Choosing a Therapist

" Shrinklady "

Counseling Psychologist

Dr. LaCombe is a Registered Psychologist and practising psychotherapist.

She's also the publisher of

Visit her personal site to learn more.

Dr. LaCombe

I think that therapy, your website, your writings, and particularly your musings are way COOL!

I’m actually an enthusiastic newbie to therapy. Sites such as yours really provide a lot of helpful information for someone in my position.

Keep up the fine work!

- Vivian
Quotable Quotes
Which therapist do you prefer?

Expert A

Two professional degrees;

Busy waiting room with receptionist;

Has written a book;

Felt somewhat intimidated during the session.

Expert B

One professional degree;

Quiet waiting room. No receptionist however;

Felt I could eventually say almost anything to this person.


Are you shopping around for a counseling or psychotherapy service? Before you embark on choosing a therapist, you might find it helpful to learn what makes for good therapy.

In the following article, I share a little of my own experience that inspired the development of this site.


Choosing the Right Counselor

Hi, I'm Shrinklady,

Is therapy a waste of time?

What can you expect when you go to therapy?

And, how do you get the most bang for your buck?

I had a friend once who saw the same psychiatrist for over ten years and yet never seemed happier or more settled. In fact, there always seemed to be the “same crisis - different day” that he was cycling through.

If I would hazard a guess, I'd say he became even more entrenched in negative and self-limiting patterns. Moreover, his behaviors were grating on everyone’s nerves. His “friends” were shaking their heads and I found myself checking out until we were no longer emotionally close.

Friends giving up

I had an insight on the matter one day. I remember mentioning how I was working through some really tough "issues" with my therapist. He looked at me kinda funny like and said, "You know, my therapist and I never talk like that and he never refers to "issues".

Wow! That's when it hit me. He literally had no awareness of his "issues" or even that repetitive patterns were stalling his life. As far as I could tell, his therapy was "helping" him accommodate to all the "awful" people and situations in his life. It was all about problems coming in from the outside - his girlfriend, friends and work. It was never about deepening his consciousness into his own responsibility for co-creating the difficulties he was mired in.

His therapist was colluding with his distorted way of seeing the world and blocking his personal growth. They appeared to be just chatting about his problems, not doing real therapy work to resolve them. 

Expect change in your therapy

When clients first come to see me they often ask me "how long will it take for me to start feeling better" - a question most therapists hate to answer.

Change should feel it on the horizon

I tell them that they should be sensing the beginnings of change in themselves between four to six sessions. Now those changes may not be in those areas they're in therapy for - after all, the body-mind works with it's own agenda.

Nonetheless, they should see at least an inkling of a new behaviour or notice a small positive shift in feeling during this time. At minimum, one hopefully feels encouraged, even lighter.

The nature of these early changes will be unique for each individual because our emotional "stuff" reveals itself in countless, personal ways. Naturally, our history shapes the speed at which we progress.

Therapeutic change is usually measured in relation to some original "baseline". This may mean that over time, we are gradually more able to sustain emotional contact with the therapist without feeling flushed or breaking eye contact. Outside of therapy, this might result in feeling more comfortable just hanging out with friends.

For others, their sleep may improve or their anxiety lessens, especially when the hope of more change comes into sight.

So, when I hear of stories of people who've endured hundreds of hours of therapy and spent thousands of dollars with little personal change, I'm confused. It's heart-breaking to hear.

Is finding a good therapist just a crapshoot?

I suspect that if folks knew what to demand from their therapy there'd be a lot more satisfied clients around. Then therapy wouldn't be a hit-and-miss for so many clients.

Gambling with your choice of therapist

As you may have guessed from reading the material on this site, I believe that the quality of the therapist-client connection is fundamental to client change. And, I’m not alone in this perspective.

Most therapists say that they do honor the therapeutic relationship. Indeed, every newbie therapist knows about the consistent research results confirming that no matter what type of therapy, the therapeutic relationship is the common factor for change.

Over and over again, this result is repeated in clinical studies. And now neuroscience has a provisional explanation: the therapeutic relationship provides an essential attachment template for healing.

Yet, at the end of the day, there's book learning and then there's the real-timed, lived experience of a face-to-face interaction with a counselor. It's not always so black and white in the real world.

I spent some time looking back at my own personal experiences and other stories from "shrink" friends. The therapeutic relationship is as subtle as any other, a sometimes graceful, sometimes stumbling dance - if you care to notice.

Sometimes the client is more "with it" than the therapist. Before you choose a counseling or psychotherapy service read this:

Top Ten Ways to Know If You're Dealing with a Wonky Therapist.

Need to chat with someone now?
Live therapists available 24/7

Related Topic


Counseling  •  Mental Health  •  Holistic Therapy  •  What is emotional health?  •  Counseling Café
Anxiety Attack Symptoms  •  Psychotherapy and Spirituality  •  Signs of Depression
Stress and Health  •  Counseling Theories  •  Inspiring Words and Motivation
Emotional bucket reached it's max? Click here.

kids in counseling

You and 19 others are currently browsing this site.

Yeah, I'm always stuff'n my face. I gotta get a shrink.