What Happens In Psychodynamic Therapy? You're thinking about booking your first therapy session and may be hovering over the "get in touch" button wondering what might be on the other side if you click. It is totally normal to have a swirl of questions such as "Will I have to lie on a couch?", "Do I need to have experienced trauma to qualify?" or "What if I cry?". You're not the first person to have thought this.