Concerns entering therapy, part 1 of 2

It’s normal to feel some anxiety about starting therapy. Whether you starting the process for the first time or switching clinicians, a lot of concerns can come up. You should not let this get in the way of seeking treatment, but you should not ignore it, either. It’s perfectly okay and valid to be apprehensive. Let’s take a look at some of the questions that might come up.

Will you believe me?

The people in our lives, as well-intentioned as they may be, don’t always respond positively and supportively to everything we tell them. That’s where therapy comes in. We go to talk about things we might not otherwise discuss. It’s a safe environment where you should not be afraid to bring up anything.

But doing your homework is certainly warranted. Look for someone who has experience with your particular concerns. If the therapist specializes in your area, you’re probably not going to tell him something he hasn’t already heard. Even if you do, he will have the background to understand what you are communicating. For instance, if you are having hallucinations, you might want to see someone who works with schizophrenia and psychosis.

This question is of particular concern to trauma survivors. Trauma touches on some of the most horrific and extreme aspects of human existence. Sadly, there are no limits to what is possible and, by extension, to what you might ask your therapist to believe. Know that sometimes, the trauma was planned out to deliberately be “unbelievable.” Some abusers set up situations that seem impossible in order to discredit victims should they say something in the future. So don’t be afraid to talk to someone just because your story is “out there.”

For more information about choosing the right therapist, visit here and here.

Will I be diagnosed as "crazy"?

"Crazy" is a societal concept, not a diagnosis. Everyone has a slightly different definition and there is no standard for craziness. Your therapist will not, however, call you crazy. Yes, you might be diagnosed with something. That's okay. With about one in four American adults struggling with a mental illness in any given year, you're not alone.

Some people are actually relieved that there is a name for what they are going through. It gives them something they can look to in order to better understand themselves and what they are going through. If you don't want to know what your diagnosis is, though, just say so to your therapist. Explain that you'd rather not be told what you have and that wish should be respected. As long as the therapist knows what is going on, she should be able to treat you just as effectively whether or not you know your diagnosis.

Will I be hospitalized?

There are very few circumstances in which you would be hospitalized. The standard is that you must be a danger to yourself or others. Examples include being suicidal, psychotic or delirious. But don't think that the thought of killing yourself or the presence of some hallucinations automatically get you committed. Hospitalization is taken very seriously and is a last resort. Other options, like staying with a family member or friend, are usually considered first.


I will post again on Sunday going over a few more concerns you might have. If there is anything you would like me to cover, please leave a comment.

Part 2