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Saturday, August, 30, 2008

My Big Therapist Hunt

by  Deborah Gray
Thursday, April 19, 2007
Deborah Gray
Deborah Gray
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Deborah Gray lived with undiagnosed clinical depression, both major...

Deborah Gray

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When we moved from Connecticut to California over a year ago, I had to end therapy with the therapist I had there. (I really liked her, but figured 3,000 miles was too far to go for an appointment.) I still had some issues to be worked out, so a few weeks ago I faced the fact that I needed to find a therapist in the area.

I started, as I usually do, by asking my psychiatrist if he could recommend a good therapist, but he surprised me by telling me that he didn't know anyone he could recommend, although he offered to look over the list of therapists that were available under my health insurance.

I was stumped. I've never had to start from ground zero, so to speak. I always got a recommendation from my psychiatrist that turned out well, fortunately. I finally turned to a resource that, unfortunately, most people don't have access to. There is a community bulletin board in the area started by University of California, Berkeley employees called Berkeley Parents Network. I've found recommendations for everything from facialists to pediatricians, so I figured there had to be therapist recommendations.

Our health insurance has a website with a list of in-network therapists, so I cross-checked that with recommended female therapists from the Berkeley Parents Network list. I came up with a few names and called the ones I felt most positive about, in terms of what the review said about them and the style I felt I would be comfortable with in a therapist.

Another thing I've never done in the past while finding a therapist is interview more than one person. In the past, I've gotten one name, made an appointment and agreed to continue with him or her at the end of the session. Not what you would call thorough.

I had mixed reactions to the phone conversations I initially had with the four therapists I ended up making appointments with. (I'll refer to them as Therapist #1 - #4, based on the chronology of the appointments I made.) Therapist #2 sounded detached and cold.  Therapist #4 seemed somewhat ditsy. However, I figured that some people, like me, are not just good on the phone, so I shouldn't jump to conclusions about #2 and #4. I did have very good impressions of Therapist #1 and #3, and ended up chatting with #3 for a good ten minutes.

I saw Therapist #1 on Tuesday afternoon. I was immediately comfortable with her and settled down in her office to start the interview. The first thing I asked her was, "I forgot to ask - what type of insurance do you take?" She apologized for not mentioning it on the phone, but said that she didn't take insurance at all.

Oh, crud. There is no way I can pay for this out of pocket.

During the rest of the appointment we talked about my issues, during which she raised an interesting point that hadn't occurred to me, so it was not a complete waste. But I told her that it was unlikely I would continue with her, due to the insurance issue.

I saw Therapist #2 on Thursday morning, with some trepidation I might add. My initial impression of her on the phone as cold and detached seemed accurate in person as well. She did take insurance, and my particular plan, so that was a plus. But at the end of the appointment I asked her how she would go about attacking my issues, which is a question that I asked of all four therapists. The question seemed to throw her, which was not a good sign.

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