Tips for Choosing a Counselor

 

In an effort to provide you with a method to access resources in our community, Crossroads has created a list of local counselors who are Christian. This is not a comprehensive list but a sample of Christian counselors in the Greater Cincinnati Area. Many have been referred to us by church attendees, friends, staff, etc. In addition, many insurance companies now list counselors by special interest area. Be sure to ask your insurance provider for their list of Christian counselors. The list offered by Crossroads is updated yearly and the information is subject to change. Alternately, you may find a counselor who is helpful to you that is not affiliated with a particular faith. Regardless of whether you choose a counselor that incorporates your faith into the sessions or not, this information will be helpful in your search.

 

Determine Your Readiness for Professional Involvement

 

Questions you may want to consider before contacting a counselor are:

 

  • How severe is the problem?  
  • How motivated am I to change?  
  • Do I want short-term help with the unpleasant symptoms I am experiencing and/or do I want longer-term help to explore the underlying causes of the symptoms?  
  • Do I want help to prevent issues from coming up again in the future?  
  • How much time am I willing to commit to this process? 
  • What helped me in the past when I grappled with this issue?  
  • What resources have I tried already? 
  • How did those work for me (books, friends, support groups, seminars, small groups, church-sponsored groups)?
  • How much can I afford to spend?  
  • Can I pay for this out-of-pocket or will my insurance cover the cost?  
  • What will the emotional/spiritual price be to me and my loved ones if I do not get help?

 

These questions may help you to consider what has worked for you in the past, what has not, and to determine your need for professional involvement.

 

Finding the Right Match

 

When considering what counselor to choose, you may want to ask friends for recommendations of people they have found helpful. In addition, it is appropriate to try a session or two with a counselor and see how well you work together. If you don’t find that you’ve made a good connection, feel free to try a different person for a session until you get the right fit (after first ending your relationship with the initial counselor). While it is not wise to switch counselors in the middle of therapy, it is appropriate to do some exploration in the introductory stages to find a person you feel comfortable working with. You may also let the counselor know you are in the process of exploring a good fit and would like to try a few sessions before you commit to working with that particular person.

 

Location and appointment availability are also important factors to consider. You are more likely to go to regular appointments if they fit your schedule and if the location is convenient to you. Also, consider if you would prefer working with a male or female counselor, or if it makes a difference at all to you.

 

Getting the Information You Need

 

The following questions are helpful to ask when selecting a counselor that is right for you. Feel free to request to speak with the receptionist at the agency or the counselor themselves if you have questions. These questions may help you narrow the field. Many counselors are willing to answer questions over the phone when you are inquiring about their services. More detailed questions may be discussed during the first session.

 

Experience/Approach

 

  • What are your areas of specialty? What are your areas of competencies?

 

Specialty and Competency Areas are two different categories that overlap. Generally, Specialty Areas are those categories that the counselor is expert in. Counselors tend to specialize in the areas that interest them most. Competency Areas are topics that the counselor is proficient in. For example, a family counselor may specialize in marriage counseling however, he or she likely has adequate training in working with the whole family system including children. Some examples of these areas are: marriage, substance-abuse, administration, mental health, and diagnosis and treatment of personality disorders, etc.

 

  • What are your credentials?  (see “Breaking the Code…” below)

 

  • For counselors who are Christian:

If I would like to incorporate prayer into the sessions, how will that work?

 

How do you integrate Biblical principles into the sessions?

 

What are your views on topics that are important to me (e.g. divorce, re-marriage, roles of husband and wife in marriage, etc)?

 

  • What is your general approach to counseling?

 

Any counselor will be able to name and briefly describe their theoretical approach to counseling. Some approaches include: Person-Centered Counseling, Solution-Focused, Behavioral, Cognitive, and Eclectic to name a few. Feel free to inquire about the approach and how that will impact your overall experience with that counselor.

 

Payment/Scheduling

 

Counseling is an investment in your mental health and in your relationships.  In other words, it is not cheap.  You can expect to pay between $80-150 per session.  Counselors with doctorate degrees will be on the higher end of that range.

 

  • How often do you schedule sessions (weekly, bi-weekly, or monthly)?
  • How do you determine the length of the counseling process (weeks, months, and years)?
  • Do you accept insurance? What form of payment do you accept? When is payment due?
  • How much are your session fees? How long does each session last? Do you have a sliding fee scale based on income?
  • What is your session cancellation policy and “no-show” policy?

 

Explore Alternative Resources

 

Educational Seminars and Conferences: Crossroads, other local churches and community agencies offer educational seminars throughout the year dealing with topics such as finances, marriage enrichment, divorce, communication skills, spiritual growth, parenting, leadership development, etc. Information about current seminars sponsored by Crossroads is available at the information table.

 

Community Groups: two to three times a year, Crossroads offers Community Groups focused on a wide range of topics that include marriage, parenting, sexual trauma, men’s and women’s issues, developing a relationship with God, and others. These groups are designed to help you experience community in a smaller setting with teaching and small group discussion. Go to the Crossroads website, www.crossroadscommunity.net, to see the latest Community Group offerings. Click on the “more stuff” link and look under Community Care.

 

Small Groups: Small groups (or “A-teams) are groups from 3-20 that meet together regularly to build friendships as well as grow spiritually. These groups are more organic in nature and tend to form out of existing friendships or commonalities between people. Check out Crossroads’ website to use “Find an A-team tool” to research current groups that are forming (www.crossroadscommunity.net/FindATeam.asp). You can check to see if a group is forming around an issue that interests you. Crossroads welcomes new small group leaders to form groups based on topics of interest. New groups are always forming.

 

Recovery & Support Groups: Crossroads, many local churches and counseling practices offer faith-based support groups related to grief, sexual abuse recovery, adult children of alcoholics, substance abuse recovery, sexual addiction recovery, etc.

 

Biblically-based Books, Magazines, Radio, Websites, and tapes/CDs: Books with a biblical perspective on almost any topic are available at local Christian bookstores, on-line book retailers, and many local bookstores. Audio CDs on specific topics may also be ordered from Crossroads (online requests through the website).  Examples of other places to order tapes/CDs are Willow Creek Church, Focus on the Family (marriage and family issues), and Family Life.   Some examples of Christian websites that may be helpful are: Crown Financial Ministries (www.crown.org), Willow Creek Church resources (www.willowcreek.com), American Association of Christian Counselors (www.aacc.net),  and Cloud-Townsend Resources (www.cloudtownsend.com) and New Life Ministries (www.newlife.com) just to name a few. In addition, magazine subscriptions to faith-based monthly and quarterly publications are available. Local Christian radio stations provide a valuable source of music, programming, and talk shows that can offer inspiration, support, and encouragement.

 

Steve Mercer, Crossroads’ Director of Pastoral Care, can also point you to helpful resources.  You can contact him at smercer@crossroadscommunity.net or at 513-731-7400 x593.

 

Breaking the Code of Professional Credentials

 

Research indicates that the quality of a therapist’s work is less related to their degree or license and more related to their experience and training. Mental health is a very broad subject and covers a great deal of ground. No one professional (or even one group of professionals) can know everything there is to know about all aspects of mental health treatment. Consequently, mental health professionals usually have particular treatment areas they specialize in beyond their general training in mental health issues. Feel free to discuss any questions that you have concerning a professional's training and experience on a given mental health issue with the professional of your choice.

 

In order to be licensed by the State of Ohio, all of the professionals listed below have completed a specified time of clinical training, supervised experienced, and have passed an examination given by the State. All mental health professionals who work in independent practice have some form of post bachelor’s degree training (i.e., graduate school or medical school). In the State of Ohio, all licensed mental health professionals are required to obtain some form of continuing education units by attending additional training in order to renew their license.

The list of licensed mental health professionals in Ohio include:

Psychiatrist (M.D., D.O.)
Psychiatrists are medical doctors who have graduated from a four-year medical school, and have completed both an internship and a residency in psychiatry.


Clinical Psychologist (Ph.D, Psy.D)
Licensed psychologists have graduated from a doctoral program and must complete post-graduate clinical experience. They can provide diagnosis and treatment of mental and emotional disorders.
 
Licensed Professional Counselor or Professional Counselor (L.P.C. or P.C.)
Professional counselors hold a Master’s degree in Counseling and have passed a State Board exam.


Licensed Professional Clinical Counselor or Professional Clinical Counselor (L.P.C.C. P.C.C.)

Professional clinical counselors may work independently and engage in the diagnosis and treatment of mental and emotional disorders. In addition to a master's degree, clinical counselors take an additional 20 semester hours of instruction and pass a State Board exam.


Social Worker (LSW, LISW)

Social workers have graduated from either a masters or doctoral counseling program and have completed 3000 hours (approximately two years of full-time employment) of post-licensure experience in counseling and have passed a license examination administered by the State of Ohio.

LSW - Licensed Social Worker
A licensed social worker works as a social worker under the supervision of psychiatrists, psychiatrist, professional clinical counselor, independent social worker, or psychiatric nurse.

LISW - Licensed Independent Social Worker
An independent social worker may engage in the private practice of social work as an individual practitioner or as a member of partnership or group practice, which includes the diagnosis and treatment of mental and emotional disorders.

Certified Chemical Dependency Counselor (CCDC I, II, III)

A clinician who is certified at the CCDC III level has met the state minimum requirements of: a master’s degree; one year of chemical dependency counseling work experience; 270 hours of chemical dependency specific training; completed a preceptorship; and completed both a written and an oral examination.

 

(The information cited in this section is taken from the Cleveland Therapists website, www.clevelandtherapists.com/credentials.html)