This Web site is a component of the SAMHSA Health Information Network
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This Web site is a component of the SAMHSA Health Information Network |
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This Web site is a component of the SAMHSA Health Information Network. |
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Choosing The Right Mental Health TherapistAt some point in our lives, we all run into problems that seem too big or too persistent to handle alone. Yet our pride and fears can get in the way of asking for help. But making the decision to find help is a sign of strength and courage. And help is available. In fact, it can make the difference between feeling that things are spinning out of control and gaining new tools to turn life around in positive ways. Having taken that crucial first step to seek help, you may have some questions about therapy. You may wonder, for example, about sharing information that is uncomfortable—will it be kept confidential? What is the best way to go about finding the right therapist? You can rest assured that all mental health professionals are ethically bound to keep what you say during therapy confidential. However, therapists also are bound by law to report information such as threats to blow up a building or to harm another person, for example. Therapy is a collaborative process, so finding the right match—someone with whom you have a sense of rapport—is critical. You may have to shop around before you find someone you are comfortable with. After you find someone, keep in mind that therapy is work and sometimes can be painful. But it also can be rewarding and life-changing. So whether you seek help from a marriage and family therapist, a social worker, a psychologist, or a psychiatrist, the steps to choosing the right mental health practitioner for you will basically be the same. 1. See your primary care physician to rule out a medical cause of your problems. If your thyroid is "sluggish," for example, your symptoms—such as loss of appetite and fatigue—could be mistaken for depression. 2. After you know your problems are not caused by a medical condition, find out what the mental health coverage is under your insurance policy or through Medicaid/Medicare. Many employer-sponsored insurance policies have limits on mental health services and may cover only 50 percent of the costs of a fixed number of visits per year. 3. Get two or three referrals* before making an appointment. Specify age, sex, race, or religious background if those characteristics are important to you. Your primary care physician and/or your faith leader probably knows mental health care workers in your area. Also, ask friends, colleagues, neighbors, and family members for referrals. Chances are you will find that several people in your circle of acquaintances have been, or are, in therapy and can refer you to a competent therapist. 4. Call to find out about appointment availability, location, and fees. Many mental health professionals schedule evening appointments so you do not have to miss work. Selecting a therapist whose office is easy to get to—either from work or home—also can make a difference in your progress toward improved mental health. Ask the receptionist: 5. Make sure the therapist has experience helping people whose problems are similar to yours. You may want to ask the receptionist about the therapist’s expertise, education, and number of years in practice. 6. If you are satisfied with the answers, make an appointment. 7. During your first visit, describe those feelings and problems that led you to seek help. Find out: 8. Different psychotherapies and medications are tailored to meet specific needs. Be sure the psychotherapist does not take a "cookie cutter" approach to your treatment—what works for one person with major depression does not necessarily work for another. The best therapists will work with you to create a treatment program—perhaps using a single approach, perhaps incorporating several different ones—that works for you. 9. Although the role of a therapist is not to be a friend, rapport is a critical element of successful therapy. After your initial visit, take some time to explore how you felt about the therapist. For example: 10. If the answers to these questions and others you may come up with are "yes," schedule another appointment to begin the process of working together to understand and overcome your problems. If the answers are "no," call another mental health professional from your referral list and schedule another appointment. Two kinds of therapists warrant special note: psychiatrists and clinical social workers. Psychiatrists are medical doctors and can prescribe medication. Other mental health professionals cannot. Clinical social workers are trained in client- centered advocacy and can assist you with information, referral, and direct help in dealing with local, State, or Federal Government agencies. As a result, they often serve as case managers to help people "navigate the system." For referrals to community mental centers in your area, write or call SAMHSA's National Mental Health Information Center. Over the telephone, we will give you the names of at least two centers nearest you. If you prefer, we will send a complete list of community mental health centers and hospitals that provide psychiatric services in your State.
SAMHSA's National Mental Health Information Center *Other Sources of Referrals
American Association of Marriage and
American Association of Pastoral Counselors
American Psychiatric Association
American Psychological Association
National Association of Social Workers
National Mental Health Association KEN98-0055 |
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