Treatment FAQ

when someone else determines which therapist and treatment is chosen

by Alexzander Gerhold Published 2 years ago Updated 2 years ago
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How is the type of therapy chosen for a patient?

Here are a few simple steps to consider: Ask for a Referral: If you know someone in therapy who seems to be making improvements in their life or you trust and respect your doctor, clergy, or ...

When to see a different therapist for mental health issues?

Nov 12, 2012 · Your therapist is a counselor—not your friend. But it is important that you choose someone that respects your opinion, your input, and your individuality. Susan James, PhD, a clinical psychologist at theUniversityofChicago, says that one of the most important things to consider when entering a therapeutic relationship is whether the values of ...

What does a therapist actually do?

Jun 17, 2015 · First and foremost, you must find a therapist you feel comfortable with. Therapy is not an easy process and your therapist is not there …

Is your therapist judgemental?

Apr 16, 2016 · A therapeutic alliance is an alliance based on a shared purpose—around the work you are there to do. It has three elements: There is a connection. There is mutual agreement about the purpose of ...

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What is transference psychology?

Transference is when someone redirects their feelings about one person onto someone else. During a therapy session, it usually refers to a person transferring their feelings about someone else onto their therapist. Countertransference is when a therapist transfers feelings onto the patient.Jun 27, 2021

Is when a therapist accepts the client for who they are not matter what?

The therapist's positive regard works as a model for the client's acceptance of himself, giving him the message that if the therapist can accept him no matter what he does, he can also accept himself exactly as he is.Mar 25, 2022

What does countertransference mean in psychology?

In psychoanalytic theory, counter-transference occurs when the therapist projects their own unresolved conflicts onto the client. This could be in response to something the client has unearthed. Although many now believe it to be inevitable, counter-transference can be damaging if not appropriately managed.Jul 31, 2021

What criteria should be used to determine if a therapist is competent?

Guidance for determining your competence is in Section 2 of APA's Ethics Code. It calls for clinicians to have sufficient "education, training, supervised experience, consultation, study, or professional experience" in a given domain to practice in it competently.

When do therapists break confidentiality?

There are a few situations that may require a therapist to break confidentiality: If the client may be an immediate danger to themself or another. If the client is endangering another who cannot protect themself, as in the case of a child, a person with a disability, or elder abuse.

What are Carl Rogers core conditions?

Rogers believed that by using the core conditions of empathy, congruence and unconditional positive regard, the client would feel safe enough to access their own potential.

What is boundary violation?

Boundary violations involve transgressions that are potentially harmful to or exploitative of the patient. They can be either sexual or nonsexual. They are usually repetitive, and the therapist usually discourages any exploration of them. By contrast, boundary crossings are benign and even helpful breaks in the frame.Oct 1, 2005

What is intrapersonal therapy?

IPT is a form of psychotherapy that focuses on relieving symptoms by improving interpersonal functioning. It addresses current problems and relationships rather than childhood or developmental issues.

What is client resistance in therapy?

Client resistance usually signifies that a particularly distressing issue has been brought to the forefront for the client. This issue might be central to the work both counselor and client are trying to achieve. Rather than avoiding the issue, researchers suggest that client resistance should be addressed.

How do you evaluate a therapist?

Evaluate Your Therapist
  1. You should make progress. ...
  2. You should get something new out of every session. ...
  3. You should be learning from your therapist. ...
  4. You shouldn't feel worried about your therapist's feelings – it's the therapist's job to take care of themselves. ...
  5. You should feel your therapist likes and cares about you.
Sep 8, 2013

What is the goal of humanistic therapy?

Humanistic therapy adopts a holistic approach that focuses on free will, human potential, and self-discovery. It aims to help you develop a strong and healthy sense of self, explore your feelings, find meaning, and focus on your strengths.Jun 23, 2021

When should you refer a client to another therapist?

Therapists should be ready to refer clients in cases when:
  • They need specialized help outside of your areas of competency.
  • The therapeutic relationship is unhealthy or unsafe.
  • Treating the client affects your own mental health.
  • You aren't available to offer the sessions needed.
  • Manage the referral process sensitively.
Apr 12, 2021

What is the job of a therapist?

The therapist’s job is to help you sort out what is the matter in a way you cannot do by yourself. When you reach a shared understanding, you know you have identified something vital. article continues after advertisement. My students always ask what to do when patients have no idea what is the matter.

What is a therapist's expertise?

A therapist’s expertise is about understanding how that fabric is woven and can potentially be rewoven, not about diagnoses. The initial sessions should focus on developing a shared understanding of what is really the matter—an understanding that makes sense to both of you.

What is therapeutic alliance?

A therapeutic alliance is an alliance based on a shared purpose—around the work you are there to do. It has three elements: There is a connection. There is mutual agreement about the purpose of therapy. There is mutual agreement about the methods you will use in pursuit of this purpose. All three elements are necessary.

What are the causes of emotional suffering?

The causes of emotional suffering are generally woven into the fabric of our lives—how we live, how we view ourselves and others, how we connect with people or fail to connect, what we desire and dread, what we know about ourselves and do not wish to know.

Why don't you search far and wide for a therapist?

You don’t search far and wide for a therapist who specializes in people with exactly your problem because there are no other people with exactly your problem. When you meet, notice whether the therapist seems more interested in you or your diagnosis.

Is there an expert in everything?

No one is an expert in everything. You may end up with a dilettante, or someone more concerned with filling their schedule than upholding their integrity. Beware of therapists who overemphasize that they specialize in certain diagnoses or disorders. A psychiatric diagnosis tells us little about how to help.

Is there a point in doing therapy?

There is no point “doing” therapy unless both participants know what they are there to do. Many therapists speak of the “therapeutic alliance" but fewer seem to understand what a therapeutic alliance entails. It does not just mean that you feel a positive connection. It is not an alliance based on just anything.

Why is individual therapy important?

Individual therapy is essential to work through personal issues, as the nature of the one-on-one aspect often allows for more growth in a shorter period of time. That being said, great gains can be made in group therapy, often due to the supportive aspect of the group setting.

What is the role of a therapist in rehabilitation?

In many rehabilitation settings, people with different therapeutic backgrounds may make up the treatment team, allowing clients to work with the therapist who is best suited for their particular situation .

What type of therapy is used for addiction?

A few of the therapy types that are often used in addiction treatment include the following: Cognitive-Behavioral Therapy (CBT): Cognitive-behavioral therapy is a common kind of talk therapy. According to Mayo Clinic, CBT is a structured, session-based therapy where clients talk openly with a counselor or therapist to discover the kinds ...

What happens if one therapy isn't working?

If one type of therapy isn’t working, it is important for the therapist or treating professional to be aware of other choices that may benefit the client. The American Psychological Association (APA) explains that therapists look to specific kinds of therapies to guide them in creating workable solutions for and with clients. If one mode of therapy isn’t working, it’s possible that another treatment type is the answer.

What is CBT for mental health?

If depression, anxiety, post-traumatic stress disorder, or other mental health disorders are present, CBT can help clients identify patterns of thinking that are contributing to the mental health issue.

What is rational behavior therapy?

Rational Emotive Behavior Therapy (REBT): Rational Emotive Behavior Therapy has a lot in common with CBT. It focus es on helping clients notice their habitual and automatic negative thinking so that more positive thought patterns can be established. This therapy was founded and established by Albert Ellis, and the Albert Ellis Institute tells us that REBT is action-based. It helps individuals to identify and challenge their own self-limiting beliefs with ones that are more health-oriented to promote personal wellbeing. Mayo Clinic tells us that REBT is an effective treatment, providing tools boost psychological wellness. REBT is often recommended for those looking for a shorter-term therapy and quick relief from psychological symptoms. Therapeutic benefits are often attained after 10-20 sessions, and it can be done in either an individual or group setting.

How many sessions of REBT?

Therapeutic benefits are often attained after 10-20 sessions, and it can be done in either an individual or group setting.

What do you do in therapy?

In therapy, you’ll work with a trained mental health professional. What you’ll do in each appointment depends on the preferred methods of your therapist and the issues you’re looking to address.

How does behavioral therapy help?

Behavioral therapy can help you change your behavioral responses.

What is the difference between CBT and DBT?

There are also some subtypes of CBT, such as: Dialectical behavioral therapy (DBT). DBT uses CBT skills, but it prioritizes acceptance and emotional regulation. You can expect to work on developing skills to cope with distressing or challenging situations.

What is rational emotive therapy?

Rational emotive therapy. This approach helps you learn how to challenge irrational beliefs that contribute to emotional distress or other issues. The idea behind rational emotive therapy is that replacing irrational thoughts with more rational ones can improve your well-being. What it’s good for.

What is psychodynamic therapy?

Psychodynamic therapy. Psychodynamic therapy developed from psychoanalysis, a long-term approach to mental health treatment. In psychoanalysis, you can expect to talk about anything on your mind to uncover patterns in thoughts or behavior that might be contributing to distress.

What is humanistic therapy?

Humanistic therapy is an approach that looks at how your worldview affects the choices you make, especially choices that cause distress. It’s based on the belief that you’re the best person to understand your experiences and needs.

What is cognitive behavioral therapy?

Cognitive behavioral therapy is a short-term approach to mental health treatment. It’s similar to behavioral therapy, but it also addresses unhelpful thought patterns or problematic thoughts.

How do therapists approach therapy?

So it’s important to ask yourself whether the therapist’s approach fits you and your needs. Therapists who draw primarily from the Cognitive-Behavior Therapy (CBT) tradition, for instance, will tend to be goal-directed, active, and collaborative. In the first few sessions, they’ll help you articulate your personal goals for treatment, with the purpose of arriving at a set of objectives that you will work on together. Although you’ll do the majority of the work yourself, the therapist will be an energetic guide, suggesting techniques, exercises, and even homework assignments. Therapists who draw from other traditions may take very different stances. Person-Centered Therapists, for example, will generally avoid offering techniques, tools, and assignments, instead favoring an approach that will help you find solutions to your own problems from within. Neither approach is necessarily right or wrong, as long as it’s compatible with what you’re seeking.

What are the problems that therapists deal with?

But many problems, including trauma, grief, marital conflict, and work-related issues, don’t fall neatly into any of these categories.

How many therapists did Danielle find?

At first, she was thrilled to discover many therapist search engines, including one offered by Psychology Today. But when she entered her zip code, nearly 50 therapists materialized on the screen. Her insurance provider’s web site gave her a list of 50 more, including some she could video chat with on the computer. As she read their profiles and visited their web pages, she quickly felt overloaded with information about their expertise, education, skills, and favored techniques. It wasn’t long until, overwhelmed by the whole process, she closed the browser and went back to bed.

Why don't people seek psychotherapy?

Despite their pain, most of these people will not seek psychotherapy . Although there are many reasons that people fail to seek therapy— including lack of funds and fear of being stigmatized —sometimes people simply find the whole process of locating a therapist intimidating. Although search engines make finding treatment simpler than ever, ...

What degree did Danielle have?

Danielle* looked perfectly fine, from the outside. She had graduated from college two years earlier with a degree in marketing and immediately found a job in an advertising firm. She lived in a beautiful neighborhood, had many friends, and was valued by her colleagues. At first, nobody knew how depressed she felt.

How long does it take to get relief from a psychotherapist?

There is no “quick fix” for the difficulties most people face. Though it’s certainly possible to feel relief after only a single session of psychotherapy, this is rare. According to research, at least a couple of months of weekly sessions are necessary to make headway on most problems.

Do therapists ask for feedback?

Many therapists make it a habit during these first few sessions to ask clients for frequent feedback about how they think therapy is going. Whether or not you’re asked, however, it’s perfectly appropriate to express your opinions about what is and isn’t working.

What is the role of a therapist in therapy?

After all, most therapists recognize that for therapy to be successful, their appropriate role is to help clients feel richly empathized with and understood— hardly to evaluate how adequate, right, or justified they may be.

What are the constraints of a therapist?

To maximize their therapeutic effectiveness , they must function within unusually narrow parameters. The license they extend—and must extend—to clients (i.e., to facilitate clients’ spontaneously sharing whatever is on their minds, and in their hearts) is one they’re duty-bound to deny in themselves.

What is the need to feel secure in a therapy relationship?

Whatever guilt, humiliation, or shame clients might harbor about past behaviors; whatever baffling, fearful, or outrageous fantasies or obsessions they might be afflicted with; whatever anti-social or criminal impulses may plague them , they must feel sufficiently secure in the therapy relationship to “lay bare” their various concerns. It’s not only true that qualified therapists would never respond to such revelations by grimacing and wagging their heads. Clients can also be assured that, unless their disclosures are so perilous that the therapist is ethically and legally obligated to report them, all the information they share will be held in strict confidence.

What is the most valuable function of therapy?

For clients, perhaps the single, most valuable function of therapy is the unprecedented freedom of expression it affords them . Assuming that their therapist is both competent and conscientious (i.e., not needing to advance a private agenda), clients have full license to share themselves without fear of criticism or negative judgment.

Can a therapist use a discourteous f-word?

Or they might use a disagreeable or discourteous obscenity in virtually every sentence (the much overused f-word very likely being their favorite). But here again therapists have to ask themselves whether directly commenting on what may be discomfiting (or possibly even distressing) to them will advance the cause of therapy. And even if in a particular instance a therapist determines that, yes, it would be beneficial to offer the client feedback on ways that their language could be detrimental to them, the question yet remains: Just how does this rejoinder need to be expressed so that it minimizes any chance that the client will feel affronted or attacked?

Do therapists make fun of their clients?

Yes therapists make fun of their clients to friends and talk about their clients to friends an family. They are human like all of us.

Do therapists have to honor the double standard?

For, in effective therapy, the self-expression double standard must always be honored. But outside this “sacrosanct” setting, therapists have every right to assert their freedom to share what they were compelled to forbid themselves earlier.

What to do if you are not sure if your therapist is qualified?

If you’re not sure that your therapist is qualified to help you, find out the provider's specialties. If you have a personality disorder, and the therapist is not trained to treat such disorders, find someone who can provide specialized care.

Why is it important to see a therapist?

If you’ve chosen to pursue therapy, it indicates that you’re ready to work through your problems and better yourself.

What happens if a therapist touches you?

Unethical therapists betray their patients’ trust and violate professional codes of conduct. If your therapist has touched you inappropriately or sexually propositioned you, it's important to end all sessions immediately and report the therapist to the state licensure board or other appropriate authorities.

Why should a therapist not force your religious views?

It’s difficult to make progress in therapy if you can’t be your authentic self—and a therapist who judges you because of your history of drug addiction, sexual promiscuity, financial irresponsibility, or another reason will prevent you from opening up and growing.

What to do if your therapist is condescending?

The same advice applies if you feel that your therapist is condescending, talks down to you, or is not quite comfortable with you.

How to find a good therapist?

To increase your chances of finding the right one, make a list of non-negotiable qualities you want in a mental health provider. If your therapist must share your gender, religion, or ethnicity, specialize in a certain area, or live within a certain distance of your home, only meet with providers who meet these criteria.

Can a therapist be right for you?

Therapists have opinions just like anyone else, but if you feel judged by your therapist based on your religion, sexual orientation, profession, or another reason, this provider may not be right for you.

Why is therapy important?

While there may be many reasons for that, the biggest value of therapy is in creating awareness of the habits of mind that often don’t serve us.

What is the point of counseling?

The point of counseling is to create positive changes without the client feeling hurried or being worked on.

How many sessions are in SFBT?

Solution-Focused Brief Therapy (SFBT) is typically very brief (three to five sessions), focuses on finding solutions, and attends only minimally to defining or understanding the presenting problems (De Shazer et al., 1986).

How to assess cognition in CBT?

Assessing cognition within the CBT model comes down to helping the client examine their thoughts by asking questions related to how the client perceives themself, others, and the future.

What is the goal of listening to clients?

Empathic, nonjudgmental listening is crucial. The goal is to make the client feel acknowledged and accepted for who they are, and for that, caution and patience are required.

Why is therapy important for depression?

While there may be many reasons for that, the biggest value of therapy is in creating awareness of the habits of mind that often don’t serve us.

What is the goal of systematic therapy?

The goals for therapy are as varied as the dilemmas our clients struggle with. A systematic approach to the exploration of issues can go a long way in effectively addressing what is brought to the table and, most of all, in getting to know the person who brings them.

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