How to Find Help through Psychotherapy
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How to Find Help through
Published by the APA Help Center
Millions of Americans have found relief from depression and other emotional
difficulties through psychotherapy. Even so, some people find it hard to get started or stay in psychotherapy. This
brief question-and-answer guide provides some basic information to help individuals take advantage of outpatient
Why do people consider using psychotherapy?
Psychotherapy is a partnership between an individual and a professional such as a
psychologist who is licensed and trained to help people understand their feelings and assist them with changing
their behavior. According to the National Institute of Mental Health, one-third of adults in the United States
experience an emotional or substance abuse problem. Nearly 25 percent of the adult population suffers at some point
from depression or anxiety.
People often consider psychotherapy, also known simply as therapy, under the
- They feel an overwhelming and prolonged sense of sadness and helplessness, and
they lack hope in their lives.
- Their emotional difficulties make it hard for them to function from day to day. For example, they are unable to
concentrate on assignments and their job performance suffers as a result.
- Their actions are harmful to themselves or to others. For instance, they drink too much alcohol and become overly
- They are troubled by emotional difficulties facing family members or close friends.
What does research show about the effectiveness of
Research suggests that therapy effectively decreases patients' depression and
anxiety and related symptoms- such as pain, fatigue and nausea. Psychotherapy has also been found to increase
survival time for heart surgery and cancer patients, and it can have a positive effect on the body's immune system.
Research increasingly supports the idea that emotional and physical health are very closely linked and that therapy
can improve a person's overall health status.
There is convincing evidence that most people who have at least several sessions of
psychotherapy are far better off than untreated individuals with emotional difficulties. One major study showed
that 50 percent of patients noticeably improved after eight sessions while 75 percent of individuals in therapy
improved by the end of six months. Psychotherapy with children is similar in effectiveness to psychotherapy with
How do I find a qualified therapist?
Selecting a therapist is a highly personal matter. A professional who works very
well with one individual may not be a good choice for another person. There are several ways to get referrals to
qualified therapists, such as licensed psychologists, including the following:
- Talk to close family members and friends for their recommendations, especially if
they have had a good experience with psychotherapy.
- Many state psychological associations operate referral services which put individuals in touch with licensed and
competent mental health providers. (Call the American Psychological Association's consumer information line at
800-964-2000 to be connected to the appropriate state organization.)
- Ask your primary care physician (or other health professional) for a referral. Tell the doctor what's important
to you in choosing a therapist so he or she can make appropriate suggestions.
- Inquire at your church or synagogue.
- Look in the phone book for the listing of a local mental health association or community mental health center and
check these sources for possible referrals.
Ideally, you will end up with more than one lead. Call and request the opportunity,
either by phone or in person, to ask the therapist some questions. You might want to inquire about his or her
licensure and level of training, approach to psychotherapy, participation in insurance plans and fees. Such a
discussion should help you sort through your options and choose someone with whom you believe you might interact
If I begin psychotherapy, how should I try to gain the most from
There are many approaches to outpatient psychotherapy and various formats in which
it may occur, including individual, group and family psychotherapy. Despite the variations, all psychotherapy is a
two-way process that works especially well when patients and their therapists communicate openly. Research has
shown that the outcome of psychotherapy is improved when the therapist and patient agree early about what the major
problems are and how psychotherapy can help.
You and your therapist both have responsibilities in establishing and maintaining a
good working relationship. Be clear with your therapist about your expectations and share any concerns that may
arise. Psychotherapy works best when you attend all scheduled sessions and give some forethought to what you want
to discuss during each one.
How can I evaluate whether therapy is working well?
As you begin psychotherapy, you should establish clear goals with your therapist.
Perhaps you want to overcome feelings of hopelessness associated with depression. Or maybe you would like to
control a fear that disrupts your daily life. Keep in mind that certain tasks require more time to accomplish than
others. You may need to adjust some of your goals depending on how long you plan to be in psychotherapy.
After a few sessions, it's a good sign if you feel the experience is truly a joint
effort and that you and the therapist enjoy a good rapport. On the other hand, you should be open with your
therapist if you find yourself feeling "stuck" or lacking direction once you've been in psychotherapy
There may be times when a therapist appears cold and uninterested or doesn't seem
to regard you positively. Tell your therapist if this is the situation, or if you question other aspects of his or
her approach. If you find yourself thinking about discontinuing psychotherapy, talk with your therapist. It might
be helpful to consult another professional, provided you let your therapist know you are seeking a second
Patients often feel a wide range of emotions during psychotherapy. Some qualms
about psychotherapy that people may have result from the difficulty of discussing painful and troubling
experiences. When this happens, it can actually be a positive sign indicating that you are starting to explore your
thoughts and behaviors.
You should spend time with your therapist periodically reviewing your progress (or
your concern that you are not making sufficient headway). Although there are other considerations affecting the
duration of psychotherapy, success in reaching your primary goals should be a major factor in deciding when your
psychotherapy should end.
Psychotherapy isn't easy, but patients who are willing to work in close partnership
with their therapists often find relief from their emotional distress and begin to lead more productive and
Shery is the director of ACRS and is a licensed clinical
psychologist. He has practiced clinical psychology for
approximately 24 years and is affiliated with almost all
health plans, including: ValueOptions, Medicare, Cigna,
Cigna Behavioral Health, United Health Care, Aetna, First
Health, Healthstar, Blue Cross Blue Shield of Illinois,
ComPsych, Magellan Health, HFN, Tricare, Humana, most union
local plans, most school district plans, Unicare,
ChoiceCare, CAPP, Multiplan, Mental Health Network, Managed
Health Network, PHCS, PPONext, Humana Military-Tricare,
United Behavioral Health and Beech Street.
He is board
certified as a specialist in professional
counseling by the International Academy of Behavioral Medicine,
Counseling and Psychotherapy. He a member of the
The office is
located in Cary, IL, near Crystal Lake and Algonquin,
northern Kane County and in southern McHenry County. In
select cases, phone consultations are available for those
who don’t live locally> Telephone
To make an
or to learn more about the psychological services he
provides call him at 1-847-275-8236 (24 Hrs).
To make an
appointment, schedule yourself now;
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