Expectations of Therapy; First Contact

Thursday, 24 September 2009 07:43 by Nathan Comerford
     Now that the summer months are coming to an end and Fall is setting in, many people decide to initiate therapy for the first time while others may return after a sabbatical.  Busier work schedules, children returning to school and changes in weather can cause increased stress in personal, marital and family relationships sparking people to seek the assistance of a counselor or therapist.  Problems with depression and anxiety are also exacerbated during this time of year which is another reason why I am choosing to highlight what people can expect when they come to me for help.  
     First Contact- the therapeutic relationship starts when someone first contacts me by phone or sometimes by email.  If I am unavailable when someone contacts me I will get back to them within the same day, usually within a few hours.  My goal is to talk to the person on the phone so I can get them to summarize what the presenting problems are and why they decided to seek help at the current time.  If their presenting problems are something that I can assist them with then I will schedule an appointment for them to come in.  If their presenting problem is something that falls outside of the scope of my practice, I will try to refer them to another professional that may be able to help.  
     At some point in the phone conversation I will explain to them my process of conducting an evaluation with all new clients that I see whether they are individuals, couples or families.  The evaluation is approximately 3-5 sessions depending on the nature of the problems and how many people are present.  During the evaluation, I would be gathering info about the nature and history of the problem.  I would also be asking questions about family history and previous therapy experiences.  At the end of the evaluation, I then give my thoughts as to what I believe is going on and what direction I believe would be most helpful.  The evaluation also gives the client(s) a chance to get some idea of who I am and, if we decide to continue, whether they would be comfortable working with me. 
     The evaluation that I conduct is no different than an evaluation a medical doctor would perform.  If someone consulted a doctor for pain in their lower back, the doctor would want to first run a series of tests in order to find out exactly what the problem was before treating it.  The evaluation gives me a chance to learn about the nature and causes of the underlying problems rather than using conjecture and running the risk of misdiagnosis.
     Next month I will discuss and outline what to expect during the initial office visit.  I will also talk about some of the fears and reservations that delay or prevent people from seeking professional help from a counselor or therapist.
 
Sincerely,

Nathan M. Comerford, MA, LLPC, NCC

Nathan M. Comerford is a psychotherapist in Farmington Hills, MI who has been helping people with their relationship issues, emotional difficulties and mental health problems for the past 8 years. 

Thought Perspectives Counseling
31275 Northwestern Hwy., Suite 120
Farmington Hills, MI 48334

Phone: (248) 932-7799
www.thoughtperspectives.com


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