In the journey to become a therapist it is a well-known phenomenon that a family member will inevitably say, “You could start with us!” The good-natured joke gets a laugh (the first 50 times), but at some point we have the obligation to clarify the ethical mandate: No treating friends and family. To be more specific, therapists should not see clients with whom they have a dual relationship. For example: Met in a daily yoga class, share friends or relatives, live next door to one another. The lines can get a little blurry, and in some instances dual relationships are unavoidable, but for the most part we all do our best to avoid circumstances that could lead to bias.
Over the years I have had friends and family approach me about how to find a therapist, and what they should look for. While the end decision is ultimately up to them, there are some options that can simplify the process when searching.
- Insurance or Cash?
Deciding this right off the bat will save you a lot of phone calls. If you are set in going through your insurance, you will want to only look at providers who are “in-network.” Your insurance company provides this list, and you can use that to narrow down. If your plan is a PPO, or you have great coverage, you can also look at providers who bill “out of network.” As a provider who does not contract with insurance companies (for reasons I can include in my next post), I always give the option of a “superbill” for PPO clients. This allows the client to receive some reimbursement directly from their insurance company. If you decide to forego using insurance, disregard the above jargon, and move to number 2.
- Start with a search engine
PsychologyToday.com is a great resource for narrowing down providers by region, specialty, and theoretical orientation. GoodTherapy.org is similar. There are several others, and one option is to google: Therapist finder. These sites have profiles of their therapists where you can get a feel for their personality and treatment style.
- What is your main reason for seeking therapy?
What are you experiencing that led you to this point? Search for someone whose specialty or area of interest is aligned with your specific need. Don’t seek out someone who works with complex trauma if you are dealing with career stress. If you are having marital distress, look for someone who specializes in couple’s therapy or relationships. All MFTs are trained in working with depression and anxiety, so if that is your area of need, you can look for someone whose message sounds welcoming to you.
- Choose a few
Make a list of 3-5 therapists who you think you would feel comfortable with, and start calling. Expect that most will return calls within 24 hours Monday-Friday. While most of us make it a practice to always return calls, there are some who won’t call back if they aren’t accepting new clients.
- Feel free to schedule with more than one therapist, and test the waters
Studies have shown that more than anything, the most crucial aspect of therapy is the relationship. Therapists know this, and we want you to find the right fit. It is not uncommon to have a session or two to feel out the process, before committing. You will be invested in the process emotionally and financially, and you want to feel like you can share with this person. Don’t be afraid to be clear about what you want, or to ask questions. We want you to get the most out of this process.
If you are starting the searching process now, good luck! If you have follow-up questions or would like more details on anything I wrote, feel free to comment.
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