What
is psychotherapy?
Psychotherapy is a process in which you discuss your thoughts
and feelings in order to gain insight into the issues that are
causing you distress and to make positive changes in your life.
Therapy is most effective if it addresses both current problems
and the deeper issues underlying them.
What
will happen in the first psychotherapy session?
The first session is a chance for you and your therapist to
get to know each other and to assess whether the two of you
think you can work together. Your therapist will ask you questions
about the issues you are currently trying to cope with. She
will ask you about your current life, your friendships/relationships,
and your family and your background. The therapist will also
devote some time to discussing her policies regarding fees,
cancellations, vacations, insurance, etc. The first session
is also a time for you to ask your therapist any questions you
may have.
Is
my psychotherapist going to focus mainly on my childhood?
You and your therapist will try to look at your past, present
and future. Talking about your childhood may help you understand
the conscious and unconscious messages you received from your
family. Understanding your past can shed light on your current
relationships and your internal struggles. However, your therapist
will also help you learn to cope with current situations, as
well as set goals for the future.
How
often will I need to come to psychotherapy to feel better?
Psychotherapy is a very individualized process. Given your issues
and therapy goals, you and your therapist will determine what
schedule will be most helpful. However, it is usually recommended
that you attend psychotherapy at least once a week to develop
a sense of continuity between you and your therapist.
I
have limited time/money. Can I come every other week?
In the beginning phase of therapy, we do not recommend that
you attend less then once a week. We find that if a client comes
less than weekly, it is difficult to form a connection with
your therapist and your progress will be slow. We strongly suggest
that you make your therapy a priority and make the time to come
weekly. Some clients come less frequently after they feel significantly
better, or are making the transition to ending therapy.
How
long will I need to attend psychotherapy?
The length of time you will need to be in psychotherapy varies
from person to person. It depends on your therapy goals, the
amount of distress you are experiencing, the length of time
you have been in pain, how often you attend psychotherapy. Most
people attend for at least several months, and many for several
years. If you have a specific problem, such as getting over
a breakup, you may resolve this fairly quickly. More complex
problems require more time. Even if you decide to or have to
stop before you reach all of your therapy goals, the tools,
insight, and accomplishments that you gained while in therapy
will continue working for you. You can also choose to resume
psychotherapy at any point in the future.
How
will I find the right therapist?
Finding a therapist who is a "good fit" for you is
essential. Try to listen to your "gut" about the therapist:
Do you feel comfortable talking to her, do you feel that you
could potentially tell this person thoughts and feelings that
may be hard for you to share with anyone. Since beginning psychotherapy
can be scary, you may need to meet with a therapist a few times
in order to figure out whether you feel comfortable. Look for
a therapist who has expertise in the particular area(s) that
you think you want to work on. Ask whether the psychotherapist
is trained and licensed in counseling, social work, psychology,
or psychiatry. If she is not licensed, you should ask where
she is being trained and whether she is under the supervision
of someone who is licensed in one of the above-mentioned fields.
All Awakening Center therapists are licensed or receiving supervision
by licensed therapists.
What
are the differences between psychiatrists, psychologists, social
workers, and professional counselors?
A psychiatrist has undergone medical training and is authorized
to prescribe medication. Some psychiatrists also practice psychotherapy
while others handle medication management only. Psychologists,
social workers, and professional counselors all receive training
in psychotherapy. Each discipline approaches the therapeutic
process from a somewhat different angle. However, as a general
rule, it is better to base your choice of therapist on a personal
connection rather than on their training background alone.
What
if I have been in therapy before and it didn¹t work?
Your success in treatment depends on finding the right therapist
for you. If one therapist was not able to help you, don¹t
give up on therapy; keep trying until you find the right person.
Talk to your new therapist about what went wrong in the past.
Feel free to share your reactions to your therapist as your
therapy progresses.
What
if I am not sure what I need from therapy?
Many people who begin psychotherapy do not know exactly what
they need. Clients commonly come in for a specific problem and
come to realize they have other goals. A therapist can help
you think through what your needs are, and after she gets to
know you, can give you her professional opinion about what may
be helpful for you to address.
What
is the difference between outpatient psychotherapy and partial
hospitalization?
Outpatient psychotherapy means you go to the office of a psychotherapist
for a session that lasts between 45 minutes to one hour one
or more times a week. Partial hospitalization means that you
are attending a program, usually located in a hospital, that
meets several hours a day, several days a week. A partial hospitalization
program has many comprehensive services such as individual,
family, and group psychotherapy, support groups, expressive
therapy groups, and medication management.
What
are the differences among psychodynamic, cognitive/behavioral,
and
experiential therapies?
A psychodynamic approach examines conflicts within yourself
as well as patterns you tend to repeat in your relationships.
There are many different psychodynamic models such as Self Psychology,
Interpersonal and Relational Theory, and Internal Family Systems.
Cognitive/Behavioral Therapy (CBT) addresses symptoms directly
by focusing on maladaptive thoughts and behaviors. Dialectical
Behavioral Therapy is an innovative form of CBT that focuses
on managing strong emotions. Experiential therapy uses expressive
methods like art and movement or strategies like mindfulness
meditation. These techniques are ways to get closer to buried
feelings and states of mind. The therapists at The Awakening
Center are integrative or eclectic, blending elements of all
these approaches.
What
is the difference between psychotherapy and psychoanalysis?
In psychotherapy, your therapist is usually more interactive
and you are sitting up facing the therapist. Psychoanalysis
is a more intensive process. You might attend 3-4 sessions a
week. You may lay on a couch while your psychoanalyst is seated
in a chair behind you. Psychotherapy is a good treatment for
most types of problems. You may want to try psychoanalysis if
your problems are long-standing and deep-seated, if you are
stuck in distressing patterns in your relationships, or if you
have
tried several psychotherapists and have not experienced significant
improvement.