Choosing a therapist is a very important decision, and a critical step on your journey of self discovery. Your first session is not only a chance for your therapist to learn more about you, it is an opportunity for you to identify if this is the right therapist for you. Some things that you should look for during your first session:
Is your therapist licensed to provide counsel?
Every state manages the licensing of therapists differently. In the state of Texas, Licensed Professional Counselors (LPC) have completed a Masters Degree in behavioral health, 300+ hours of practicum, a 3000 hour internship, and successfully passed the National Counseling Exam. State law requires therapists to openly display their license in office setting.
Does she/he listen to you when you speak?
Feeling comfortable with your therapist is a huge component of your treatment. It is important to be heard and understood during counsel. Good eye contact and recognition of understanding not only provides comfort, but also confirms that both yourself and the therapist are on the same page. Listening is the primary job for the therapist, however, being able to help you truly hear yourself is also an important factor to the counseling process.
Have limits of confidentiality, fee schedule and cancellation procedures been discussed?
Therapists are bound by law to maintain confidentiality unless authorized by the client otherwise. There are only 3 scenarios in which therapists are bound by law to break confidentiality:
1. Report of harm to child
2. Report of harm to elderly
3. Immediate danger to self or others.
Outside of these 3 scenarios, what is said during counseling remains between yourself and your therapist. Confidentiality should be explained prior to the beginning of services, and a waiver of understanding should be signed.
Knowing your therapists fee schedule is also highly important and should be discussed prior to the onset of services. Hourly rate and late cancellation fees should be discussed and agreed upon. Ask about accepted insurance plans, and out of network rates vs. in-network rates. Everything should be clear and easy to understand in regards to payment arrangements, fees, and cancellation protocol.
What is your counselors therapeutic approach?
When choosing a therapist, ask them to explain their beliefs, goals,and methods regarding counseling. While a crash course in psychotherapy is not required, it is helpful to understand the approach in which your therapist takes toward treatment. There are many theories and approaches to professional counseling. Different therapists practice differently and believe in a multitude of theories / methods. While each method differs, the ultimate goal is to help the client gain a greater understanding of self and make positive changes in their lives (if they so choose).
Remember the first session is your opportunity to make a very important decision:
Is this therapist THE therapist for me?