Don't just pick a name from an ad or the yellow pages. Difficult as it may be when you're in distress, try to approach therapy as an active consumer, prepared to do a little comparison shopping.
Many therapists favor a particular theoretical approach,
although they often use a combination. No one type of therapy is
best for all patients; however, certain individuals may respond better
to particular methods. In psychoanalysis, descended from Freud's
technique employing free association and dream interpretation, patients
are encouraged to recall and confront troubling childhood experiences.
In psychodynamic therapy, the emphasis is on discovering unconscious
conflicts and defense mechanisms that hinder adult behavior. The
goal of interpersonal therapy is to enhance relationships and communication
skills. Cognitive therapy is aimed at helping people recognize and
change distorted ways of thinking. Behavioral
therapy seeks to replace
harmful behaviors with useful ones (Consumer Reports, 1999).
What do Mental Health Professionals do? Psychologists,
Psychiatrists, Clinical Social Workers, Therapists, and Counselors
who specialize in psychotherapy and other forms of psychological
treatment are highly trained professionals with expertise in the
areas of human behavior, mental health assessment, diagnosis and
treatment, and behavior change. They work with clients to change
their feelings and attitudes and help them better develop healthier,
more effective patterns of behavior (Higgins, 1998).
Psychotherapy
is a collaborative effort between a client and mental health professional.
It provides a supportive environment to talk openly and confidentially
about concerns and feelings. Maintaining your confidentiality
is extremely important and you will be informed of those rare circumstances
when confidential information must be shared.
To find a practitioner who's right for you, start
by collecting the names of several therapists in your area. Ask your
doctor for a referral, making sure to specify if you have preferences
regarding your therapist's gender, academic background, therapeutic approach, or other characteristics. Other good referral sources are national professional associations as well as local universities, hospitals, and psychotherapy and psychoanalysis training institutes. Family or friends may be able to recommend suitable therapists as well.
Speak to each potential therapist over the phone
or in the office. (Many will meet with you briefly without charge.)
Talk about your problem and ask how the therapist would approach
solving it - and how many sessions might be needed. Even a brief
interview should tell you if you'd be comfortable sharing your most
intimate thoughts and feelings.
In most states, even people who haven't had proper
training can legally call themselves psychotherapists. So make sure
your therapist is licensed or certified as one of the following:
Psychiatrists are physicians who have completed three years
of residency training in psychiatry following four years of medical
school and a one year internship. Only psychiatrists can prescribe
medication and have the training to diagnose underlying medical
problems that can affect a person's mental state.
Psychoanalysts have a professional degree in either psychiatry,
psychology, or social work, plus several years of extensive supervised
training at a psychoanalytic institute.
Psychologists with the
credential Ph.D., Psy.D., or Ed.D. are licensed professionals
with doctoral level training, typically including a year of clinical
internship in a mental health facility and a year of supervised
post doctoral experience.
Social workers typically train in
a two year masters degree (M.S.W.) program that involves field
work in a wide range of human services, including mental health.
Those who seek state certification or licensing as a clinical
social worker (C.S.W.) need two years of supervised postgraduate
experience and must pass a state exam.
Professional counselors have a masters degree in the counseling field and must obtain
from 2,000 to 3,000 hours of postmasters supervised experience
prior to licensure, depending on state requirements. Professional
counselors must also pass a national or state administered exam.
Marriage therapists and family
therapists may have a masters
or doctoral degree from an accredited graduate training program
in the field, or some other professional degree with supervised
experience in the specialty.
Psychiatric nurses are registered
nurses who work in mental health settings, often as part of a
therapeutic team. Advanced practice nurses have a masters degree
and can provide psychotherapy (Consumer Reports, 1999).
LGBT Therapists • c/o
Dennis Christian, LICSW, DCSW
19 South 1st Street, 2208B • Minneapolis, MN 55401 email