Finding a Counselor

Dear Dr. LeCrone:

Can you please write about selecting a counselor that might assist me with depression and relationship issues? I have never needed counseling services in the past and do not know where to start in selecting a counselor.

-A reader in Missouri

Dear Reader:

The clergy are often good resources for advice in the selection process. Those who have had training in pastoral counseling may want to provide counseling services.

Many psychologists have training in helping individuals and families. Ask your primary care physician for a referral or consult the psychology department at a nearby college or university for a list of local psychologists.

Psychiatrists, physicians with specialized training in mental health issues, serve as an important resource for individuals needing counseling and perhaps medication. Your family physician can make a referral, or the local medical society can assist you.

Social workers may also provide counseling to individuals and families. Physicians, members of the clergy and schools of social work in colleges and universities can be their referral resources.

Other sources are marriage and family therapists and licensed professional counselors who serve the mental health needs of individuals and families in the community. These therapists can be located through the same resources mentioned earlier for other trained professionals.

In choosing a counselor you may want to consider the following suggestions:

Look for someone who is trained to meet the specific requirements of your problem. In many larger cities a professional counselor becomes a specialist in one or two area of counseling, such as marriage and family, childhood or school problems, eating disorders, chemical dependency and substance abuse, stress and anger management or, treating depression and anxiety.

Many insurance companies pay for professional counseling services. Do not hesitate to discuss fees and possible insurance coverage, his or her treatment approaches and experience and estimated length of treatment either before or during the initial visit.

Finally, if you do not feel comfortable with the counselor on the first or second visit trust your impressions, try a different counselor who you may establish better rapport. You are wise to seek help if needed. Good luck.