Your First Meeting

During your first meeting, I usually will ask you some preliminary questions as a way of getting to know you and your reasons for seeking therapy. These questions might include:

• What concerns bring you to therapy at this time?

• Have you been in therapy before? If so, what was most helpful or problematic about the experience?

• What are you hoping to experience, accomplish or discover in therapy?

• How long do you expect to come for therapy?

During your first session, I also encourage you to ask me any questions you may have. The following questions are typical:

• What is your general therapeutic orientation and approach?

• Do you have any areas of specialty?

• How frequently or long do you typically see clients?

• Do you take insurance?

• Are you available for phone sessions?

• What is your position on medication?

• How active are you in session?

The Importance of Match

Scientific research has identified that psychotherapy is effective. It has also been demonstrated that the effectiveness of the therapeutic process depends more on the quality of interpersonal rapport between a therapist and client than a therapist’s techniques, education or approach. It is believed that the relationship between a therapist and client is the most significant predictor of therapeutic success. I encourage your to consider how you feel in our time together as a way of deciding whether I am a “good match” for you. Remember, sometimes it takes a few appointments to get a true sense of what it might be like to work with someone.

Confidentiality

There are laws that protect the communication between a client and therapist. In most cases, the information you share with me cannot and will not be disclosed to anyone without your written permission. Exceptions to confidentiality include:

• Suspected child abuse, dependent abuse or elder abuse.

• Threats of serious physical harm to others.