Therapy is not a uniform experience. It is the intersection of science, art and relationship. A variety of therapy approaches exist—in fact, you are essentially choosing amongst different services. Here is some guidance for making a smart decision on what kind of therapist to choose.
This post was created in collaboration with Silver Lake Psychology.
By: Dr. Brandy Engler, PsyD.
Therapy is not a uniform experience. It is the intersection of science, art, and relationship. A variety of therapy approaches exist—in fact, you are essentially choosing amongst different services. Here is some guidance for making a smart decision on what kind of therapist to choose.
Most people understand that therapy is a place to share your story; a safe, confidential space to heal, grow and explore oneself under the guidance of a licensed professional. However, the workings of therapy can seem opaque. What exactly happens in sessions? Who takes the lead? How do I know if it’s working?
There is a wide variety of therapy styles, each with their own treatment protocol and philosophy on human behavior. Your experience in the therapy room could be very different from one therapist to another. So how do you know what modality your therapist uses and if it’s right for you?
Most therapy modalities can be broken down into two broad categories: symptom-focused and exploratory.
For example, therapists using the popular Cognitive-Behavioral Therapy (CBT), offer an approach that is goal-oriented and focused on symptom relief. Sessions are structured, the therapist is active and takes the lead in each session. A Cognitive-Behavioral Therapist is focused on the present moment, and less on your past. She will want to examine your immediate thoughts, behaviors, and emotions, guiding you toward change. Interventions may include role-plays, thought experiments and exposure therapy.
Conversely, some therapy modalities offer a more open-ended, free form exploration of your life. Sessions are geared toward insight and a deeper understanding of your past and how it contributed to who you are. The client is more likely to take the lead, while the therapist follows. Some creative interventions may be offered such as dream analysis, art therapy or ‘empty chair’ techniques where parts of self can converse with each other to expose hidden feelings that may be influencing your behavior.
There are many therapy methodologies that range on a spectrum across these two poles. Deciding which general style fits your personality and treatment needs is a step in the right direction.
What constitutes a good therapy experience is individualized and based on the therapist’s ability to create a treatment plan for your unique needs. A therapist typically explains her approach to treatment at the end of the first session. The first one to three sessions are an assessment phase where the therapist and client collaborate on goals. For this reason, I recommend meeting a therapist at least two times before deciding about proceeding. You are also assessing the therapist and should share what you want from the therapist.
In general, if you are coming to therapy because you are experiencing anxiety, depression, trauma or any other symptoms and you want to feel better, then you want to choose a structured, goal-oriented therapy like Cognitive-Behavioral Therapy, Solution-Focused Therapy or EMDR (for trauma).
If you are coming to therapy to explore life decisions, transition, relationships, or self-esteem, a more creative, open—ended therapy may be better.
A group private practice, like Silver Lake Psychology, offers a professional matching service to assist you with finding the right therapist for you. Intake teams have vetted the therapists and are skilled at hand-picking therapists for you based on your goals and desired therapy experience. This is much more efficient than scrolling through therapist directories and reading endless therapist bios.
Tip: Avoid group practices that function as ‘patient mills,’ assigning you to the next available therapist that takes your insurance without considering the relational fit.
Research on what makes therapy effective, shows that there is a single factor that is more important than the treatment modality. It is the relationship fit. The connection must feel right. Going to therapy is a decision to be vulnerable with a total stranger. When you find the right connection, the relationship itself becomes healing. It may take more than one meeting to find the right match. Here are some questions to ask yourself post-session:
Research on therapy outcomes also indicates that another important factor in the success of therapy is you. Do you challenge yourself, take risks and put in effort?
Getting better requires effort from both client and therapist.
When it comes to therapy, all of these clinicians are good choices. When reading a therapist bio, look for their areas of interest, certifications, and specialties. Therapy is meant to be a healing relationship. Regardless of therapy approach, all therapists are trained than affirming, compassionate and non-judgmental relationship is the foundation of our work. A good therapist can help you to feel better, to develop emotional intelligence and overcome your past. The positive effects can have impact in your relationships, career and across your lifespan. Take your time to find the right therapist for you.
Here are some resources that might be helpful to you
Tue Feb 09 2021