8 Myths about therapy or counseling

Perhaps you have thought of seeking a therapist, but you are not sure what the outcome will be. Maybe your friends have had a negative interaction with a therapist, which makes you wary. Below I address a few myths about therapy and I delve into the truth from my perspective.

Please note that all therapists are different, and each of us approaches our work in a different way.

Your therapist only talks about the past:

I’ve read this one in many social media forums. There is a general idea that it is the therapist’s job to blame your mother for everything that’s going wrong in your life or to only focus on the things that have happened in your past. Well many many years ago, there was a time when your mother would have been blamed for pretty much every shortcoming you have. But we therapists have advanced beyond that. We now know that even though your environment does shape you, your personality, other biological factors and life experiences all play a role in your life.

So don’t worry. I will most certainly NOT focus solely on your past when you come to see me. While I believe that your past is a window into your present, I don’t dwell entirely on the past.

Your therapist can’t help you with your goals and dreams:

Many people believe that a therapist is simply someone who diagnoses you, but then after that the focus is on ‘Fixing.’ The truth is that there are many theoretical orientations that therapists adhere to. I utilize Cognitive Behavioral Therapy, Dialectical Behavior Therapy and Solution Focused Therapy. As a Solution Focused Therapist we talk about what you want your life to look like, and we then create practical steps to help you get there. It’s quite present focused and it’s very powerful in helping you figure out what barriers prevent you from reaching your dreams, as well as getting the motivation to actually make those dreams come true.

Your therapist is focused on pathology and mental illness:

A lot of people run away from therapists because they believe that they will be diagnosed with some scary illness. I totally get it. I wouldn’t want a scary illness following me around either. If this is a concern for you, have a conversation with your therapist before you begin services. Ask him or her if there will be a diagnosis, and I also encourage you to ask about what diagnosis will be given to you. Knowledge is power.

When I meet with clients, my focus is actually more on their strengths than their areas of growth. I believe it is my job to help you uncover strengths so that you can utilize those strengths to actually become the person you’ve dreamed of. We also talk about your support system and how they can help you improve your life.

Side note: If you plan to use your healthcare insurance, it’s important to know that insurance companies typically only reimburse services if your therapist has diagnosed you. So this is an important factor to weigh when you decide to go through your insurance. Depending on your future career, a mental health diagnosis does remain as part of your permanent record.

Your therapist has to tell your loved ones that you’re in therapy:

This is a big, fat no no. Now while there are some situations in which the therapist might have to involve your loved ones in your care (for example if you are a danger to yourself), whatever you say in the therapy room is typically not shared with your loved ones, employer or colleague. Now if you want your loved ones involved in your care or if you want to bring them into session to support you, you absolutely can work that out with your therapist. But when you work with a therapist, expect that your information will remain the therapy room.

A special note here. Therapists are mandated reporters, so in some cases we will have to make a report. Read more about that here.

Your therapist will shame you:

It is never your therapist’s job to shame you, berate you or make you feel bad about yourself. Her (or his) job is to be your support, to help you feel better, to discover patterns of behavior that you haven’t noticed about yourself, and to see improvement. We do a lot deeper work than if you were to read a self development book. If your therapist is shaming you, it’ll be really difficult for therapy to be successful.

All your therapist does is nod and smile:

While it might seem like all we do is nod and smile, we are paying serious attention to you. We are looking at your body language to see if you are comfortable, uncomfortable and how things are affecting you. We actively listen for patterns that might be important for us to change. In some forms of therapy like in EMDR or Brainspotting, the therapist might even bring in gadgets to help you change unhelpful patterns. In some instances we bring in worksheets, videos, or audio materials to help you. Outside of session we often plan out the session ahead of time, look for helpful materials and when you leave the room, we are ensuring that we are keeping good notes so that we can continue with an effective plan of action. Sometimes we even coordinate your care with your psychiatrist, physician or any other professional in your life whom you choose to be a part of your care.

You have to be on medication to be in therapy:

As a licensed marriage and family therapist in California, I am unable to prescribe or sell you medications. I am even unable to give you advice about what medications to take and when to take them. Medication is the job of nurses, physicians and pharmacists. In fact you do not have to be on medication or even want medication to be in therapy. Medication is your choice and you can decide to do what is best for you. If you are thinking about taking medications, I would highly suggest that you have a conversation with a physician so that you can make an informed decision.

Therapy is for “Crazy people” with serious problems:

I hear this one A LOT. The truth is I have never had a “Crazy” client and I am not even sure what that word means. To participate in therapy, you have to have a certain level of insight. It’s important that you aware of who you are, where you are, what day and time it is, what goals you are trying to accomplish, etc. To work with me, we have to be able to communicate with each other effectively and I only work with people who actually want to work with me. So I guess “Crazy people” by default, probably won’t be able to benefit from traditional therapy.

You also don’t have to have “Serious” life and death problems to benefit from therapy. Some people come to therapy after they relocate so they can work on the adjustment. Others come because they have struggles in their jobs, mild depression, mild anxiety, struggles in their relationship, difficulty making friends, or they just need someone to provide them with emotional support.

Sometimes mom life can get you feeling stressed or sleeping issues and insomnia can lead you to seek therapy (Another side note: Yes your therapist can help you resolve insomnia. I personally utilize a short-term 5 to 7 session insomnia treatment called CBT for insomnia or CBT i. Read more about that here). No problem is too small for therapy because we can all benefit from a little extra support. Sometimes, therapy is purely preventative. You come in when your symptoms are still very mild so that you prevent them from becoming severe.

If you’re ready to try therapy and get rid of anxiety or insomnia, I offer a free 15 minute consultation call. While my therapy office is in Murrieta, I also see women from all over California via a secure form of tele therapy. Click here to request your free consultation call.

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FAQs About Counseling, Therapy or Psychotherapy in Murrieta

Happy new year folks! I took a blogging break so that I could rest and begin to work on some more helpful mental health topics for you in 2020. I hope you had a great holiday break and you’re ready to take 2020 by storm.

Today I’m going to be answering some of the frequently asked questions about therapy or counseling that are often thrown at me. I know that finding a therapist or counselor in Murrieta/Temecula or even in the Inland Empire could be daunting, so my goal today is to make the process a bit easier for you. Many people who seek a therapist out in the Inland Empire are new to therapy. It’s normal to have some questions before you begin. And even if you don’t live in Murrieta, Temecula or the Inland Empire, chances are you have some of these questions when you’re seeking out a therapist.

Okay, let’s dive in. Below are some of the questions I get asked quite a bit. If you have questions about therapy that you’d like a licensed therapist to answer, go ahead and write them down in the comments section:

1) Is therapy confidential?

I get this question all the time. In short, the answer is “Yes and no.” I know it’s confusing, but let me explain. In the state of California, therapists are mandated reporters. It means that there are certain situations we have to report under the law- for the protection of certain people.

Some of these situations are:

• Child abuse- That includes physical, emotional, sexual abuse, or neglect of a child who is less than 18 years of age. When you are in the therapy room, if you disclose that a child is being abused, the therapist has the mandate to make a report to Child Protective Services (CPS). Now as a therapist, I do not investigate whether or not the allegation of abuse is true. My job is to simply pass the report on to CPS and let them do their job. Click here to read more about CPS child abuse reporting in California.

• Dependent adult abuse- This is the abuse of someone who is an adult ages 8 to 64, but due to his or her physical or emotional state, he or she cannot perform certain independent tasks without assistance. Types of abuse that must be reported include sexual abuse, emotional abuse, physical abuse, neglect and even financial abuse. So if you’re in a session with me and you report for example. that your 19 year old neighbor, who is a dependent adult, is underfed, malnourished and always being yelled at, I will be mandated to report to Adult Protective Services (APS). Here is the link to Riverside County APS.

• Elder adult abuse- This is the abuse of an adult who is 65 years or older. It includes abandonment or neglect, financial abuse, sexual abuse, emotional abuse, physical abuse or even healthcare abuse. So abuse doesn’t only mean harming the person physically or emotionally, misuse of the elder’s funds and healthcare fraud could also be reportable. In this case if I suspect any of the above types of abuse is going on, I’ll also make a report to APS so that the individual is kept safe.

• Danger to self or others: My job as a therapist is to ensure that you are safe. If at any time, it becomes obvious that you are going to be a danger to yourself, to another person or to the property of another person, it is my prerogative to report to the necessary authorities so that everyone concerned can be safe. In this case, I can choose not to report, but if I deem that this is the best action, then I could go ahead and bring in a third party to keep you safe.

• Patriot Act of 2001: This law was enacted as a response to the horrific attacks on September 11, 2001. This indicates that if a client of mine is a suspected terrorist, the FBI or their law enforcement agencies can request information from me, and I would have to comply with their requests. Read more about the Patriot Act here.

But if you are not a danger to yourself or others, if you are not a suspected terrorist and if there is no suspected elder, dependent or child abuse, then the information you divulge in therapy remains confidential.

2) Will my health insurance pay for my therapy visits?

The answer to this one is “It depends.” Some insurance companies have mental health coverage and they will allow you to see a therapist who has signed a contract with them. These therapists are “In network” with your insurance company. It’s important to ask your insurance company what your benefits are, so you can decide what you want to do.

Some insurance companies will specify the number and types of sessions that you can have. For example, some insurance companies do not cover couples therapy. Others will cover tele therapy (therapy over the phone or computer), while some won’t.

In some situations, you might find a therapist whom you really like, but they might not have a contract with your insurance company. If you have a PPO plan, you might be able to still work with an out of network therapist and also get a percentage of the therapy cost reimbursed by your health insurance company.

What I do in this case is that the client pays me out of pocket for each session, and then I provide them a superbill (it’s sort of a receipt for services), which the client forwards to the insurance company for coverage.

It’s important to ask your insurance company if you have to be diagnosed with a mental health disorder in order for services to be covered.

Insurance companies often determine the length of sessions, types of sessions covered, how much you will be reimbursed, and sometimes which therapist you see.

3) Will my spouse, parents, kids, family and loved ones know that I’m in therapy?

It really depends on what you want and the circumstances under which you came to therapy. If you are mandated to come to couples or family therapy by a judge, then of course your family will know that you’re in therapy. But if you are coming of your own will as an adult, you don’t necessarily have to tell anyone that you’re seeing a therapist.

Some people have their family members (like their parents, spouse, etc). In that case, by default, the payer will know that you’re in therapy. However they don’t necessarily get access to your records or get to chat with the therapist about your personal business. It really depends on what you want. Remember- your mental health is your personal business. You can tell whomever you want about what happens in your therapy, but I cannot tell anyone (except I’m doing a mandated report as stated above). In other words, your secrets are safe with me.

And in the case that your spouse, child, in laws, friends or coworkers call me asking for information about you, the standard response I give is “I cannot confirm or deny that I know her.” My lips are sealed unless you give me written permission to speak to a loved one or colleague.

4) Can I be honest with my therapist?

Well do you want to make progress in your life? When you work with me, I typically start where you’re comfortable. We go where you want to go, and talk about the areas that you feel comfortable addressing. I will in no way force you to talk about trauma or childhood memories- except you’re comfortable with it.

As we build more rapport, you will naturally begin to tell me about deeper issues that are bothering you. For therapy to work well, it is important to be honest with your therapist so that we can work together as a team. In my therapy office in Murrieta, there is no room for judgement or blame. I help you uncover your strengths, combat thoughts that don’t work well for you and identify new, positive coping skills. That’s a brief summary of my role as a therapist.

5) What will my first therapy session look like?

Therapy looks different depending on who you choose as your therapist- because we all have different approaches to the work that we do. When you work with me, your first contact with me will either be through a phone call or an email. If it’s through email, I'll ask you to schedule a free 15-minute consultation call with me so that I can find out more about what your struggles are and you can also decide if I’m the best fit for you. I believe very strongly that you have to pick the therapist that is the right fit for you, not the one who is the cheapest or whose office is the closest to your home.

After the consultation call, if you decide to begin services with me, we’ll schedule an appointment and you get to see me either in my therapy office in Murrieta or online. As licensed marriage and family therapist in California, I can see anyone in California through teletherapy- which is kind of like a Skype video call- only through a more secure platform.

During your first therapy session, I’ll collect your payment, ask you questions about your background and what brought you into therapy. And we will work together to create a plan of action so that you can find relief as fast as possible. I’m more of a short term therapy kind of therapist. I like us to find the fastest route to healing because I don’t want you to be in therapy forever!

We typically will meet every week as I see the most progress in clients who see me weekly. When things are improving, naturally we’ll taper down to every other week, then probably once a month.

You’ll sit on my comfy couch, we’ll talk and you’ll get homework sometimes (yes, I’m a fan of homework) to ensure that you’re able to implement what you learned. I believe therapy should be helpful- not just weekly jibber jabber.

And that’s pretty much it. If you have any other questions about finding a therapist in Murrieta/Temecula, feel free to comment below or email me.

Thinking about starting therapy? I love working with women who struggle with anxiety, people pleasing behaviors and self esteem issues. I also love helping insomniacs sleep through my CBT for insomnia work. If you’re ready to get rid of anxiety or insomnia, click here to request a free 15-min consultation call.

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