I'm not as sure how Skype works, as I've used Zoom for my virtual therapy. So I'm not sure if this is an option. But one thing I found to be really helpful is to hide the image of myself on the screen. I find it too distracting. So if that's an option, I recommend doing that (after you've made sure you're transmitting OK).

My experience was doing virtual therapy with a therapist who I'd previously seen in person. So it was (very) difficult to adjust at first. If this is the first time you're seeing this therapist, I imagine those challenges wouldn't be there.

One of the big differences for me was not having a dedicated space for the therapy. Meeting from my home felt different (he was usually in his regular office, but sometimes at his house, which felt a bit weird to me at first). Not sure if you live with other people or alone, but if you live with others (as I do), I suggest things like putting a fan outside the door to help block the noise. And asking them not to disturb you during that time.

Random thing--exit or mute any apps or programs that could send you random notifications during the session (unless it's necessary to have them open). I've found that to be distracting before. Like I'm in the middle of saying something (or the T is), then a calendar reminder pops up or a friend messages me, and it's like, "Oh, what's that?" and I lose my train of thought.

Hope it goes well!