No, therapists do not always start sessions with silence. The way therapy sessions begin can vary depending on the therapist's personal style, the therapeutic approach used, and the individual needs and preferences of the client.
While some therapists may begin sessions with a moment of silence to allow the client to gather their thoughts or to create a calm and focused environment, others may start with a friendly greeting or by asking the client how they are feeling that day. Some therapists may engage in small talk or ask about any specific issues or topics the client would like to discuss right away.
Therapists often use the beginning of a session to establish rapport and build a comfortable atmosphere, which can differ from person to person. The most important thing is for the client to feel heard and supported, and the therapist will tailor the session's beginning to best achieve this goal.
If you have specific preferences or concerns about how therapy sessions start or any other aspects of therapy, it's essential to communicate openly with your therapist. They are there to assist you in the therapeutic process, and your input is valuable in shaping the sessions to meet your needs effectively.