Therapy FAQ: Common Questions and Answers

Starting therapy can bring discomfort and uncertainty. It can be intimidating to discuss personal feelings and experiences with a stranger. This nervousness often stems from the realization that beginning therapy initiates a process of change. The fear of the unknown and the vulnerability required can feel intimidating. However, acknowledging these feelings is a crucial first step. Therapy provides a safe space to explore these emotions and work towards personal growth.

How to choose the right therapist

Choosing the right therapist is a critical step in your mental health journey. It's important to find someone with whom you feel comfortable and understood. Start by researching therapists' credentials and areas of expertise to ensure they align with your needs. Personal recommendations from friends or family can also be valuable. Additionally, consider the therapist's approach to treatment and whether it resonates with you. Many therapists offer a free initial consultation, which can be a great opportunity to gauge your comfort level and ask any questions. Remember, the therapeutic relationship is a partnership, and finding the right fit can significantly impact your progress and overall experience.

How do I know if you are the right therapist for me?

Take your time to read through my website. If you sense that I may be a good fit based on what you are reading, you can email me or sign up for a consultation.

During a free phone consultation, you can ask me what a typical session with me is like, ask how I work as a therapist, or any other questions you may have that are specific-to-you. You’ll also be able to share what’s going on for you and I can share my ideas around how I can help you.

The most important factor is feeling comfortable with your therapist, which can take time to develop. During sessions, you'll gauge how you feel working together. My approach may not suit everyone, and it's crucial to find someone who feels like the right fit for you.

What if I don't want to talk about something?

It’s normal if you don’t feel ready to share everything. During our sessions, I will never push you to talk about things that are too painful for you to talk about. It’s my job to help align with the pace that is supportive and natural for you. Gradually you can share what you feel ready to share.

You can also share with me that you are nervous to open up about something and we can talk about that too. Whenever you have a lot of feelings about something, you are welcome to discuss them in session with me.

I’m scared that if I open up, you will think I’m crazy.

It's common to fear judgment when opening up about personal issues. Many people worry that sharing their deepest thoughts and feelings will lead to being labeled as "crazy." However, therapists are trained to listen without judgment and to provide a safe, supportive environment. The goal of therapy is to understand and help, not to criticize or stigmatize. Remember, everyone has struggles, and seeking help is a sign of strength, not weakness. Opening up can be a powerful step towards healing and personal growth.

Does what we talk about in therapy remain confidential?

Confidentiality is a cornerstone of the therapeutic relationship. What you discuss in therapy sessions remains private and protected by strict ethical and legal standards. Therapists are bound by confidentiality rules, meaning they cannot share your information without your explicit consent. There are, however, a few exceptions to this rule, such as situations involving imminent harm to yourself or others, or cases of abuse. These exceptions are in place to ensure safety and well-being. Understanding these boundaries can help you feel more secure in sharing openly during your sessions. Confidentiality fosters a trusting environment where you can explore your thoughts and feelings without fear of judgment or exposure.

How long will therapy take?

The duration of therapy varies greatly depending on individual needs and goals. Some people may find relief and achieve their objectives in a few sessions, while others might require months or even years of ongoing support. Factors such as the complexity of the issues being addressed, the frequency of sessions, and the therapeutic approach used can all influence the length of therapy. It's important to have open discussions with your therapist about your progress and any adjustments needed in your treatment plan. Remember, therapy is a personalized journey, and the time it takes is unique to each individual. The ultimate goal is to achieve meaningful and lasting change at a pace that feels right for you.

Very often, however, progress is non-linear. This is what I have come to expect in therapy. We may take two steps forward and one step back. Sometimes we take several back. However, each time we learn something new about ourselves that we can apply in the future. We deepen our awareness into our emotional patterns giving us more freedom and flexibility.

What can I expect during the first session?

Overall, you can think of the first session as a structured assessment that helps me get to know you and the challenges that brought you into treatment. I’ll invite you to share more about yourself and we can also talk about what’s worked or not worked for your mental health in the past.

Some questions that I like to ask during a first session include:

What brought you to therapy?

What’s present for you in your life right now?

Have you gone to therapy before? How did that go?

You can ask me questions as well. You might be curious about about why I'm a therapist or how I've helped other clients like you.

The most important part of a first session is that you see if you feel I’m a good fit for you. If you feel supported, seen, and at-ease with me, we can discuss if you’d like to meet again.

How can I get started?

I'm here to talk during a free phone consultation where you can share what’s going on for you and I can share my ideas around how I can help you.

Email me today to get your free phone consultation at scott@scottmenasco.com.

or sign up through the calendar below!