Sit back for a minute and think of yourself visiting with a doctor for the first time–perhaps for a potentially serious concern. What feelings and thoughts might you be experiencing in that moment?  Anyone seeking help or support to manage a difficult life circumstance may feel a range of feelings, including vulnerability, nervousness, feeling out of control, mistrustful, and other potentially difficult emotions. 

How might this relate to a participant’s coming to a program for the first time?