Choosing a Therapist

August 21st, 2008  |  

By Deborah Reeves, MGPGP, LPC, CGP

Click here to contact Deborah and/or see her GoodTherapy.org Profile

Finding the best trained therapist is an excellent investment in one’s future. Effective psychotherapy can help resolve conflict(s) and can greatly assist in helping all people to gain the emotional and cognitive tools necessary to better solve future problems.

Making a conscious decision to be in psychotherapy is the first step and perhaps not such an easy task because it can bring to mind the awareness of uncomfortable feelings, thoughts and ideas about the problems at hand and about being in therapy. It is a good idea to take the time to choose a therapist thoughtfully and with care. Why? Because it is essential that you feel comfortable and confident with the therapist you select. It is important that your therapist is compassionate, sincere and genuine but these attributes are not sufficient in and of themselves. Well-trained therapists are open and able to work with all emotions for example, feelings such as jealousy, love, disgust, hate, dread, anxiety, shame and more. It is also helpful when you feel you are being heard. Working with a therapist who has good listening skills and who responds in a clear, genuine and honest way with out being superficial is paramount to good treatment.

Well trained therapists also know the difference between ‘counseling’ and ‘psychotherapy’. Being ‘counseled’ means giving suggestions and advice which has its place when for instance someone is abusing drugs. More often than not people seek therapy when they have tried to take friends advice and it simply doesn’t work because of underlying emotional issues and conflicts that can have an unconscious strong hold. Meaning, that repeated patterns of behavior and responses stop emotional needs from being met affecting psychological growth and development. Psychotherapy assists in helping with the understanding of conflicts that are often hidden, out of awareness so that old familiar responses can be better recognized, acknowledged, and mastered. Instead of seeking others opinions or advice patients can develop and resolve problems in a way that fits who they are and not in accordance to someone else’s criteria.

Competent therapists are most often open to any questions you want to ask them. It is worthwhile to ask questions about their training, practice and experience of personal therapy. The latter is an important factor in determining the treatment most likely to offer successful results. Why? Because therapists who learn thoroughly about their own emotional self will not be bias, and will have resolution and understanding of their own unconscious conflicts. This ensures that the treatment will be about your issues and not the therapists. Due to the highly complex and subjective nature of learning about the self(s) internal and relational world, insight-oriented psychotherapy is best experienced in order for it to be thoroughly understood.

Over the past decade many academic programs in the mental health field stopped the requirement of students experiencing their own course of psychotherapy. Instruction into insight-oriented psychodynamic individual and group therapy is minimal at best. License to practice and ‘academic’ training is not synonymous to a sound or solid ‘training’ in psychotherapy. Today, most therapist’s who practice psychodynamic psychotherapy and insight-oriented psychotherapy have usually gone through an accredited post-graduate training program which mandates personal psychotherapy and/or psychoanalysis with an average of two to seven additional years in training.

It is strongly advised to schedule several consultations before deciding upon the best therapist to work with you. Recommendations from well known friends, relatives, clergy is one way to ensure that you will get optimum treatment. The system of managed care signs up individuals who will work for the least amount of money and simply assign to you someone from their ‘sign up’ list. Managed care does not interview any of the therapists with whom they send you to so be careful. ‘Mental-health’ is simply afforded the least within a huge ‘health system’ and has done for years and years. Those wishing to preserve full privacy, full control and full protection of their treatment often elect to pay out of pocket.

By understanding a little more about training, academic qualification, licensing and knowing more what to look out for and perhaps what to avoid, I hope you will be better equipped in finding a good therapeutic match.

©Copyright 2008 by Deborah Reeves, MGPGP, LPC, CGP. All Rights Reserved. Permission to publish granted to GoodTherapy.org. The following article was solely written and edited by the author named above. The views and opinions expressed are not necessarily shared by GoodTherapy.org. Questions or concerns about the following article can be directed to the author or posted as a comment to this blog entry. Click here to contact Deborah and/or see her GoodTherapy.org Profile Philadelphia Therapy

  • Join GoodTherapy.org - For Therapist Only
  • Sally August 24th, 2008 at 7:22 AM #1

    Are there any good resources that you could suggest using that will help you to make the best decision possible or is it still suggested to get the referral of another physician?

  • Kyle August 26th, 2008 at 3:02 AM #2

    I think the opinion of other trained professionals is a great way to find a good therapist. Also there is nothing wrong with having consultations and meetings with counselors until you find one whom you think you can trust and who will help you get through whatever issues you are facing. This can be a difficult relationship to establish so I think it is imperative to do your homework and make sure from the outset that this is going to be a good fit for you.

  • margo August 27th, 2008 at 3:00 AM #3

    There are also websites that you can search to determine if the people oyu are looking at are qualified to deal with your needs. Check licensing as well.

  • Johnson August 28th, 2008 at 9:50 AM #4

    Sometimes you can know whether this will be a good match for you just by sitting down and talking to someone for a little bit. There will typically be either a real connection or a real level of discomfort immdeiately. This would also be a way to know whether or not there is a fit there.

  • Grace August 29th, 2008 at 3:11 AM #5

    Choosing a therapist can be very important so why is it that so many people do not have a choice in who their therapist will be? I was reading the post that states that Obama and Mccain are both ready to make mental health issues a priority and that hopefully will mean more and better treatment for those who need it. But you and I both know that in many cases we do not have a choice in the physicians that we see. That is mandated by our health insurance, so regardless of whether it is a good fit you may be stuck with someone in order to get the help that you need and get the bill paid for that at the same time. So while it is admirable to know all of these things and I pray that you are able to make a great choice sometimes that will not be the reality of the situation. You may simply not have a choice in the matter.

  • Kate August 29th, 2008 at 3:54 PM #6

    what would you say about a therapist who tells a client:

    You emotionally blackmail me.
    You make me have sadistic thoughts.
    You are not worth my time.
    You make me want to shake and slap you upside the head.
    You stole my clock (which wasn’t true).
    If you self injure, I will not see you anymore. (repeatedly)
    You have DID.
    You have BPD.
    You have PTSD.

  • Steve H August 30th, 2008 at 3:01 AM #7

    Is this something that you seriously encountered? That is terrible.

  • Kate August 31st, 2008 at 9:52 AM #8

    Yes, I did.

  • Grant August 31st, 2008 at 12:53 PM #9

    I have been very fortunate to find a counselor who really understands me and has helped me become a whole person again. I am so sorry for those of you who have not had that same kind of experience with your therapists. I simply found mine by word of mouth and everything has worked out extremely well. Kate I am sorry that you have had the experience that you did. I hope you are able to find someone who will listen to you and help you to overcome the difficulties in your life like I was able to. There are some great counselors out there- the majority of them probably are. I wish you the best.

  • Edward September 4th, 2008 at 2:58 AM #10

    Has anyone ever tried online counseling? I know it is not the perfect solution but that option is available. There are many sites dedicated to this sort of thing. I do not know the cost or even how reputable many of the sites are so that would certainly be something to look into but that may be something that some people would be curious to research and explore.

Leave a Reply

By commenting on this blog you acknowledge acceptance of this Blog's
Terms and Conditions of Use

* Required

Subscribe

Subscribe to RSS feed

Subscribe via Email
Email me updates to the Therapy Blog!


Subscribe Unsubscribe

Note to Self

GoodTherapy.org is not intended to be a substitute for professional advice, diagnosis, medical treatment, or psychotherapy. Always seek the advice of your physician or other qualified mental health provider with any questions you may have regarding any mental health symptom or medical condition. Never disregard professional psychological or medical advice nor delay in seeking professional advice or treatment because of something you have read on GoodTherapy.org. By using this site, you signify your assent to the terms and conditions contained in this Agreement. If you do not agree to all of the terms and conditions contained herein, do not use this site.

Blog Categories

Recent comments

  • Barry: Psychotherapy is a process that has both benefits and risks. It often involves discussing unpleasant aspects of your life. As a result you...
  • Lynn: Ruth I just wrote a long message and lost it. I have problems with a daugher about the same age and it is on going and always will be. If you...
  • Bambi: Oh, and another thing….Plese don’t tell a new T about the old T. They will use it against you big time. They will treat you the...
  • Paul Cohen: Thanks to everyone who contributed comments on this blog. Laura’s and Amy’s comments illustrate the loving steadfastness that can...
  • Cassie V.: Wise words, Iris! Sitting still can be very healing too even just by itself. What’s hard is getting your mind quiet enough to be...

Submit Articles

Find a Therapist | Explore Therapy | Workshops | Blogging Therapy | About Us | Contact | Join Us | Log in | Privacy Policy | Terms of Service | Sitemap

Copyright © 2007-2010 GoodTherapy.org. All Rights Reserved.

6171 queries in 5.529 seconds