In cognitive behavioral therapy for depression, the first sessions play a crucial role in determining treatment outcome. In the first sessions, the therapist needs to form an alliance to facilitate appropriate therapeutic relationships and set the stage for subsequent interventions. This is particularly important in depression, where the therapeutic relationship is a strong predictor of treatment success. By establishing a strong therapeutic relationship, the therapist can help the patient feel comfortable and motivated to engage in the therapeutic process, which is essential for effective treatment. The first sessions also provide an opportunity for the therapist to assess the patient's symptoms, goals, and motivations, and to develop a treatment plan that is tailored to the patient's needs. Overall, early interventions in cognitive behavioral therapy are critical for establishing a strong therapeutic relationship and setting the stage for effective treatment.