What prevents people from seeking help?

Friday, 8 January 2010 09:30 by Nathan Comerford
This is the final installment of my series on "Expectations of Therapy".  While I decided to write about this subject last, it is perhaps one of the most important.  I am referring to the fears and and reservations that prevent people in need from seeking help from a professional counselor or psychotherapist.  Let me guide you through a few of the more common hindrances:
  • Fear of being labeled: There are some people who forego seeking help from a psychotherapist for fear of being labeled as crazy, psychotic, neurotic or some derivation thereof.  Others may fear a diagnosis of Depression, Bipolar Disorder or some other disorder.  For the most part, I try to avoid labeling or diagnsoses in my practice.  However, there are certain times when they are appropriate.  In order to conquer something, it is sometimes necessary to know what it is you are fighting.  If I do find it necessary to disclose a diagnosis to someone, it is done when I feel the time is right with the utmost delicacy and respect for the person.  This is something that only a trained and seasoned psychotherapist can know how to do properly. 
  • Fear of disclosing personal information: It can be intimidating for some people to disclose highly personal information to someone that they just met.  This is exactly why I do an evaluation with every new client.  This enables both of us to get to know each other before any major decisions are made regarding the counseling process.  Contrarily, disclosing personal information to a therapist you do not know has its benefits.  The fact that a counselor is not a friend or family member can actually make it easier for the counselor to help you.  The advice of friends and family members can often be colored with biases, judgments, or preconceptions.  Not only do counselors work to be objective and non-judgmental with their clients, that is what they are trained to do. 
  • Cost of treatment: People often cite the cost of treatment as a major reason for foregoing therapy.  One thing I have learned throughout my career is that money itself is rarely the issue, the issue is what money represents in the person's mind (security, safety, power, etc.).  Many times my clients end up being more financially well-off and secure because I help them to overcome the issues that were preventing them from being successful (depression, anxiety, self-esteem, etc.).  I also understand that there are some people that are going through financial hardship and to those I offer several different options for quality treatment at a price that they can afford.
     That wraps up my thoughts on some of the expectations of therapy.  I hope this was helpful in spurring those of you who have been hesitant to seek help to do so at this time.  I also hope that this was helpful for those of you who might be trying to sway someone else to seek help.  I will be writing a blog in the first week of January in order to address New Year's resolutions and starting off 2010 on the right foot.  Until then, enjoy the rest of the holiday season and Happy New Year!

 
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 9 years. 

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

Phone: (248) 225-5259
www.thoughtperspectives.com


  • If you or someone you know needs to speak to someone regarding relationship issues, emotional difficulties or mental health problems, help is a phone call away.  Schedule an appointment today!
    Just call (248) 225-5259 to set up an appointment with
    Nathan Comerford, MA LLPC NCC.
        
    Visit 
    www.thoughtperspectives.com for more information on counseling and psychotherapy!

    Visit the "Ask the Counselor" Blog at:
    www.thoughtperspectives.com/blog

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What should I expect during the first session?

Monday, 7 December 2009 15:31 by Nathan Comerford
Initial Session 
     As promised in my last entry, I will be discussing what to expect during the initial session.  The initial session is the first in a series of sessions which encompass the evaluation period.  Even though I briefly synopsized the evaluation process in my September 2009 newsletter (the first installment of "Expectations of Therapy") I will give a brief recap this month as well.  
      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.
     Listed below are some of the topics that I usually try to cover during the initial session:
  • The nature and duration of the presenting problem(s): It is helpful for me to get the client's perspective on what they believe the problems are and when they originated.
  • Employment: I like to find out the nature and length of employment as well as how the presenting problem(s) may be affecting performance at work.
  • Previous therapy experiences: This will give me a good idea of one's familiarity with the process of therapy and what has and has not worked for them in the past.
  • Expectations of treatment: Right from the beginning of therapy, I implore my clients to think about what they want their lives to look like at the completion of treatment.
  • Medical/psychiatric problems: Certain medical problems, medical drugs, psychiatric problems and especially psychiatric medications can affect the process and outcome of treatment.  It is beneficial for me to know these things from the genesis of treatment.
  • Family history: I will usually ask about the family history of mental illness, addiction, and abuse.  I also ask clients to give me a glimpse of what it was like growing up in their family household as well as what their relationships were like with their parents and siblings. 

     Next month I will be wrapping up this series on the expectiations of therapy by reviewing some of the fears and reservations that delay or prevent people from seeking help from a professional counselor or psychotherapist.  Happy holidays!
    


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, PLLC
31275 Northwestern Hwy., Suite 120
Farmington Hills, MI 48334

Phone: (248) 225-5259
www.thoughtperspectives.com


  • If you or someone you know needs to speak to someone regarding relationship issues, emotional difficulties or mental health problems, help is a phone call away.  Schedule an appointment today!
    Just call (248) 225-5259 to set up an appointment with
    Nathan Comerford, MA LLPC NCC.
        
    Visit 
    www.thoughtperspectives.com for more information on counseling and psychotherapy!

    Visit the "Ask the Counselor" Blog at:
    www.thoughtperspectives.com/blog

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