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Finding a therapist

bigpandabigpanda Registered User regular
edited September 2008 in Help / Advice Forum
Ok, so this isn't related to the hair thread that I just posted. Ok, well, not directly anyhow.

So I've come to the conclusion that I have issues. I'd rather not have these issues. I have an idea of what these issues are, but not how to deal with them, overcome them, or make them go away. My thought is a therapist could help me with this only I've never looked for one so don't know where to start or what to look for as far as credentials go.

What kind of training/studies should a qualified reputable therapist or psychologist have? My sociology professor once told me that there were psychologists, therapists, and psychotherapists and each one had to have a certain level of degree or studies. I can't remember which one, but I think he said one of them didn't have to have anything.

What kinds of questions should I ask them so that I know they're not going to screw me up any more than what I think I already am.

bigpanda on

Posts

  • theclamtheclam Registered User regular
    edited September 2008
    A good therapist should have a degree (master's or bachelor's) in the field and should be professionally licensed. A psychologist would have a doctorate, but may or may not do therapy (some only do research or teaching).

    I would ask your doctor for a referral to a therapist. Also, if you've got a local university, you can always contact the Psychology department and ask them for a list of psychologists with a clinical practice.

    During a session, listen to the therapist, answer their questions, be open-minded, and tell the truth. If you don't like your therapist, feel free to get another one. It's important to find someone who you feel a connection to.

    theclam on
    rez_guy.png
  • FeralFeral MEMETICHARIZARD interior crocodile alligator ⇔ ǝɹʇɐǝɥʇ ǝᴉʌoɯ ʇǝloɹʌǝɥɔ ɐ ǝʌᴉɹp ᴉRegistered User regular
    edited September 2008
    bigpanda wrote: »
    What kind of training/studies should a qualified reputable therapist or psychologist have? My sociology professor once told me that there were psychologists, therapists, and psychotherapists and each one had to have a certain level of degree or studies. I can't remember which one, but I think he said one of them didn't have to have anything.

    The therapist's level of education has not been shown to have any effect on therapy outcomes in studies. Therapists (master's degree), psychologists (doctorate), and psychiatrists (medical doctors) are all equally capable of providing therapy. Psychiatrists can also prescribe drugs where the others, in general, cannot.

    You'll want to find somebody who uses cognitive-behavioral techniques in their therapy (which the vast majority do) and preferably somebody with experience with your particular issues.

    If you have insurance, call your insurance company and get a list of therapists in your area on your insurance plan.

    If you are uninsured and money is an issue, call your county's health department and ask for referrals to free and low-cost therapy. You may end up getting therapy from an intern, but getting therapy is like going to the gym - it's more important that you go than where you go.

    Another option for finding a therapist is to go the website of your state chapter of the American Psychological Association. Your location says Seattle, so if that is correct, your state's APA chapter's website is: http://www.wapsych.org/displaycommon.cfm?an=1&subarticlenbr=125

    That link above will take you to a therapist locator, where you can search by sex, ethnicity, specific techniques used, areas of specialty, etc.

    Feral on
    every person who doesn't like an acquired taste always seems to think everyone who likes it is faking it. it should be an official fallacy.

    the "no true scotch man" fallacy.
  • witch_iewitch_ie Registered User regular
    edited September 2008
    It's also important to find a therapist that you feel understands you and can help you. The best way to do this is to get a list of licensed therapists from any of the sources mentioned and start calling around. Talk to the therapist over the phone to see if they can help you with your specific problem. Now, most of them will say that they can, but it's about how you feel about speaking with them that matters. Once you find one that you think can help you, go with that one. Most will not charge for this call which should take no more than 10 minutes. Just explain your situation and see what you think. You can also ask about their rates during the call.

    witch_ie on
  • lizard eats flieslizard eats flies Registered User regular
    edited September 2008
    pretty much what everyone else has said.

    If you are in college, it probably has a counseling center. Go talk to them, and they should be able to get you a referral.

    If you are full time employed check to see. Lots of companies have some sort of mental health related service (like thru Magellean health services or something http://www.magellanhealth.com/) These are services your company pays for that will help find you therapists and whatnot. And many times will get you something like 8 free sessions. Find out if your company has it, and call them up. They'll find you a therapist who looks good... schedule an appointment and go. If they cant help you, ask for a referral to someone who can.

    Thats another good point: You have to be comfortable with this person. They may look great on paper.. but if you get a bad vibe.. or cant open up to them, dont be afraid to go somewhere else. Remember you are hiring this person to provide you with a service. You are not obligated to them in any way. Sometimes it takes two or three tries to get someone you can work with. Lord knows Ive called and talked to.. um.. 5-6 different ones (in a 3 month period or so) tho I need a bit more of a specialist than most. Dont be afraid to ask them questions. Make them work with your insurance if you have it. If you dont have insurance, many work on a sliding scale.

    The big difference is: psychiatrists can prescribe drugs, the rest cant (but can refer you to a doctor who can). You'll see things like LCSW (licensed clinical social worker) or psychologist, psychotherapist etc. I have heard some bad things about going to a phychiatrist in that many just try and drug you up as a first resort. Its annacdotal for sure, but it serves as a warning that, you can get some bad shrinks in any of the categories. So just because someone is a LCSW doesnt mean they are inferior to someone else. It really is about who YOU can work with.

    Good luck, be open and honest, and i wish you the best


    edit: cause i screwed them up and didnt proofread

    lizard eats flies on
  • FeralFeral MEMETICHARIZARD interior crocodile alligator ⇔ ǝɹʇɐǝɥʇ ǝᴉʌoɯ ʇǝloɹʌǝɥɔ ɐ ǝʌᴉɹp ᴉRegistered User regular
    edited September 2008
    psychologists can prescribe drugs

    Not in Washington they can't. You're either thinking of psychiatrists, or a different state or country.

    Feral on
    every person who doesn't like an acquired taste always seems to think everyone who likes it is faking it. it should be an official fallacy.

    the "no true scotch man" fallacy.
  • lizard eats flieslizard eats flies Registered User regular
    edited September 2008
    Feral wrote: »
    psychologists can prescribe drugs

    Not in Washington they can't. You're either thinking of psychiatrists, or a different state or country.


    ARG i knew i would type the wrong thing in there... I thought i was being careful... i'll edit my post.

    lizard eats flies on
  • bigpandabigpanda Registered User regular
    edited September 2008
    Thanks for the links and advice guys. I'll contact my insurance company to get a listing in my area.

    One last question. Part of me is considering seeing two therapists, one for dealing with self esteem and food issues and the other for some other personal issues. I'm a little hesitant to say I'd have a food addiction since it's something that you need to survive, but also know that you can't see the forest from the trees most times.

    Would there be a good reason to see two different ones or should I just find one that can handle both, or go to one for one thing and once I've overcome or dealt with those issue move onto the other? Seeing two at once would concern me that I might get conflicting viewpoints or screw myself up in some way.

    bigpanda on
  • lizard eats flieslizard eats flies Registered User regular
    edited September 2008
    I think i'd stick with just one. Unless the issues are so different that they require two people with separate specialties. But you are going to be developing a relationship and a dynamic with your therapist, so I would think you would want to retain that momentum.

    lizard eats flies on
  • SeptusSeptus Registered User regular
    edited September 2008
    I'm sure this will vary quite a bit, but what would be a rough estimate of hourly cost per session with a "good"(not sure how else to describe it) insurance plan? $80 per hour, $150, $200 or more?

    Septus on
    PSN: Kurahoshi1
  • FeralFeral MEMETICHARIZARD interior crocodile alligator ⇔ ǝɹʇɐǝɥʇ ǝᴉʌoɯ ʇǝloɹʌǝɥɔ ɐ ǝʌᴉɹp ᴉRegistered User regular
    edited September 2008
    Septus wrote: »
    I'm sure this will vary quite a bit, but what would be a rough estimate of hourly cost per session with a "good"(not sure how else to describe it) insurance plan? $80 per hour, $150, $200 or more?

    Without insurance: $75-150
    After insurance: $0-30, depending on your plan - and usually only for the first six months.

    However, as I've said before, a lot of therapists will work on a sliding scale for people who can't afford their usual rate.

    Feral on
    every person who doesn't like an acquired taste always seems to think everyone who likes it is faking it. it should be an official fallacy.

    the "no true scotch man" fallacy.
  • SeptusSeptus Registered User regular
    edited September 2008
    Only for six months, with weekly visits or monthly?

    Septus on
    PSN: Kurahoshi1
  • lizard eats flieslizard eats flies Registered User regular
    edited September 2008
    the therapist im seeing i think is.. 120.. 150? as their usual rate, but is coming down to 80 for the first few sessions while we figure out the insurance fun (im sort of half way inbetween insurance plans)

    most insurance you either have a co-pay of some flat rate, or they pay a percentage so feral's estimates look pretty spot on.

    also feral: thats interesting about being usually for just the first six months. This is something i must research.

    lizard eats flies on
  • FeralFeral MEMETICHARIZARD interior crocodile alligator ⇔ ǝɹʇɐǝɥʇ ǝᴉʌoɯ ʇǝloɹʌǝɥɔ ɐ ǝʌᴉɹp ᴉRegistered User regular
    edited September 2008
    Septus wrote: »
    Only for six months, with weekly visits or monthly?

    Weekly.

    Usually they put a cap on the number of visits they'll cover, like 30.

    Feral on
    every person who doesn't like an acquired taste always seems to think everyone who likes it is faking it. it should be an official fallacy.

    the "no true scotch man" fallacy.
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