Last week I met a former client of mine who asked me how to figure out whether the psychologist he is seeking counseling is more or less competent. So a good question came into my mind. I would like to share with you my own subjective opinion on that.
The psychological & psychotherapeutic market in Romania has developed during the last years, although the service providers don’t pretty much have any clue on how to promote their services. However, I know the situation is different around the world. Therefore, my suggestions won’t be limited to Romania but applicable worldwide.
Besides that, there are plenty of specialists, among which you can find a good one. So I will give you some suggestions on what to pay attention to.
First, stay away from service providers who are deeply in love with one specific method or type of psychotherapy. A good psychologist, even if (s)he is specialized in one particular form or method of intervention, must know different and alternative approaches and be able to provide reasons for why (s)he picked it. That is, (s)he can offer argued opinions on differences between the approaches (s)he studied and must be able to say why (s)he chose a particular specialization. Also, (s)he must be able to tell you about what problems their specialization works better on. Considering different types of issues, there are different types of suitable approaches.
For example, for troubles in childhood that affect the present life of the client, short-term therapy will not do. On the other hand, it might work: psychoanalysis, transactional analysis, psychodrama, hypnosis, and cognitive-behavioral approach. On the other hand, it might provide fewer effects: neuro-linguistic programming or Jungian psychotherapy.
For anxiety disorders, post-traumatic stress disorder, or burnout, you would use neuro-linguistic programming, hypnosis, cognitive-behavioral approach, and even psychiatry but rather not psychoanalysis.
So a good services provider must tell you what type of problems does what (s)he’s good at solving. (S)he might even give you examples of types of issues that he solved of a certain kind. The worst kind of answer that you could get is, “this works for everything and with anyone”, or “I haven’t tried other methods”. If you hear this, just say hello and walk on by.
Another kind of therapists you should avoid are those who combine spirituality into therapy or have new-age approaches. If you do not know what “new age means”, please read and watch the documentary here [ro&en, php] and here [ro&en, php]. Stay away from these people. Religion is not therapy, although it can offer therapeutic insight. Therapy is not religion, although it might offer spiritual insight. Keep them separated.
Another thing you should pay attention to is whether he interrupts you while talking to him/her, (s)he interrupts you. A good psychologist must have the ability to listen first, especially while talking to a potential client, and not cut him/her off while (s)he tries to put questions. Before all, a psychologist must respect the client’s inner reality, beliefs, and values. That’s why a good psychologist will not approve or disapprove. In neither case will it emit judgments upon a client’s saying without prior understanding of their inner world. A client does not need to get the psychologist’s approval but understanding. The experience of a psychologist does NOT determine their quality as a professional. One can have 30 years of experience and not have basic listening skills; one can have 1 year of experience and a lot of interpersonal skills. The quality of the service provided does not depend upon the expertise or experience but upon the personality. Remember that before passing any judgment on psychotherapists or psychologists.
For example, if you believe that UFOs are driven by aliens, I would think you’re talking bananas, but that is my own opinion, and I am not a psychologist. But a service provider in this field is not allowed to pass any form of judgment, no matter how silly your belief might seem to them. It is your belief, and you are entitled to any belief you desire, consciously or unconsciously. However, the psychologist must accept it as part of your model of the world, listen to your opinions and respect them, no matter how different they are from their perception.
Ask the psychologist on which criteria (s)he determines the number of sessions necessary for a specific type of problem and how (s)he structures his/her time during the therapy and each session. A good service provider must be able to convince you that (s)he has a strategy that has been proven to work.
Ask the psychologist about any potential challenges (s)he has met during his/her career, especially in confrontation with a particular ethical aspect from the psychologist’s deontological code. If (s)he says (s)he has never had challenges, it is because:
a) (s)he’s lying
b) doesn’t have enough experience or
c) doesn’t know the ethical requirements of the job.
Nobody is perfect, and a good psychologist would not deny challenges. (S)he might avoid answering the question, but (s)he wouldn’t deny such challenges exist. You should get an answer when putting this question.
Another question to ask is the most extended period a client has been in therapy. If the service provider answers: “Oh, I have clients who go back years, about 3-4”, say hello and walk on by. A therapist who does his job does not make a particular client dependent on him or her but makes sure that the client is getting improvement throughout the process. In some cases, therapy might even take up to 2 years. Still, when going after a specific term, any good psychologist must be able to explain WHY (s)he decided to continue therapy with that particular client. Even if it’s a process that takes time, it doesn’t have to take too much time. Otherwise, you might just be looking at an incompetent or a money-drier.
Ask him or her about the training (s)he’s taken and about his/her plans for personal development. Such a job requires continuous improvement. If, since completing a bachelor’s or master’s degree, the only training (s)he took was in the central area of expertise (let’s say, psychoanalysis, hypnosis, or transactional analysis – but only one), it is somewhat likely that psychologist does not have a broad enough perspective. A good service provider must continuously improve himself/herself.
Ask the service provider what tools of diagnosis does (s)he has. How did (s)he acquire those skills, where did (s)he practice them, and for how long? An essential part of solving the problem is to call for the correct diagnosis. How much time is allocated to diagnosis? A good psychologist would give at least 1-2 initial sessions for diagnosis and also must tell you that there is a variate set of diagnostic tools. In some cases, simple questioning might do it, and some might say they have just developed that intuitively. Even if that is the answer, the service provider must explain where did (s)he learn it, for how long, where did (s)he practiced it, with who, and with which results.
Due to the long training process, some psychologists become stiff and think they know it all. The good ones don’t. So they are open to feedback, as they know feedback is a source for continuous improvement. A good question is, “What feedback did you recently apply and work”. If they pause or look at you blank, just say hello and walk on by.
And, as a final tip, to get a business approach, you can ask the psychologist what’s his/her charge and then put the question: “what are you offering me for this money?” and you will see whether the service provider has a selling pitch or not.
Remember that a psychologist may claim several things, but at the same time, (s)he must be able to argue each of those claims with training and/or experience. The simple fact of not complying with some of these requests doesn’t mean that the psychologist you’re talking to is incompetent or wants to rip you off. It might not be their fault. In the meantime, the fact that a service provider is well-intentioned or sure of himself/herself doesn’t mean that you should just blindly write a white check and definitely trust them. Some might do you more harm than good, even without realizing it.
Another thing to pay attention to is to judge carefully for references. For example, if a friend says a particular psychologist is great, it might mean that the service provider is good for them. Not necessarily also for you.
Considering you expect to pay for quality questions from a service provider, be sure to get the correct answers to earn quality!
I consider that excellent professionals and unfortunate incompetents exist. Both get clients. The problem is that an incompetent person ruins someone’s trust to contact a good service provider, . A fantastic professional might not help a customer due to the harm being done to him/her by an incompetent.
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