How To Know If Your Therapist Is A Good Fit

There are no strict or hard rules around signs or good fit items to watch out for, but the following can be a good starting point.

Even the best trained therapists may not be a good fit for you because of mismatched personalities, mismatched approach, or some other reason.

I recommend trying 1-3 sessions to get a feel for how it would be to work with the therapist. Sometimes, you can get a gut feeling in just one session.

Signs Of A Good Fit Therapist

  • You feel understood and validated consistently (vs. being and/or feeling judged)

  • They are empathetic and kind

  • They offer you support

  • Collaborates with you rather than using their power to tell you what to do/how to be 

  • They have flexible boundaries and model them appropriately (vs. rigid or too loose, especially in regard to out of session contact, session length, cancellations, self disclosure, etc.)

    • They outline their cancellation policy directly

    • They do not try to be your friend or add you on social media

    • They do not break your confidentiality unless without good reason (e.g. knowledge of elder or child abuse, intent and time set for suicide)

  • Gives you options during treatment (different therapeutic approaches, right to file a complaint, right to end treatment at any time, etc.) 

  • Is able to explain their approach/modality and how they are able to help you

  • Answers questions you may have about treatment, approach, etc.

  • They work through disagreements and conflicts (ideally in the moment rather than avoiding difficult/challenging topics)

    • Disagreements are to be expected and normal in any type of relationship

    • It is the therapist’s responsibility to repair ruptures as they occur

  • They listen to you (vs. talking over)

  • They ask you open ended questions to clarify, learn more, and explore(vs. close ended questions that end with yes or no)

  • You feel comfortable enough with them (vs. feeling uncomfortable around them consistently)

  • You trust them enough to share more about your internal world slowly over time

  • You have some sort of hope that things might get better (vs. continued hopelessness)

  • They talk more about you/focus the session on you (rather than focusing on themselves)

  • Has specific training and experience to help you with the issue(s) you are presenting with

    • If they don’t, they will seek consultation or ongoing training to learn more in order to help you

    • If this still isn’t helping you, they may refer you out to someone else with more training and expertise in your issue/concern

  • Takes good care of themselves so they can be there for you and help you with your concerns (vs. being burned out and overworked)

  • Tells you therapy has a beginning, middle, and end. That therapy will end one day. This helps manage expectations.

  • Is licensed in appropriate local and state guidelines.

    • This helps you, the consumer of therapy, as it protects you from someone who is not adequately trained or educated

    • This also helps you because the therapist needs to follow certain guidelines

  • Continually attends lifelong consultation, workshops, trainings, conferences to expand their skills and knowledge 

  • And more

Therapy Is A Highly Personal Experience

  • What works for one person may not work as effectively for another person. One person’s preferences will be in opposition to another person’s preferences.

  • Therapy is a highly personal experience. Not all therapists will be a good fit for your needs, concerns, and goals.

Tips

  • Meet with a few therapists for an initial 10-15 minute consultation to “shop around” and see who you seem to like/vibe with the most. However, some therapists may not offer a consultation. If they don’t, review their website to get a feel for their practice, personality, and approach.

  • If you are unsure after one session, either consider a different therapist or set up a follow-up session to clarify your concerns. Do not feel pressured to stay with one therapist.

  • Even if a therapist has specialized training and extensive experience in what you are seeking, you may not be a good fit due to factors such as personality differences, communication styles, cultural differences, etc.

  • There are so many types of therapy and therapists out there. As a consumer of therapy, you can do your due diligence and educate yourself on what your rights are and what to expect (see below for more information).

  • Look out for red flags in therapists. This can include: sexual advances, trying to be your friend, being repeatedly late, making sessions all about them and not you, and so forth.

  • If you find a therapist you find a good fit, try to stick with therapy at least for 3-6 months. It takes time for thoughts, feelings, and experiences to metabolize and make more sense. These are deeply entrenched patterns you are living with and attempting to alter and change. Practice patience.

  • Take a break as needed and communicate this need with your therapist. Healing is non linear.

  • Be as honest as possible with your therapist with what is working, what is not working, and whatever else you might not want to bring up. Feedback is helpful and a good therapist will value this feedback (even if it is not positive).

  • Try out different types of therapists based on context (e.g. time and place in your life). You might need a different type of therapist during school. Another type of therapist as you are looking for a job. Another type of therapist as you are in a long term relationship. And a different type of therapist when a sudden shift or adjustment occurs in life.

  • There are no guarantees counseling will solve all problems, or how quickly changes will occur. There are no miracle cures, but it improves the odds, particularly if you start early.

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Foreshortened Future and Trauma

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Intention Setting & Having Goals In Therapy