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How to Go to Therapy: Making the Most of Professional Help

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I recently discovered this gem. Many people don't know what questions to ask when seeking a therapist; they often aren't sure of their rights, nor how to detect unscrupulous behavior. (Unfortunately, human nature affects this profession too, and there are occasional "bad eggs" hanging out their shingles.) This guide provides concise, clear information on the types of provider qualifications and available therapies.

The book begins by defining what psychotherapy is and how to determine if one needs therapy. The author explores some of the myths about what therapy does and the societal pressures against asking for help. The next chapter provides descriptions of the various professionals -- psychiatrists, psychologists, counselors -- and the numerous national and local organizations which provide listings. The author then moves on to describe the rules of therapy: what to expect in terms of confidentiality, social interaction, time, planning treatment, and sex (a therapist should never have sex with client (or former client), and you should report any therapist who attempts to). The impact and findings of research are briefly explored. Then the author devotes a chapter each to several major theories by which counselors practice: psychoanalysis & psychodynamic, cognitive-behavioral, humanistic, group, couples, and family therapy; he explains the philosophical underpinnings of the orientation and some of the techniques therapists use. He then discusses biological psychiatry and the use of medication, and provides suggestions for making the decision. The last few chapters cover alternative kinds of therapy, advice on how to set goals and stay on track, paying for therapy and using insurance, and bringing therapy to a close. An appendix provides a brief guide to diagnosis (such as what symptoms describe anxiety disorder, depression, and addictions) as well as an extensive list of references and website resources.

The author, Carl Sherman, is a freelance writer who has written about mental health issues for almost twenty years. His work has been published in national publications, such as Psychology Today, Family Circle, Us, GQ, and Investor's Business Daily. He writes a column and contributes articles to Clinical Psychiatry News. Mr. Sherman has organized his accumulated knowledge and experience in a highly readable manner, making it an accessible and friendly guide to counseling. This book is a necessary resource for clients and therapists alike.

This seems to me to be a pretty standard exposition of how to choose a therapist. It may work for an average client. The author agrees that therapists are different in their success with therapy, but as with many another on the topic does not really know why. What does one therapist do in therapy that another does not? Why does one therapist actively listen, immediately aware of his or her own thoughts and feelings during a session and able to make use of this awareness, and another just goes on "instinct" without being particularly self-aware? This can be the crucial difference in therapy. It allows a therapist to let a client be entirely separate from the therapist, and lets him or herself hear the experience of the client, an experience which may be very much more extreme than the average person's -- and this factor is almost never discussed.