Psychotherapy, also called talk therapy or usually just “therapy,” is a form of treatment aimed at relieving emotional distress and mental health problems. Provided by any of a variety of trained professionals—psychiatrists, psychologists, social workers, or licensed counselors—it involves examining and gaining insight into life choices and difficulties faced by individuals, couples, or families. Therapy sessions refer to structured meetings between a licensed provider and a client with a goal of improving some aspect of their life. Psychotherapy encompasses many types of treatment and is practiced by a range of clinicians using a variety of strategies. The critical aspect is that the client or patient works collaboratively with the therapist and can identify improvement and positive change over time.

Most therapies in wide use have been well-tested and deemed effective. Though it may at first feel difficult to seek out therapy—especially for those of low-income or without comprehensive insurance—the benefits of successful therapy are literally life-changing.

Should I go to therapy?

Most people, regardless of their specific challenges, can benefit from having an impartial observer listen and offer guidance. Because of therapy’s cost and time investment, however—as well as lingering stigma surrounding mental health—the decision to begin therapy isn’t always an easy one. 

To determine whether therapy is the right choice for a particular individual, they should consider whether they feel sad, anxious, overwhelmed, or irritable more often than not; if yes, therapy would likely offer emotional support and help them develop the tools to manage their mental health. But strong negative emotions aren’t the only reason someone should seek therapy. If they are struggling with relationship challenges, feel stuck in their career, find themselves turning to drugs, alcohol, or food to cope with unpleasant events, or feel disconnected from the people around them, they may find therapy to be immensely helpful. 

For more on the choice to start seeing a therapist, visit The Decision to Begin Therapy.

What’s the first step in looking for a therapist? 

There are countless compassionate and effective therapists in the world—but not every single therapist is the best person to help every individual seeking treatment. Though it can be frustrating for patients and professionals alike, finding the right therapist is usually a process of trial and error.

While the prospect of searching for a therapist can indeed be daunting, several online tools can make the process significantly easier. Using online directories (such as the Psychology Today Therapy Directory), search engines, or their insurance company’s online list of covered providers, prospective clients can locate therapists (either in their area or who are licensed to provide online therapy) who take their insurance and who strike them as a potential good fit based on modality, gender, or the most common issues treated. From there, clients should contact a few potential candidates and take steps toward setting up their first appointment. 

For more on locating and choosing the best therapist, visit How to Find a Therapist.

Can I help a loved one find a therapist?

Watching a loved one struggle with mental health challenges can be painful and trigger feelings of helplessness. But while the choice to pursue therapy will be, in a large number of cases, solely up to the individual, it is possible for concerned others to offer emotional support as well as concrete assistance. This can mean connecting them with educational resources about therapy, helping them identify potential clinicians in their area, setting up appointments, or providing transportation to their first session.

For more on facilitating the process for a loved one, visit Finding Help for Others.

What type of therapy is right for me?

Many types of therapy have been shown to be effective at treating common mental health challenges, and determining which approach is best” for a particular person often comes down to their particular concerns, the alliance they’re able to form with their therapist, and their personal preferences. Clients who are coming to therapy with specific mental health concerns—such as obsessive compulsive disorder or post-traumatic stress—may benefit most from a clinician who specializes in the area or who employs a type of therapy specifically designed to treat it.

Those seeking help with relationship or family problems may benefit from marriage and family therapy, couples therapy or couples counseling. 

Those seeking a potentially more affordable type of therapy, or for whom it could be beneficial to attend therapy with others who have similar experiences, may wish to consider group counseling or group therapy

To learn more about different types of therapy, visit Therapy Types and Modalities.

Will I be able to afford therapy?

The cost of therapy, and whether it can fit into a client’s budget, will likely depend on a few factors, including the individual’s insurance coverage, their location, and their income. While some therapists charge a set fee per session, others offer a sliding scale based on clients’ income. In many locations, low- or no-cost therapy is available for low-income clients, often through universities or other therapist training programs. Prospective clients should verify their insurance coverage, along with the therapist’s fee structure, before setting up an appointment. 

To learn more about the finances of therapy, visit Cost and Insurance Coverage.

What happens in the first session of therapy?

The first session of therapy can be anxiety-provoking, and it’s normal to feel nervous or unsure of what to expect. Luckily, most patients will find that the first session of therapy follows a predictable format. Most therapists spend the first session asking general questions to get a sense of the client’s background, their past experience with therapy, and what issues they’re hoping to address. Clients may wonder what they can and should bring to the table in terms of discussion, and the fact is that few, if any, topics are off limits. They will also likely discuss their own modality or style and offer an outline of what the client can expect. If a client has questions about privacy and confidentiality, those concerns should be raised and addressed. Logistical details, such as verifying insurance coverage and setting up a payment schedule, may happen in the first session as well. 

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