During your first appointment for psychotherapy/counseling, your counselor will need a summary of the problems or questions that have brought you to counseling in order to work with you to establish goals and an appropriate treatment plan for your counseling. Adults will meet alone with the counselor. Children and adolescents will usually have some time with the parent present and some time alone with the counselor. A session that allows observation of and discussion among family members may also be held. The counselor will want to hear your history, including: family history and dynamics, significant relationships, work, substance use, cultural background, major losses, traumas, medical issues and any other information that may prove helpful. Parents will be asked to provide information about their child’s developmental history, schooling and social relationships, as well as other information that may be relevant to the difficulties the child is experiencing.