how to start therapy

How to Start Therapy - A Complete Beginner's Guide

Paula Team4 min read

Evidence-informed content reviewed for accuracy and safety

Introduction

You've decided to try therapy. That's a big step! But now what?

Finding and starting therapy can feel overwhelming. Here's everything you need to know.

How to Find a mental health professional

1. Determine Your Needs

Ask yourself:

  • What type of therapy do I want? (CBT, DBT, psychoanalysis)
  • Do I prefer in-person or online?
  • Do I have a specific issue? (anxiety, depression, trauma)
  • What's my budget?

2. Get Referrals

  • Ask your doctor
  • Ask friends or family
  • Ask your insurance

3. Search Online

  • Psychology Today's mental health professional finder
  • Therapy directories
  • Apps (BetterHelp, Talkspace)

4. Check Your Insurance

  • Call your insurance
  • Ask what's covered
  • Find in-network mental health professionals

5. Consider Accessibility

  • Location
  • Virtual options
  • Office hours
  • Language

Types of mental health professionals

Psychologists

  • Doctoral degree (PhD or PsyD)
  • Can diagnose
  • Often do testing

Licensed mental health professionals

  • Master's degree
  • Licensed by state
  • Can do therapy

Psychiatrists

  • Medical doctors (MD)
  • Can prescribe medication
  • Usually focus on medication management

Counselors

  • Master's degree
  • Various titles (LCPC, LMFT, LPC)
  • Specialize in specific issues

What to Expect in Your First Session

Before the Session

  • Fill out paperwork
  • Prepare your goals
  • Arrow a few minutes early

During the Session

  • You'll talk about why you're there
  • The mental health professional will ask questions
  • You'll discuss your history
  • You'll set goals

After the Session

  • The mental health professional may assign homework
  • You'll schedule next session
  • You might feel emotional

How to Prepare

1. Know Your Why

Why do you want therapy? What do you want to work on?

2. Write Down Symptoms

  • When did they start?
  • How do they affect your life?
  • What makes them better/worse?

3. List Questions

  • What's your approach?
  • How long will it take?
  • What's your experience with my issue?

4. Be Ready to Talk

Therapy is a conversation. The more you share, the more you get out of it.

How to Get the Most Out of Therapy

1. Be Honest

Therapy only works if you're honest. Don't hide things.

2. Do Homework

If your mental health professional assigns homework, do it. It helps.

3. Go Regularly

Consistency matters. Try not to miss sessions.

4. Speak Up

If something isn't working, tell your mental health professional.

5. Be Patient

Change takes time. Don't expect instant results.

How Much Does Therapy Cost?

Without Insurance

  • $100-200+ per session
  • Sliding scale options exist

With Insurance

  • Copay typically $20-50
  • Check your coverage

Free/Low-Cost Options

  • Community mental health centers
  • Training clinics (graduate students)
  • Online therapy apps
  • Support groups

How Long Does Therapy Take?

Short-Term

  • 12-20 sessions for specific issues
  • CBT often short-term

Long-Term

  • Ongoing for deeper issues
  • Some people stay in therapy for years

It Depends

  • Your goals
  • Your progress
  • Your budget

FAQ

What if I don't like my mental health professional?

It's okay to switch. Finding the right mental health professional is personal. Don't settle.

Can I do therapy online?

Yes. Online therapy is effective and convenient.

What if I can't afford therapy?

Look into sliding scale options, community centers, or online apps with lower costs.

Do I need a diagnosis to go to therapy?

No. You don't need a diagnosis to benefit from therapy.

How do I know if therapy is working?

You should notice changes in thoughts, behaviors, or emotions. Talk to your mental health professional about progress.

Conclusion

Starting therapy is a big step. But you don't have to do it alone.

Finding the right mental health professional takes time. Be patient. Ask questions. And remember: therapy is a tool that can help you live a better life.

You deserve support. Take the first step.


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