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HOW DO I BEGIN COUNSELING? / Sandra Normand, MA
Wednesday, Mar 18, 2009 6:21pm


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HOW DO I BEGIN COUNSELING?

The decision to seek help for a personal situation can be confusing.
Talking to an outsider about personal problems can strike fear in
even the bravest of souls. Knowing what to expect can make that
decision easier.  First, what information do you need to have?
Here are some good questions to ask when scheduling the first
appointment, or at the time of the first appointment. A qualified
therapist will be glad to answer these questions, and will appreciate your interest in the therapy process.

• What are your credentials?
• How long have you been in practice?
• What is your location and appointment availability?
• Do you accept phone calls between scheduled appointments if necessary?
• Do you handle billing the insurance company?
• What are your fees?
• What is your position on medications?
• Do you specialize in a particular type of treatment or therapy?
• What happens if I have to miss an appointment?
• Might you see other members of my family if appropriate?
• What is your style of therapy like?
• Do you take an active role in the process?
• Do you assign homework?
• Will we set goals early?
• Am I part of the treatment planning?
• How will I know when I am finished with therapy?
• What about confidentiality?
• If you are bringing in a child for therapy, it is helpful to20discuss
   what information the therapist is going to share with you, and
   if the therapy will involve other family members.
• Do you have anyone that fills in for you when you go on vacation?

WHAT TRAINING DO MENTAL HEALTH PROFESSIONALS HAVE?

It can be confusing to figure out what type of counselor may be best for
your specific needs. The following outlines the most common credentials that counselors hold.

~MD in Psychiatry--A psychiatrist is a medical doctor and is able to
  prescribe medications. For example, medications  such  as
            antidepressants and anti-anxiety agents are sometimes found
            to  be a very helpful adjunct to counseling. Not everyone who
            gets counseling needs to be on medication, but if medication is
            recommended, it is important to have a medical doctor who can
           monitor you and work with you to make sure you are getting
           the most benefit possible from it.
~Psychologist--A Psychologist has a Ph.D. or Masters degree in
           psychology, and should licensed in the state in which they
           are working. Psychologists have studied human interactions
            and behavior, and work with individuals, couples, or families to
           help=2
0understand and find solutions to problems.
           Psychologists with a Ph.D. are often called Doctors also,
           referring to the academic degree, not medical training.

~Counselors/Social Workers/Clinical Nurse Specialists--This group
           generally has a Masters degree in one of the helping fields. The
           overall training for these three groups is often similar. All groups
           of therapists are concerned  with helping clients find ways to
           change or adapt certain patterns of thinking, interacting, or
           feeling that are not helpful by learning new, healthier ways of
          living life. Counselors (LPC), Social Workers (LCSW), and
           Clinical Nurse Specialists(CNS) are also licensed by the state in
           which they work.

~Marriage and Family Therapists--Also have at least masters' degree,
           and specialize in understanding the role that our family plays in
          who we are. Often they will work with several members of a
           family to help individuals within the family or the family as a
          whole improves communications and relationships.


ROLE OF THE THERAPIST

All of these professionals have the s
ame overall goals - to help the client(s) sort out problem areas in his/her life, provide a safe environment in which to explore and express feelings about these areas, and develop more effective ways of working out these difficulties.

Therapists usually have their own particular approach in which they try to accomplish the above. Some may be very interactive with you, and to focus primarily on problem resolution. They may assign "homework" between sessions to reinforce more productive behaviors. Some may be less participatory in the sessions, and choose to help guide you to finding your own answers through listening and exploring how the past has affected the present. Good therapists adapt their methods to meet each individual's needs. It is important that you feel comfortable with the therapist, regardless of his/her qualifications.

You need to feel really heard and understood when you share your thoughts and feelings. Your therapist needs to respect your feelings and beliefs, and does not try to impose any of his/her own personal values on you. A therapist should not try to force you to talk about anything you are not ready to discuss, but also encourage and support you to own those thoughts and feelings that may be harder to acknowledge and address.

YOUR ROLE IN THERAPY

Understand that there are no "magic cures," and the therapist cannot "fix" the problem for you. Brief counseling can assist you in d
etermining if you need intensive therapy.  Therapy requires hard work and patience. Do not get discouraged and give up. At times you may start feeling better and think everything is fine and stop therapy too soon. Talk with your therapist about how you are progressing.  Be willing to challenge yourself to change the way you look at things.  Be open to new ideas.  Be willing to change the way you think and/or behave. Understand that the therapist, while trained in this field, does not have all the answers and is not perfect. Once the problem situation is therapeutically explored, you willbe equipped to discover your answers and to make your own choices.

Be committed to the process - Do not miss appointments unless necessary and always call to let the counselor know ahead of time.  Other people may need that time slot. Both you and your therapist have the same goal for you in therapy - improved relationships, personal growth, and more satisfaction and fulfillment out of life.

Many people report that they wish they had begun counseling earlier.  You do not have to struggle alone---counseling can help increase your understanding and give you tools to use to work out your particular situation and improve your life.

WHAT ARE MY SERVICES?

People generally come to counseling because they are experiencing emotional pain or wish to improve their lives in some way.  I work with individuals ages12-65, coup
les and families.  Some of the most common problems addressed in counseling include the following:

~~ Anxiety, from moderate stress to panic attacks
~~ Mild to moderate depression
~~ Self Esteem
~~ Improving Relationships both personal and work
~~ Coping with grief/loss
~~ Understanding family and childhood experiences
~~ Crises such as serious illness or divorce
~~ Parent/Child Relationships
~~ Anger Management

 


Everyone needs someone to listen and talk with sometimes.  Counselors help people resolve personal and relationship concerns. Misconceptions can prevent someone from seeking counseling.  The media, family and friends can perpetuate these misunderstandings. A few of these include:

"Be strong"    Having doubts, sadness, anger does not imply
                      weakness.  Denial in the guise of being strong can do
                     more harm.  Facing your fears and concerns takes
                     courage.

"Don't tell your business"     Your sessions with a counselor are kept
                     confidential. With few exceptions, your written permission
                    is required before your records can be released.

"Everybody will think I'm crazy"     Your own thoughts may keep you
                     from seeking
help when you need it most.  Know that you
                     don't have to suffer in silence or alone.  Help is available.

 "I went once and it didn't work"     Counseling involves change.  It isn't
                      magic.  Change can be swift or may take more time,
                     depending on the situation. Keep an open mind and be
                     willing to do the work.  Many people, after receiving
                    counseling,  wish they had done it sooner.


WHAT TO EXPECT AT YOUR FIRST SESSION

Some people are nervous at their first session.  This is normal.  The first thing you are asked to do is fill out basic forms,
and read about confidentiality, your rights and responsibilities during counseling.  During your first session, You can describe
why you are seeking counseling and the reasons you have chosen this time to do so.  You can ask questions about the process.
The counselor will ask questions about your present situation, your family background, general health, self-care and important
relationships in your life. You decide if you are comfortable with the counselor and want to continue with additional sessions.
The counselor decides if the client's concerns are within his/her expertise or if a referral i
s necessary.  If you both agree to
continue counseling, you and the counselor begin together to identifythose concerns and how to address them. This may include
homework and goal setting, as well as personal reflection and self-motivation to change.

My role as a counselor is to facilitate your mental health growth through intentional strategies designed to assist you in safely exploring your thoughts, feelings and relationships.  Then, together we define your present problem situations, explore, examine and evaluate possibilities, develop future goals for an improved life and work in a systematic fashion toward realizing these personal goals.

 

QUESTIONS? Or to Make An Appointment, Call

Sandra Normand, MA
Counselor Intern
The Center for Therapy
1800 Buckner St., C-200
Shreveport  LA  71101
e-mail:  sknormand@aol.com
Tel : 318-227-9002
Fax:  318-227-9025

http://www.mcmilliancounseling.com


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