Choose a behaviour to work on
A goal such as recognising the situations that precede use is easier to review than a broad promise to change everything. Ask how the therapist will help translate that goal into work between sessions and how progress will be discussed.
Clarify the approach and format
Discuss whether individual sessions, group work or both are suitable, and ask which psychological approach is proposed. Cognitive behavioural therapy (CBT) explores links between thoughts, feelings and actions; a treatment label alone does not explain the planned session content.
Connect counselling with follow-up
Ask how therapy connects with psychiatric review when needed and with continuing recovery planning. Agree how missed sessions, setbacks and changing goals will be handled rather than treating one appointment as the whole programme.