How to get the most out of counseling - 5 ways

Let’s start by telling the truth: counseling is a large investment of your time and money. Living in the Issaquah area is expensive enough and commuting to work is long enough – no need to throw away time and money. And by the time you start counseling, you’ve probably been suffering long enough that you’re really ready for things to be better. Since your time and money are being spent, here are some ways to make sure to get the most out of it.

1. Make sure you connect

Do your homework when picking a counselor. Ask people you trust, like friends, family, doctors, for names of counselors they know and trust. Look online. As you read counselors’ web sites and blog posts, watch their videos, you’ll begin to get a sense of them. When you’re ready, contact a few counselors and ask for a consultation. During the consultation, you’ll learn more about how they work and they’ll learn about you. Both you and the counselors will be able to tell if you are a good fit for one another.

In sessions, pay attention to whether and how well you connect. Keep an eye out for how well the counselor seems to “get you.” Are they empathetic, can you get to know them enough to feel like you have some things in common or that they are a bit like you? Does the counselor seem to pay attention to you?

2. Come regularly.

Just like with exercising at the same consistent time of day, you will start to become accustomed to a certain day of the week being yours to share, get care, learn, grow, and heal. You can look forward to it. If you miss weeks in between, sessions are spent catching up instead If you start and end on time, you’ll get your full time. Especially if your counselor is using a method that has a bit of a plan to it, like EMDR, there is a lead in, work, and an easing out. When sessions are cut short, the needed parts might not happen, or might not give the full effect or benefit.

3. Do your homework.

If you have homework, try your best to do it. If you’ve said yes to accepting it, you’re saying yes to saving some money and time – it’s not being completed in session, but reviewed and digested in session. If you don’t want homework, it’s OK to say that (see below – telling your counselor if something’s not working. If you don’t have time or would rather keep counseling in the counseling office – not that I’m recommending that (trying things out, practicing, at home is a great way to progress) – just say so.

4. Share even if you’re scared

It can be scary sharing intimate details with someone. That’s why it’s so important to find a counselor you connect with and can trust. But the more you can tell them about yourself and your history and your needs, the better able they are to incorporate those things into the therapy and help you process them and heal.

And 5. Tell your counselor if something’s not working.

Counselors are human beings. Just like you, we have grief, moves, children, hobbies, demeanors, etc. If something we’re doing isn’t working for you, you’re paying in money and time without benefit. Please please tell your counselor if you need them to hold you accountable, not push you so hard, change your schedule, work on different goals, or if you’re just having a day when you need to just “be” and not work on anything. We all need those days. I’m of the opinion that you know you best. I know human nature and development, psychology, family systems, and counseling but you know you.

So now I put it to you.

Pick one of these things to start with. And try it out with your counselor. If you want, you can even tell them I said to. Then post below or email me at robin@balanceinsight.com with how it went. Thanks for reading.

Finding the Right Therapist (Anywhere)

Seattle is a lovely vibrant city, with the requisite attractions like the Space Needle, Pike Place Market, and the Troll under the bridge. It’s also very hustle bustle and, some say, is known for a phenomenon called the Seattle Freeze. The Seattle Freeze is a belief that Seattleites are closed to newcomers; it’s difficult to make friends and get close to people here. If you experience loneliness, isolation, or sadness, you may benefit from working with a counselor in Seattle. Seattle has many counselors, psychotherapists, and life coaches, each with different fields of expertise. You could search on Google or ask your doctor or a friend for a recommendation. All of these are useful ways to locate a counselor that might fit your needs. Now what?The next step is scheduling a consultation with a therapist you’re interested in working with.

The consultation is often via phone conversation, although some therapists prefer to meet in person. You can expect to tell a bit about yourself. What motivated you to seek counseling now, have you ever had therapy before, why, and how did it help? What are you seeking help with? What would you like to be different to improve your situation? Have you experienced this issue before and how did you resolve it? What would you like your life to look like in 3, 6, 12 months? This helps the counselor and you envision possible therapy goals.

Then the counselor will explain a bit about how therapy works; discuss frequency of sessions for continuity of care. She’ll describe the process of setting long-term goals and short-term objectives, and explain the process for checking outcomes. Outcomes show progress, what’s working, and what might need to be changed up. Therapists generally check outcomes quarterly, to make sure the progress is flowing along the way you want it to.

She may talk with you about benefits and drawbacks to a diagnosis and possible therapeutic methods shown to benefit specific issues, like Cognitive Behavioral Therapy’s help for depression, motivational interviewing’s help for addictions, and Eye Movement Desensitization and Reprocessing Therapy’s benefit for anxiety, trauma, and phobias.

At this point, you both get to check in with yourselves and see how you think you’d feel working together. Does she listen more than she talks? Do you feel heard and understood? Do you have confidence that she can help? Do you feel like you can connect with her? If the answer to these questions is no, it may be time to seek another counselor.

If you can answer these questions with a confident yes, you can assume this is the therapist for you. At this time in the consultation, one of you, usually the therapist, brings up the topic of money. If you don’t connect, or this therapist specializes in other areas than your issue, it doesn’t matter if the fee is $20 a session. $20 a session gets very expensive when it goes on for years and years.

The therapist then tells you her fee, whether and which insurance she takes, when payment is due, and how/if you can be reimbursed. If your insurance pays out of network, you would likely pay for sessions and your insurance will reimburse you, minus your copay. If you participate in your employer’s flex care spending plan for medical costs, it will likely reimburse you for all therapy expenses, although you need to check your plan.

If all goes as you wish, you two will schedule your first session. You can relax; you already know you’ve got the right therapist for you. Now you can dig right in and start feeling better. And as always, I'm here. You can reach me in Seattle at Balance InSight, 206-790-7270.

Thanks for reading, and be well.

~ Robin