
Have you experienced trauma, grief, or loss?
Many immigrants carry hidden pain. You may have lost loved ones, left behind a home you loved, or endured violence or abuse. Your therapist might gently ask about trauma — but only when you’re ready. You’re always in control of what you share. This question is not meant to trigger pain but to create space for healing. Trauma-informed therapists are trained to listen, support, and help you process at your own pace.
This question helps your therapist learn how to support you emotionally during sessions. It also gives insight into your cultural or spiritual practices that promote well-being — whether it’s prayer, journaling, cooking, nature walks, or community gatherings. Therapists respect your coping tools and may suggest others that align with your values. You don’t have to abandon what grounds you — therapy can build upon it.
For many newcomers, identity becomes a source of both pride and confusion. You may be navigating between cultures, languages, or even names. Your therapist may ask about how you see yourself: Are you a parent? A student? A provider? A survivor? They may also ask about gender, sexuality, religion, ethnicity, or migration status — not to label you, but to ensure your story is understood in full.
This powerful question invites boundaries and safety into the room. Therapy should never feel like pressure. A good therapist will ask this to reassure you that you’re in charge of your healing journey. If there are topics that feel off-limits, that’s okay. You might revisit them later or never at all. Your comfort is a priority, and this question affirms your autonomy.
Why These Questions Matter
Each of these questions is a stepping stone — not just toward understanding your pain, but toward recognizing your resilience. Your therapist isn’t trying to “fix” you. They’re there to walk beside you as you find your own path to healing.
Final Thoughts: Therapy Is a Dialogue, Not an Interview
If you’re a newcomer worried about what to expect in therapy, remember that these questions aren’t a test. They’re invitations — gentle doorways into healing. You can answer what feels right, skip what doesn’t, and come back to things when you’re ready.
At bookmytherapy, we connect you with therapists who understand the complexities of immigration, identity, and healing. You’re not alone — and you’re not expected to have it all figured out.
Curious about therapy but not sure where to start? Visit us here to find therapists who can talk to you in the language of your choice. Take the first step toward feeling supported, understood, and empowered — your story matters.