What is Psychotherapy?
Also known as talk therapy, counseling, or simply, therapy, psychotherapy is an evidence-based, collaborative treatment based on a relationship between an individual and a mental health professional. Psychotherapy is grounded in theory and skill-based dialogue (conversations) that aims to help a person identify and change troubling emotions, thoughts, and behaviors.
Don’t only “crazy” people go to therapy?
Not everyone who benefits from psychotherapy is diagnosed with a mental illness. Some people seek therapy because they feel depressed, anxious, or angry for a long time. Others may want help for a chronic illness that is interfering with their emotional or physical well-being. Still others may have short-term problems they need help navigating such as a divorce, feeling overwhelmed by a new job, nervousness regarding their future, or grieving a family member's death, for example. Psychotherapy can help with the many stresses and conflicts of life that can affect anyone.
Is it normal to be nervous my first appointment?
There are many misconceptions about psychotherapy, so you may be reluctant. Starting something new can always be cause for some anticipatory anxiety. Many people feel that going to counseling means they have become powerless over their lives, however we see this as the opposite as you have now chosen to take your power back.
In the first session we will review your completed paperwork, discuss confidentiality and boundaries, and begin to discuss your needs and goals. Don't worry that you won't know what to do once the session actually begins, we have experience setting the tone and getting things started. The first session is also an opportunity for you to interview your therapist. You will be able to determine whether their personality and approaches are going to work for you. If you don't feel comfortable with the first therapist you see, try someone else. Having a good fit with your therapist is critical for effective treatment.
What are sessions like?
It may take a few sessions to fully understand your situations and concerns and determine the best course of action. It's important to not rush this process. You will likely meet with your therapist weekly or every other week for 45 minutes to one hour. Your therapist will encourage you to talk about your thoughts and feelings and what's troubling you. Don't worry if you find it hard to open up about your feelings. We will help you gain more confidence, trust, and comfort as time goes on.
Together, you and your provider will develop a “Treatment Plan.” The Treatment Plan outlines your specific goals, how we will measure them, and what will happen to help you reach them. This collaborative goal-setting is important, because both of us need to be invested in achieving your goals. Some types of psychotherapy work better than others in treating certain disorders and conditions. Your therapist will consider your situations and preferences to determine which approach or combination of approaches is best for you.
Because psychotherapy sometimes involves intense emotional discussions, you may find yourself crying, becoming upset or even having an angry outburst during a session. You may also feel physically exhausted after a session. We will help your cope with these feelings and emotions.
Why shouldn’t I just take medication?
In our quick-fix culture, people often hope a pill will offer fast relief from such problems as depression or anxiety. There are some psychological conditions where medication is warranted. But many other cases are less clear-cut and medication alone will not solve all issues.
Our work together is designed to explore the root of the issue, dig deep into your behavior and teach strategies that can help you accomplish your personal and/or relational goals. As you begin to resolve the problem that brought you to psychotherapy, you will also be learning new skills that will help you see yourself and the world differently. You will learn how to distinguish between situations you can change and those you can't and how to focus on improving the things within your control. You'll also learn resilience, which will help you better cope with future challenges.
For some conditions, combining psychotherapy and medication works best. If we feel you need medication, we can work with your primary care provider or a psychiatrist to ensure a coordinated approach to treatment that is in your best interest.
Can I afford Therapy?
Therapy is an investment in yourself and your future. If you have health insurance, it may cover mental health services such as psychotherapy. Your employer may also offer an employee assistance program. We are contracted with most commercial insurance plans and will discuss your benefits and any applicable out of pocket expense that may be applicable before your first appointment. Unfortunately, we are not able to bill Medicaid or Medicare plans, but sliding scales will be taken into consideration in these circumstances.
I want to get the most out of therapy. What can I do to help?
I am so glad you are dedicated to getting the most out of your sessions. Your active participation and dedication is crucial to your success. Psychotherapy is different from medical or dental treatments, where you sit passively while a professional works on and then tells you what your treatment plan is for your diagnosis. What makes psychotherapy work is the collaborative relationship between you and your provider.
Ask questions. Help set goals. Discuss a timeline. Share feedback about your session. Ask for suggestions, books, websites, and other useful information.
And because behavior change is difficult, practice is also key. Stay mindful between sessions - it's easy to fall back into old patterns.
