Finding the right therapist is one of the most important factors in therapy success. How to pick a therapist involves practical considerations and personal fit assessment.
Practical considerations first
- License and credentials (verify state licensure)
- Insurance acceptance or affordable cash rate
- Location/telehealth availability
- Schedule compatibility
- Specialization relevant to your concerns
Questions to ask potential therapists
- What’s your training and approach?
- Do you specialize in [your concern]?
- What does therapy with you look like?
- How long is typical treatment?
- What’s your fee and insurance policy?
- Do you have evening/weekend availability?
- What if therapy isn’t working?
Therapist credentials
- LCSW: Licensed Clinical Social Worker
- LMFT: Licensed Marriage and Family Therapist
- LPC/LPCC: Licensed Professional Counselor
- Psychologist (PhD/PsyD): Licensed psychologist
- Psychiatrist (MD): Medical doctor, prescribes medication
- Psychiatric Nurse Practitioner: Prescribes medication
Initial consultation
Many therapists offer:
- Brief phone consultation (free 15 min)
- Initial session to assess fit
- Ask questions during consultation
Signs of good fit
- Feel heard and understood
- Comfortable being honest
- Trust developing
- Some progress toward goals
- Approach matches your needs
Signs of poor fit
- Don’t feel understood
- Therapist doesn’t seem to listen
- Approach feels wrong for you
- No progress over time
- Boundary issues
- Feel worse, not better
Where to search
- Insurance directories
- Psychology Today therapist finder
- Open Path Collective
- Inclusive Therapists (focus on marginalized identities)
- Therapy for Black Girls / Latinx Therapy
- EMDR International Association (for EMDR)
- Referrals from primary care or friends
Frequently Asked Questions
How long should I give a therapist?
3-6 sessions to assess fit. Don’t wait too long if clearly poor fit.
Can I switch therapists?
Yes, common and acceptable. Don’t feel obligated to stay if not working.
What if I can’t find right therapist?
Try platforms like Open Path. Online options expand choices.
Should my therapist share my identity?
Sometimes helpful but not required. Cultural competence more important than identity match.
What if therapist suggests treatment I’m uncomfortable with?
Discuss concerns. Find different therapist if approach doesn’t fit.
The bottom line on picking a therapist
Multiple practical and personal fit considerations. Don’t settle for poor fit. Multiple options usually available with persistence.