How to Find a Counsellor

Carole and I often have people asking about who to see for counselling or where to find a psychiatrist or psychologist, sometimes in towns I have never heard of. I (Paddy) have put together a few thoughts that might move you along to your destination. Here you are:

1.         What kind of counsellor do you want? You may not know that a marriage counsellor might not be as helpful as you hope in working with your anxiety or assessing autism in your child. Make sure you ask for what you really want. It is okay to ask a prospective therapist what they love doing.

2.         Think about coverage or third party payment. In our part of the world (BC), medical doctors or psychiatrists are paid for your visits, so you don’t pay, your insurance does. Registered psychologists (Paddy is a psychologist) are covered by most insurance programs but you must make sure how much coverage you have – each insurance program is different. Carole is Registered Clinical Counsellor and it is increasingly common to have these folk covered as well. By the way, it is okay to ask for a reduction in fee if you are financially stretched. The counsellor can always say “No.”

3.         Consider the “match.” Do you want someone who understands and identifies with your faith commitment or family status? If you are LGBT, do you hope for someone who shares your hopes and experiences? Match is one of the most important criteria in choosing. If you have a poor match, you can waste time and money. The therapist’s web site should give you most of the information you need.

4.         It is okay to interview a prospective counsellor or therapist. Figure out what questions you have and if you can’t reach the person on the phone, send your email questions.

5.         You can look for referral lists. The BC Psychological Association has a list as does the Registered Clinical Counsellor Association. I recommend that those who want a church-referenced counsellor contact the Pentecostal Assemblies of Canada — they have a listing across the country.

I hope that this helps you a bit. I have a longer article on my web site that you can visit, as well as some recommended counsellors that Carole and I work with personally. This latter group is mostly in the Vancouver area.

My best to you on your search and contact us if you want to talk this through a bit.

The Depression Dog

When others seem to be enjoying life, the black dog stands in the way for a lot of people. If you’re wondering WTF I’m talking about, watch the video. And if you recognize any of this, maybe it’s time to think about taking some steps to look after yourself.

The “Depression Dog” video is from the World Health Organization and well defines the experience of depression.

Depression — This is Really What It’s Like

I have written about depression on this blog. It is my familiar experience like a noisy and nosey relative, and the recurring onslaught of many of my client friends.

In my practice I hand out questionnaires, teaching outlines and recommend Cognitive Behavioural Therapy books. I listen as deeply as I can as well.

But sometimes I discover something that just says it all while making blog everything else redundant and does so without all the clever and self-important diagnostics that psychologists seem to need. I love this blog and I hope you do too. Congratulations to Allie Brosh for making it through and leading others in her wake.

A Client Question: “Who don’t you counsel?”

Mostly I ask questions to my clients. But I receive lots of questions as well. Here is one: “Are there some people you don’t counsel because you don’t think you will be successful?”

That’s a good question and with some people I am less capable than others.

I think that I work best with couples and families, though I do see lots of individuals. As a therapist I watch 3 factors – I call them 3M: motivation, match and method.

Motivation is what the client(s) bring to the sessions. Some come to change. Others come for support to stay the same (this is by far the minority). My job is to assess motivation and this is the best indicator of therapy success.

Match is the connection between the therapist and the client. This has a lot to do with shared values and hopes. Mostly I experience empathy for my clients and this is a huge factor in success.

Method is about the particular strategy. Marriage counselling skills are not very helpful with someone experiencing a major depression or recovering from rape trauma. Where I don’t know the method, I ask for training or supervision. Or I may well refer.

So there are some people I don’t counsel because I won’t be the best for them. It is based on the 3Ms. And if I say “not now” to the request, I work to find a best referral for the person asking for help.