Answers to some frequently asked questions about therapy and what to expect:

Why go to a therapist?

There have been many studies that show the effectiveness of therapy in improving quality of life. A well-regarded Consumer Reports study concluded that patients benefited very substantially from psychotherapy. The most interesting news from that study was that no specific type of psychotherapy fared better than any other, and psychologists, psychiatrists, and social workers did not differ in their effectiveness as therapists. The fit of client and therapist seems to be the key to good therapy results.

Therapy is probably a good idea if:

  • You develop significant stress around making decisions;
  • You find it very difficult to create or hold onto satisfying relationships;
  • You realize that an addiction or obsession has gotten out of control;
  • You have an unresolved emotional issue that is affecting your health;
  • You feel depressed, anxious, fearful or panicky most of the time;
  • You are agitated, unfocused, have trouble paying attention to everyday details;
  • You have trouble managing your anger;
  • You are frequently distressed by traumatic memories or recurrent dreams.

When to seek therapy?

There are many reasons why clients seek therapy. Your physician, a friend, family member or acquaintance may give you a clue. Choosing to get the caring, knowledgeable support of a good therapist is a sign of strength, not weakness:

  • When you feel like you just can't do it alone;
  • When you feel trapped and see no way out;
  • When you worry all the time, go in circles, but never find the answers;
  • When you can’t sleep, have serious problems at work and in relationships;
  • When you are alone, can't talk to family or friends, or their advice doesn't help.

What happens in therapy?

You sit in a comfortable chair in a safe, comfortable space, with privacy and without interruptions, usually for 50 minutes although the time can vary. You have a caring, non-judgmental person to talk with about any problems you might have.

You will be treated as the expert about yourself (you know yourself the best). You don't need to only talk about feelings or answer a bunch of personal questions you are not ready for, but the therapist will direct your conversation. You have a place to be real and honest with yourself about what you want and need. You have someone who can give you realistic and objective feedback. You will not be blamed for the problem. You will get the support, encouragement and guidance you need to confront your issues and self-limiting patterns.

Types of therapy services

  • Individual Therapy/Psychotherapy
  • Brief Therapy
  • Group Therapy
  • Couples Therapy/Marriage Counseling
  • Family Therapy
  • Child Therapy
  • Residential/Retreat-based Therapy
  • Crisis and Disaster Counseling
  • Coaching
  • Distance Therapy (phone, chat and email)

Success of therapy

The most important factor in your success with therapy is your attitude and the way you work on your own and with the therapist to get the results you want.

For therapy to work, you have to open yourself to the therapeutic relationship, and you have to realize that the process requires you to share very personal information that you may find embarrassing, or even shameful. It takes some courage and willingness to do so.

You'll discover that an experienced, well-trained, state-licensed therapist is focused on working with you to help overcome your problems, not on judging you for your thoughts, feelings, or actions. Furthermore, the very strict rules of confidentiality governing conversations between you and your therapist are designed in great part to help you feel more comfortable in sharing fully and openly.

Because the fit between you and your therapist is so important, you should not hesitate to interview more than one before choosing which to work with. And, if your expectations are not being met, discuss it frankly with the therapist and find another therapist if you cannot reach agreement on an approach that works for you, the client.