HOW TO CHOOSE A THERAPIST
Part II
Therapist Characteristics
There are many good therapists who feel it is
important to avoid giving their clients personal information. Therefore, do not
assume that a therapist who will not answer personal questions is a bad
therapist! What you need to do is decide whether your choice of a therapist
will depend on that person's willingness to answer personal questions.
You may want your therapist to have specific
personal characteristics. For instance, whether the therapist is a man or a
woman is often important to people. Other personal characteristics that may be
important to you are: age, ethnicity, sexual orientation, marital or
relationship status, whether the therapist has children, or spiritual
affiliation.
It is important to remember that there are both
advantages and disadvantages to having a therapist who is like you in certain
ways. For instance, if you and the therapist are both divorced women with
children, your therapist may be able to easily understand some of your concerns.
However, she will also need to remember that her experience and yours are not
necessarily the same. On the other hand, a single woman without children may be
a very well-trained therapist who is sensitive to your issues.
A Note on Dual Relationships
It is unethical for a psychotherapist to have a
'dual relationship' with a client. This means the therapist should have no
relationship with you in addition to having you as a client. Specifically, the
therapist should not be your employer, supervisor, spouse, lover, relative, or
friend. There is a very good reason for this prohibition. No matter how hard
your therapist works to give you choices and control in therapy, you will always
be more vulnerable than the therapist. This is inevitable. You are there to
work on your concerns, so the therapist is going to know much more about you
than you will about the therapist. Since you will be the more vulnerable one in
the relationship, it is important that you believe the therapist's primary
concern is to help you.
If your therapist has any relationship with you
in addition to the therapeutic one, that additional relationship can interfere
with your therapy. If, for example, the therapist hires you to paint the
therapist's office and then complains about your work, how will that make you
feel about the therapist's ability to help you? Also, if the therapist is angry
about the paint job, how can that anger be separated from the therapist's
feelings about you as a client? This example is a simple one: dual
relationships become even more complicated if the therapist is also a relative
or a lover. No responsible therapist will agree to see you as a client if you
already have a relationship with that person. No responsible therapist will try
to start any additional relationship with you while you are a client.
Where To Find A Therapist
There is no one best place to find a therapist. Here are some places
to check:
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Physicians |
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Religious/Spiritual Organizations |
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Word of Mouth/Friends |
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School Counselors |
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Referral Lines |
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Community Mental Health Centers |
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Ads |
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University Clinics |
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Community Organizations and Centers |
After The First Session
The first session with a therapist should always
be a consultation, with no commitment by you or the therapist to continue if
either of you feels you will not be able to work together. After the first
session, ask yourself if you felt safe, if you felt like you were treated with
respect, if you felt listened to. Ask yourself if you are willing to talk with
the therapist about your concerns and if you feel the two of you can work
together. If the answer to any of these questions is "no," you have
two choices. You may decide to tell the therapist what you did not like or feel
good about and see how you feel about the response you get. On the other hand,
you may want to schedule a consultation with one or more other therapists and
then select the one you prefer.
Return to Part I
5/28/98

Author and psychologist Gail S. Bernstein,
Ph.D. has a psychotherapy practice in Denver, Colorado. Dr. Bernstein speaks
and writes about gay, lesbian and bisexual people for both general and professional
audiences, and is the author of the new audiotape, NOT
HETEROSEXUAL: An Educational Program About Gay, Lesbian and Bisexual People.
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