Hey all, how are we doing? I know, we haven’t seen much of each other lately, which is something I am really going to try to change this year, it’s one of my new goals for the year. Now, I know most of you have set goals for the new year too, and (hopefully) one of them might be to take care of your mental health! If so, a really good first step would be finding some kind of mental healthcare professional to help you get started on your journey, and guide you as you go! If this is something you are interested in, I applaud you! It’s not easy to ask for help, and I’m so proud of you for taking care of yourself so well! I’ve searched for a new counselor several times now, and each time I have learned a few things to make the next time a little easier. Hopefully these few tips and tricks can have you headed to the PERFECT Mental Health professional right away!
Tip 1: Types of Therapy
There are many, many, different types of Therapies, Philosophies, and Practices out there in the world, and it can be really hard to know what kind would best help you. The best advice I can give you in this area is to do a little research. There are some common ones out there, and I will explain my favorites, but make sure to do a little google searching before you even start looking for a counselor to see what type of treatments you might be interested in knowing a little more about.
There are a few therapies that I have had experience with that I absolutely love. I’ll share a little bit about them to give you an idea. Remember that I deal with Generalized Anxiety disorder and agoraphobia, as well as depression, so these techniques are tailored toward that end of the mental health spectrum, and you should always make sure to talk to a licensed healthcare professional before beginning any kind of mental health program.
I personally LOVE Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), and Mindfulness-Based (MBCT). I have also heard really amazing things about EMDR for trama-based disorders, but I have not personally experienced it.
Psychologytoday.com has definitions for these four approaches and I will list them here, as they do a much better job explaining them than I could, since I’m not a licensed mental health professional.
Cognitive Behavioral Therapy: “…a form of psychotherapy that treats problems and boosts happiness by modifying dysfunctional emotions, behaviors, and thoughts. Unlike traditional Freudian psychoanalysis, which probes childhood wounds to get at the root causes of conflict, CBT focuses on solutions, encouraging patients to challenge distorted cognitions and change destructive patterns of behavior.” -Click Here for the full article
Dialectical Behavioral Therapy: “…provides clients with new skills to manage painful emotions and decrease conflict in relationships. DBT specifically focuses on providing therapeutic skills in four key areas. First, mindfulness focuses on improving an individual’s ability to accept and be present in the current moment. Second, distress tolerance is geared toward increasing a person’s tolerance of negative emotion, rather than trying to escape from it. Third, emotion regulation covers strategies to manage and change intense emotions that are causing problems in a person’s life. Fourth, interpersonal effectiveness consists of techniques that allow a person to communicate with others in a way that is assertive, maintains self-respect, and strengthens relationships.” -Click Here for the full article
Mindfulness Based (MBCT): “…a modified form of cognitive therapy that incorporates mindfulness practices such as meditation and breathing exercises. Using these tools, MBCT therapists teach clients how to break away from negative thought patterns that can cause a downward spiral into a depressed state so they will be able to fight off depression before it takes hold.” -Click Here for the full article
EMDR: “…a unique, nontraditional form of psychotherapy designed to diminish negative feelings associated with memories of traumatic events. Unlike most forms of talk therapy, EMDR focuses less on the traumatic event itself and more on the disturbing emotions and symptoms that result from the event. Treatment includes a hand motion technique used by the therapist to guide the client’s eye movements from side to side, similar to watching a pendulum swing. EMDR is a controversial intervention, because it is unclear exactly how it works, with some psychologists claiming it does not work. Some studies have shown, however, that EMDR is effective for treating certain mental-health conditions.” -Click Here for the full article
What I personally like about the first three treatment approaches, is that they all focus not on venting about my life, but on finding practical and permanent solutions to my anxiety. There is work involved, and I come away each time feeling like I learned something or have another skill to practice or try. There are a LOT of therapies out there though, so poke around and see what you might be interested in trying!
Tip 2: Psychologytoday.com
One of the best resources for mental health information on the internet right now is Psychologytoday.com. Not only can you find information about each treatment approach but you can read articles, research mental disorders, and, my favorite thing, look for a new therapist or counselor! They even have a section where you can take self-tests to find out all sorts of things about yourself. It’s a one-stop mental health shop, and most of it is free! But, I’m not here to tell you about a website, I’m here to help you find a counselor, so here’s how I use this website to my advantage.
On the home page, you can enter your city and state and it will bring up a list of all the mental health providers in your area. I searched Nashville TN just to show you. You can see on the side of the page, you can add filters. For example you can have the site show you only therapist who accept your insurance, and then you can select which issues you want them to be able to treat. I selected BlueCross and BlueShield, and the issues I selected were Anxiety and Depression.
Next you can refine the search to include only male or female professionals, as well as a few other filters: I chose “Show only Women” and “Christian” as an example. As you can see, your choices are listed at the top left of your screen.
Next is the important part; If you have found a few treatment approaches that you would like to know more about, you can select them from the list on the left now. I selected CBT and DBT because those are my two favorites right now. This narrowed my choices down to 2 Therapists. I could always take off some of the filters that weren’t as important to me if I wanted more options. Now that I have a few choices, I will move on to the next phase of my process.
Tip 3: How to choose a few professionals to interview (You heard that right, INTERVIEW!)
The next step of my process is to narrow it down to 2-3 counsellors to interview. In the example above, I would probably remove a few filters to give me a wider range of people to choose from, but the process remains the same.
First, I read their info section on their page. You can get there simply by clicking on their name. I’m looking for them to tell me what we will work on together. I don’t need to know their whole backstory right now, and I certainly don’t need just a list of their credentials, (Which is listed below their info section.) I’m looking for someone who is interested in the needs of their clients, and who clearly states what they will do to help clients. This counselor is a great example; She focuses on the words “You” and “We” instead of making it all about her. This can reveal a lot about what a counsellor will be like. While I’m here I also check qualifications, and make sure that the issues I need help with are in the “Specialties” area. (In green in the photos above.) In this case, anxiety is, while depression in an issue that she covers. I would probably consider this therapist for an interview.
As you are selecting 2-3 people to interview, I can’t stress enough, USE YOUR GUT. If you really like one person’s page, but they don’t have one or two things you wanted, contact them anyway, it could be a great fit. I would also recommend sending these pages to a close friend or family member who knows you well to get their opinions on who you should interview with.
When you are ready to set up some consultations, use the orange “Email Me” button to make contact and set up an appointment for a consultation. Make sure you let them know that it is only a consultation, and that you will have some questions for them.
Tip 4: Successful Consultations
Before you head to your consultation appointments with your “Finalists,” it can really help to prepare a few quick things so that you feel in control and in charge of the appointment. First, I always prepare a list of questions that i want each of the therapists to answer. I usually have answers that I will and will not accept in my head, so they either get a pass or a fail on each question. These questions can be as simple as “How long have you been in practice?” or as complex as this one from my personal questions “I believe that my parents are a huge support system for me, and while many counsellors feel I should distance myself from them, I refuse to do so as I believe it would be detrimental to my health. Is that something that you would be willing to respect or would you encourage me to reconsider?” Get creative, and ask about things that really matter to you. One thing I always ask at the end is if the counsellor feels like they are a good fit for me, because it does matter to me if they an see themselves being able to handle all that I will be needing.
Before going to my consultations, I also prepare a quick little back story/ mental health history, print it out, and bring it with me for them to have. I find that this allows us to make the most of our short consultation, while allowing me to share what they need to know about me. It also keeps me from rambling, as I’m known to do. Only include what you feel comfortable, but a timeline of some kind is often useful.
If you know that this isn’t going to be the person for you, or you start to feel uncomfortable at any time during the consult, feel free to get up, thank them for their time, and leave. There’s no sense in staying in a situation you don’t want to be in for longer than you need to, especially if you don’t sense a client-therapist relationship is possible.
Finally, if you are at all nervous, it is totally acceptable to bring along a close friend or relative with you the first time. Most counselors will be just fine with that, and if they aren’t, you can probably write them off as someone you don’t need to be seeing.
Tip 5: Making the Selection
After you have done all the interviews, and they have answered all your questions, it’s time to make your choice. This can be a slightly tough decision, especially if two therapists seem equally right for you. At this time, I would encourage you again to go with your gut. You will find that you usually connect better with one person than another, so just try that person first. Ask for a month trial period, just to make sure that everything goes smoothly, and to make sure that they remain a good fit as you get to know them.
Congratulations! You’ve got a shiny new Counselor who can help you through just about anything.
Tip 6: Mistakes I have made
As I said in the beginning, I have done this search several times now, and each time I have learned things that I could do better next time. Here are some of the big mistakes that I’ve made on my counseling journey:
1- Not asking questions: It’s as important for you to ask questions as it is for them in the consultation. If you don’t have questions to ask, how will you know if they are a good fit?
2- Not being selective: I have ended up in some pretty weird sessions before because i just took a friends word for it and booked a full session with someone that was not even close to a good fit for me. It’s not worth it guys, be choosy!
3- Staying way too long: I have two times that I’ve done this. The first was when I first got a counselor at 15, and she made me very uncomfortable right away, but I didn’t know how to get out of the situation (I was 15 after all) and so I stayed for the whole session anyway. I learned that day that the minute I feel uncomfortable, it’s time to WALK OUT. Luckily, nothing bad happened, and I was fine, but always listen to your Gut.
The second time I stayed way to long was when I found a counsellor I thought was going to be a good fit, but after a few weeks it was clear that she wasn’t going to be able to handle all of my issues. I felt bad canceling on her though and didn’t want her to be upset, so I kept going to her for 5 MONTHS! It wasn’t fair to either of us, and when I finally got up the nerve to call things off, I think we were both relieved.
4-Not being straightforward and honest. Counsellors are here to help, but they can’t help you if you don’t tell them the truth of what’s going on. I know how hard it can be to open up to someone who you don’t know well, but I promise that once you do, you will feel so much better, and they are TRAINED to HELP YOU. That’s their job, and almost all of them are very good at it. Be brave my loves and be honest!
I hope this helps you to find an amazing counselor to help you through some of life’s tricky spots. If you want to know more about anything in this blog, from what questions I ask, to sending me counselors you are considering and getting my opinion, please don’t hesitate to ask. I am more than glad to help!
I wish you the best on your mental health journey and remember, YOU ARE NOT ALONE!