Initial Consultations

Starting therapy can be difficult. How do you choose from lists of providers? One tool to take you from a website headshot to a successful therapeutic experience is an initial consultation. If your prospective therapist offers one, it can provide a glimpse into their therapeutic style and perspective. It can help both of you assess whether you would be a good fit. 

An initial consultation can be as simple as asking the therapist to tell you more about themselves and their practice. This is your time, and there are no wrong questions (although a therapist may decline to answer personal questions). The following questions from the 5W2H Method may help you decide what information you’d like when selecting a provider: 

Who?

Therapists come with different types of licenses and different therapeutic modalities, but a strong indicator of positive outcomes is the therapeutic alliance. You should feel seen, heard, and acknowledged as a collaborator in your mental wellness journey. A therapist should be able to tell you how they see their role in your care. 

What?

Some therapists specialize, while others have noted client characteristics that lead to better outcomes with their counseling style. Ask them about the types of clients they see and have the most success with. 

Where?

Does the therapist provide in-person, virtual, or hybrid sessions? 

When?

Do your schedules align? You may want to confirm this before the initial consultation.

Waiting Lists. Some therapists keep waiting lists that you can join to wait for an opening. Cancellation lists are good for people who can meet on short notice; the therapist will let you know when you can take a suddenly-available spot.   

Why?

Sharing an overview of what brings you to therapy can help the therapist assess whether they have the space to support you effectively. If they offer a referral or decline to take you on as a client, don’t take it personally. It’s usually based on their expertise or client load, rather than your specific needs.

How?

How many times a week or month can you meet? Does the therapist give homework? 

How much?

You should get a good faith estimate of the expected charges for your care before your first session. Some providers, like Benjamin Holmes Counseling and Switchback Counseling, verify your insurance after receiving the needed information and can inform you of your copay. 

Sliding Scale. If you are uninsured, consider asking a provider if they have a sliding scale. A sliding scale is the therapist's or office’s ability to negotiate the session rate downward based on a client's financial circumstances. However, keep in mind that they may only be able to accommodate a limited number of clients at a reduced rate. 

You’ve made the decision to pursue meaningful change in your life – that’s the hard part! Finding a therapist doesn’t have to be overwhelming. With the information you need, you can feel confident in your choice and start your journey toward healing. 

by: Stephanie Barca, Resident Therapist