Here Are 10 Questions To Ask Before Choosing A Therapist
Earlier this spring, I remember reading an article where Oprah said that she had never been to therapy before; that in her mind, her best friend, Gayle King was her "regulator". When you think about all that Oprah has shared regarding childhood trauma, weight battles and pressures with her platform and then you add to that the fact that she gives out so much advice for a living, that seemed rather ironic to me.
It also reminded me of why I oftentimes say to my own clients that there is a difference between something being therapeutic and actually going to therapy. To me, at least once in life, everyone should see a therapist (or counselor or life coach). It's simply a good idea to have a professional help you to look at things from an "outside looking in", totally objective perspective, whether it's for the purpose of healing, revelation, goal-setting — or all of the above.
If you're someone who has either never been to a therapist before yet you've been strongly considering doing so as of late or you've tried it, got burned, and are leery about attempting going again (even though a part of you feels like you should), as a marriage life coach myself, I wanted to share 10 questions that you should personally run through. Ones that can help you feel a lot more confident about sitting on a therapist's couch — for a season.
1. What Specifically Do You Want a Therapist For?
When it comes to this first point, let me say that it would be a bit unfair for anyone who is a therapist to automatically expect you to know what kind of help that you need. After all, getting to the root of that is actually a part of a therapist's job. At the same time, it is a good idea to have some sort of ballpark idea of what you're looking for and the desired outcome you'd like to have. Like me? I work specifically with people who want to keep their marriage together, get it to thrive or those who desire marriage. Sometimes, I'll work with singles who are trying to get some areas of their life together; however, based on how complex and serious those issues are, I'll refer them out.
So, how do you start with your search when it comes to targeting exactly what you want or need? Well, do you want personal or professional assistance? Does it have to do with relationships in any way? Perhaps you've got some patterns/habits that you'd like to break. Are there things about how you live your life that you sense may be rooted in childhood trauma? Maybe you feel stagnant and you need someone to help you to get "unstuck" and set some goals. Ask some questions until you are able to "scratch an itch" so to speak. By the way, if there is something (or one) that is internally nagging you that won't seem to go away, that is a good indication that it should be brought up in therapy.
2. Will a Life Coach Do?
I once heard someone say that the main difference between a therapist and a life coach is a therapist focuses on one's mental health while a life coach is about helping someone reach their goals. I can definitely see there being a lot of truth to that; however, oftentimes a therapist is also considered to be a licensed psychologist, psychiatrist or counselor while a life coach? Some have "letters behind their name" while others do not. It kind of all depends on how much education you'd prefer the person you are working with to have. For instance, a lot of church folks go to see their pastor for counsel yet many of them aren't licensed therapists (or even licensed life coaches); they would be more like a life coach. I've been very open that I am a life coach as well. My work comes from years of experience while a friend of mine, who is also a coach, recently got certified.
Personally, when I'm dealing with a person or couple who I feel have some really deep-rooted issues, oftentimes I will recommend that they go to a therapist in addition to seeing me. However, if you're basically looking for assistance in identifying core issues and mapping out a plan on how to move forward, many times a coach (in an area of expertise that you're looking for because there are many different kinds) will fit the bill.
3. Is Their Ethnicity and Gender Relevant?
Not too long ago, a friend of mine asked me to refer them to a life coach. When I asked them what area they wanted to focus on, they said that they needed to get professionally organized and also create some long-term goals. Because this individual is pretty "fist in the air" (I'm sure you get what I mean by that — LOL), I assumed that they wanted someone Black. To my surprise, no. "I would actually prefer someone who sees life from a different lens because a lot of my clients aren't Black." Noted.
Some of you who are die-hard Insecure fans can recall the journey that Molly went on to find the right therapist for her. And yes, sometimes, being with someone who shares your ethnicity and/or gender can be a real comfort because you tend to feel like they get exactly where you are coming from. Anyway, whether that is the case for you or not, definitely factor this in while making your selection. It can make finding your right fit so much easier for you.
4. Do They Share or Respect Your Value/Belief System?
As a marriage life coach, I've worked with a few atheist couples in my time (actually, atheists tend to say married a lot longer than many Christians do…that's another article for another time, though). Because I strive to be a Bible follower, I've been asked if that was difficult to do. Eh, a little challenging only because I am someone who believes that marriage is a faith-based union; however, not impossible because I also believe that you can have morals and not be of the same faith system as I am. Still, since I tend to bring up God and Scripture quite a bit, I do make sure that prospective clients know that I think marriage is a covenant relationship and that I use the Bible in a lot of my counsel — at least a lot of the time. At the same time, there is actually a verse in the Word that talks about speaking in parables (applicable stories), so that folks who wouldn't understand Scripture can understand where you are coming from (Matthew 13:13). Taking that in has made it easier to communicate with folks from all walks of life.
Anyway, the bottom line here is you don't want to see someone who could end up doing a lot of debating with you or you're going to feel patronized around because you both have a different set of values or belief systems. If you're Jewish and want a Jewish therapist or agnostic and would prefer someone who won't bring up faith at all in your sessions, that makes total sense; it's pretty wise to look for that. You're already gonna have a lot to unpack. No need to start, right out of the gate, not seeing eye to eye about core foundational issues.
5. Have You Ever Seen a Therapist Before?
When I say that there is someone in my life who needs to go to therapy, stat — there can't be a bigger understatement when it comes to this topic. While the core of him is good, he makes some of the most redundantly toxic choices that I have ever seen in my entire life. The real catcher is he's so cryptic when it comes to how he moves that a lot of people come to him for insight. It's a mess. The few times when he has at least allowed me to broach the topic of counseling, he once shared that when he took a chance and tried, the therapist actually did something that was extremely unethical; they started developing feelings for him. And so, as of now, that has caused him to stay as far away from therapy as possible.
If you're hesitant about going to a therapist because you've never been before and you're not sure what to expect, that is totally understandable. Just try and keep an open mind. No one can make you do anything you want to do — including staying with someone you don't like or continuing in something that doesn't seem like a wise fit. On the other hand, if you're damning therapy because of a bad past experience, what I will say is, just like there are some good and bad people in general, there are also some good and not-so-good therapists. To swear off all of them because of one unfortunate situation would be a shame. Besides, how can one meeting — possibly a couple of times — with someone new hurt? You're still in control. No matter what. Always remember that.
6. How Do They Act in the First Meeting?
I'm gonna be straight up with you. Seeing a prospective therapist/counselor/life coach for the first time is a lot like a first date. And just like first dates, there are several red flags that you should look out for. Ready? Here are 10 of 'em.
- If they're late. It means they don't respect your time.
- If you feel like they are over-talking you. They aren't good listeners.
- If they come off condescending or patronizing. You need to feel comfortable.
- If they are distracted. That's just plain rude.
- If you feel like they're giving more of a monologue than dialoguing with you. You aren't to be their audience member.
- If you feel a hell of a lot worse rather than better. No one should feel like shame imposed by the therapist. Do keep in mind that therapy may bring about really uncomfortable moments so that you can get to the root of matters.
- If you sense gaslighting or manipulation. A therapist shouldn't be emotionally controlling or violating you.
- If it seems like a religion session. A faith-based therapist is one thing. Trying to recruit you is something else.
- If you feel no sense of peace. A good fit will bring about some clarity or "ah ha" moments, even from the first meeting.
- If you just don't "click". No explanation needed.
7. How Does Payment Go?
This is huge. Some therapists only take insurance (and well, you already know how that goes). Some will change insurance companies and just drop you (even if you've worked with them for years). Some are willing to work out some sort of out-of-pocket payment plan. The bottom line with this point is assume nothing. I know some people who were really hurt when, after several years of seeing (and becoming really comfortable with) their therapist, they had to part ways because their therapist left their insurance network and so they couldn't afford to keep seeing them. Let me tell it, before even going to the first session, this should be addressed. It would be a shame to find someone you really like, even upon the initial meeting, only to realize that you can't afford them.
8. How Committed Do You Plan on Being to the Process?
I believe I can speak for all people in the counseling field when I say that nothing is more taxing than working with clients where we seem far more invested in their betterment/healing than they do. I can't tell you how many couples I've worked with who don't do the assignments and/or will show up late and/or will cancel/reschedule at the last minute — over and over again. Or, they want to meet far and few between, when their problems clearly indicate that they need to be seeing someone, at least a couple of times a month. Matter of fact, I know a couple who's basically been in some sort of therapy, ever since they said, "I do". However, they are infrequent as all get out and are constantly in a pattern of expecting the therapist to save them from divorce whenever they allow things to go too far. Saving you at the last minute? Yeah, that is not our job. And it's not even fair.
Anyway, once you've met with a therapist for a few times, they should be able to give somewhat of an assessment of how often you should see them and how long it will be necessary (at that level of intensity, whatever that may be). If you know that you are not going to commit to that, you might want to wait until you can. The reality is that some people have a bad experience in therapy, not because of the therapist or the therapy itself; it's because they are mentally and emotionally all over the place and refuse to do the work that is required. And as best-seller author Iyanla Vanzant often says, "We're not gonna fight you for your healing." We shouldn't have to.
9. Has the Therapist Ever Been to Therapy?
This. One. Right. Here. If you're someone who's always been hesitant about going to therapy because you've heard that some of the craziest people are therapists — I'm not gonna lie and act like there's not some truth to that. There are many narcissists who are therapists. There are a lot of arrogant people who are therapists. Some folks use being a therapist as a way of escapism from their own demons and drama because it makes them feel good to fix other people's stuff rather than dig deep and tackle their own. And then there are some therapists who are so delusional that they think everyone needs their insight while they can't humble themselves to hear what they need to do with their own lives.
This is why I think it is totally NOT out of bounds to ask a prospective therapist if they've ever been to therapy before. While the reasons why are not really any of your business, you can learn a lot about someone who is willing to admit that either they've had past issues that they've needed to tackle or, like Meryl Streep's character did in one of my favorite movies (Prime), they go because they hear so much of other people's stuff that they need a professional to help them to process it all and set good emotional boundaries.
One of my favorite licensed counselors, I saw in high school, college and many years into my 20s. Now I have a therapist friend that I run things by when I need them. They are an absolutely godsend. So yeah, a therapist who has a therapist isn't something to side-eye. It's actually something to smile about.
10. What’s the “Proof of Purchase”?
Something that I apply to churches and therapists is, if after about a year, you see no signs of personal growth and progress, that's probably not the place for you. Best believe that, also like a lot of churches, unfortunately, there are some therapists out here who are perfectly fine running your credit/debit card, listening to you and not really tracking for your growth. A thorough therapist will actually talk about where things stand and how you're doing, periodically. And you should expect that because a therapist is supposed to provide you with tips and tools to be better as the result of interacting with them. You definitely shouldn't be stagnant or worse — worse.
I am passionate about people getting the health that they need, so of course, I could go on. I'm hoping that this will help to at least provide you with some peace of mind. Therapy is a blessing. Asking the right questions can lead you to the best therapist. It really can.
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Different puzzle pieces are creating bigger pictures these days. 2024 will mark a milestone on a few different levels, including the release of my third book next June (yay!).
I am also a Professional Certified Coach. My main mission for attaining that particular goal is to use my formal credentials to help people navigate through the sometimes tumultuous waters, both on and offline, when it comes to information about marriage, sex and relationships that is oftentimes misinformation (because "coach" is a word that gets thrown around a lot, oftentimes quite poorly).
I am also still super devoted to helping to bring life into this world as a doula, marriage life coaching will always be my first love (next to writing, of course), a platform that advocates for good Black men is currently in the works and my keystrokes continue to be devoted to HEALTHY over HAPPY in the areas of holistic intimacy, spiritual evolution, purpose manifestation and self-love...because maturity teaches that it's impossible to be happy all of the time when it comes to reaching goals yet healthy is a choice that can be made on a daily basis (amen?).
If you have any PERSONAL QUESTIONS (please do not contact me with any story pitches; that is an *editorial* need), feel free to reach out at missnosipho@gmail.com. A sistah will certainly do what she can. ;)
The Reality Of Living With Severe Asthma – As Told by 2 Women On Their Disease Journey
This post is in partnership with Amgen.
The seemingly simple task of taking a breath is something most of us don’t think twice about. But for people who live with severe asthma, breathing does not always come easily. Asthma, a chronic respiratory condition that inflames and narrows the airways in the lungs, affects millions of people worldwide – 5-10% of which live with severe asthma. Severe asthma is a chronic and lifelong condition that is unpredictable and can be difficult to manage. Though often invisible to the rest of the world, severe asthma is a not-so-silent companion for those who live with it, often interrupting schedules and impacting day-to-day life.
Among the many individuals who battle severe asthma, Black women face a unique set of challenges. It's not uncommon for us to go years without a proper diagnosis, and finding the right treatment often requires some trial and error. Thankfully, all hope is not lost for those who may be fighting to get their severe asthma under control. We spoke with Juanita Brown Ingram, Esq. and Jania Watson, two inspiring Black women who have been living with severe asthma and have found strength, resilience, and a sense of purpose in their journeys.
Juanita Brown Ingram, Esq.
Juanita Ingram has a resume that would make anyone’s jaw drop. On top of being recently crowned Mrs. Universe, she’s also an accomplished attorney, filmmaker, and philanthropist. From the outside, it seems there’s nothing this talented woman won’t try, and likely succeed at. In her everyday life, however, Juanita exercises a lot more caution. From a young age, Juanita has struggled with severe asthma. Her symptoms were always exacerbated by common illnesses like a cold or flu. “I've heard these stories of my breathing struggles, but I remember distinctly when I was younger not being able to breathe every time I got a virus,” says Ingram. “I remember missing a lot of school and crying a lot because asthma is painful. I [was taken] to see my doctor often if I got sick with anything so I was hypervigilant as a child, and I still am.”
Today, Juanita says her symptoms are best managed when she’s working closely with her care team, avoiding getting sick and staying ahead of any symptoms. Ingram said she’s been blessed with skilled doctors who are just as vigilant of her symptoms as she is. While competing in the Mrs. Universe competition, Juanita took extra care to stay clear of other competitors to ensure she didn’t catch a cold or virus that would trigger her severe asthma. “I would stand off to the side and sometimes that could be taken as ‘oh, she thinks she's better than everybody else.’ But if I get sick during a pageant, I'm done. I had to compete with that in mind because my sickness doesn't look like everybody else's sickness.”
Even when her symptoms are under control, living with severe asthma still presents challenges. Juanita relies on her strong support system to overcome the hurdles caused by a lack of understanding from the public, “I think that there's a lot of lack of awareness about how serious severe asthma is. I would [also] tell women to advocate and to trust their intuition and not to allow someone to dismiss what you're experiencing.”
Jania Watson
Jania, a content creator from Atlanta, Georgia, has been living with severe asthma for many years. Thanks to early testing by asthma specialists, Jania was diagnosed with severe asthma as a child after experiencing frequent flare-ups and challenges in her day-to-day life. “I specifically remember, I was starting school, and we were moving into a new house. One of the triggers for me and my younger sister at the time were certain types of carpets. We had just moved into this new house and within weeks of us being there, my parents literally had to pay for all new carpet in the house.”
As Jania grew older, she was suffering from fewer flare-ups and thought her asthma was well under control. However, a trip back to her doctor during high school revealed that her severe asthma was affecting her more than she realized. “That was the first time in a long time I had to do a breathing test,” she describes. “The doctor had me take a deep breath in and blow into a machine to test my breathing. They told me to blow as hard as I could. And I was doing it. I was giving everything I got. [My dad and the doctor] were looking at me like ‘girl, stop playing.’ And at that point [it confirmed] I still have severe asthma because I've given it all I got. It doesn't really go away, but I just learned how to help manage it better.”
Jania recognizes that people who aren’t living with asthma, may not understand the disease and mistake it for something less serious. Or there could be others who think their symptoms are minor, and not worth bringing up. So, for Jania, communicating with others about her diagnosis is key. “Having severe asthma [flare-ups] in some cases looks very similar to being out of shape,” she said. “But this is a chronic illness that I was born with. This is just something that I live with that I've been dealing with. And I think it's important for people to know because that determines the next steps. [They might ask] ‘Do you need a bottle of water, or do you need an inhaler? Do you need to take a break, or do we need to take you to the hospital?’ So, I think letting the people around you know what's going on, just in case anything were to happen plays a lot into it as well.”
Like Juanita, Jania’s journey has been marked by ups and downs, but she remains an unwavering advocate for asthma awareness and support within the Black community. She hopes that her story can be an inspiration to other women with asthma who may not yet have their symptoms under control. “There's still life to be lived outside of having severe asthma. It is always going to be there, but it's not meant to stop you from living your life. That’s why learning how to manage it and also having that support system around you, is so important.”
By sharing their journeys, Juanita and Jania hope to encourage others to embrace their conditions, obtain a proper management plan from a doctor or asthma specialist like a pulmonologist or allergist, and contribute to the improvement of asthma awareness and support, not only within the Black community, but for all individuals living with severe asthma.
Read more stories from others like Juanita and Jania on Amgen.com, or visit Uncontrolled Asthma In Black Women | BREAK THE CYCLE to find support and resources.
Wanna feel old real quick…or at least ponder how fast time flies? In two years, the trilogy known asFifty Shades of Grey will be a whopping 10 years old. What in the world? I’ll admit, had it not been for an organization that I was working with at the time asking me to watch it (or was it suffer through? It’s a coin toss most days) so that I could talk about it on their podcast, I’d probably remain clueless about a lot of its content to this day.
That doesn’t mean I didn’t catch how much of a phenomenon it was for so many women at the time, though; especially white ones. Kinda wild how many ladies said that they hated the entire concept of submission, and yet they were all down to take it up about 10 notches with a certain Christian Grey…oh, but I digress.
Anyway, because you couldn’t go to really any website for a while without the topic of the book series or films coming up, I do remember that many sex experts decided to use all of the hype as an opportunity to get women to feel more comfortable with tapping into their sexual fantasies in order to intensify their sexual experiences. And that’s just what we’re gonna touch on today.
If orgasms are (currently) difficult for you or they aren’t as consistent as you would like (check out “Why Do Orgasms So Often Seem Like A ‘Hit-Or-Miss’ Experience For Women?”) one thing could help you to hit your goal — yep, fantasizing more. I’ll explain.
Never Underestimate Your Biggest Sex Organ
GiphyIsn’t it wild that, when it comes to looking for sex hacks that will help to improve our sex lives, the first thing that we usually think about is ways to stimulate our genitalia when the reality is that we should be prioritizing a part of the body that is much farther north than that? Even though I’m pretty sure that most of you have at least heard somewhere before that your biggest sex organ is your brain, how much do you focus on that fact in order to ultimately improve your sex life?
Maybe it’s because, although that point makes sense on the surface, you need a bit more intel on why that is actually the case. The reality is, there are several reasons. For one thing, when you have sex, it impacts your brain on a myriad of levels. It triggers a wealth of feel-good hormones. It lowers your stress and anxiety levels. It “turns on” different parts of your brain (females especially). It helps to treat depression. It even improves your cognitive function as you get older.
That alone is the reason why so many sex experts don’t find sex to be as “easily casual” as our culture would like to portray. For instance, I once read an article that featured an interview with a chief scientific adviser for Match.com (at least she was at the time the article was published). Her name is Helen Fisher, and she said that the way dopamine affects your brain during sex…let’s just say that it’s so powerful that she says (and I quote), “It’s not casual because when you have sex with somebody, and it’s pleasurable, it drives up the dopamine system in the brain. That can push you over the threshold into falling in love.”
Now, it’s another message for another time, what Albert Einstein once said about “falling in love” (“Gravitation is not responsible for people falling in love.”) because loving someone follows a series of steps and choices. However, I think you get her overall point.
Just like oxytocin is considered to be a “love hormone” (a hormone that bonds you to another person during intimacy), dopamine ain’t nothin’ to play with either. And since science is pretty much unavoidable when it comes to sex, what all of this confirms (I could’ve given you more examples, but for the sake of time and space…) is your brain is all up in your sex life, like it or not.
And since your brain plays such a pivotal, powerful, and intricate role in intimacy, it makes all of the sense in the world why your fantasies would, too.
No, Your Fantasies Shouldn’t Bother You
GiphyA professor by the name of Mason Cooley once said, “Fantasy mirrors desire. Imagination reshapes it.” Filmmaker Guillermo del Toro once said, “There is art and beauty and power in the primal images of fantasy.” Author Nancy Friday once said, “Fantasy isn’t something that you run out of.” And just what is a fantasy? Probably the most basic way to define it is it’s your imagination when there are very little, if any, restraints put on it.
And when it comes to sexual fantasies, in general, what are some of the most popular ones?
- Voyeurism (watching people)
- Exhibitionism (being watched)
- Sex in public
- Role-playing
- Super over-the-top romantic sex
For the record, these are some of the most common ones, although publications like Women’s Health share many more (they have 30 of ‘em) that are pretty common too (you can check their list out here).
That said, if you can relate to any of these and a part of you is embarrassed, uncomfortable, or flat-out worried about when your mind has gone, most sex experts say that you shouldn’t be — especially when it comes to the five that I specifically mentioned. Just because you think up something, that doesn’t automatically mean that you’re going to act it out; again, fantasies are simply something that helps to fuel your imagination.
Fantasizing can also help to prevent boredom in the bedroom and even “trigger” your body to become more aroused and ready for coitus. And we all know that the more aroused we are before sex even transpires, the more likely it will be that sex will end with a “bang!” (pun intended and not intended…LOL). And that’s exactly why fantasizing can totally help you out in the orgasm department.
What You Should Do About Your Sexual Fantasies
GiphySo, now that you hopefully feel more at ease about the sexual fantasies that you’ve been having, how can you incorporate them into your sex life so that you can have more pleasurable and satisfying sex with your partner?
Share some of your fantasies with your partner and encourage them to do the same. Again, the greatest sex organ is your brain, so if you want to build trust and a stronger connection with the person who you’re having sex with, let them deeper inside of your thoughts. It will make you feel less vulnerable as you boost your own sexual self-confidence. Plus, it will help them to learn more about you. Don’t forget to let them do the same thing…for the same reasons.
Remember that fantasies are just that. I remember an episode of King of Queens where Doug shared with Carrie some of the women he fantasized about — random folks like her nail tech or one of his mom’s friends, and she damn near lost it. For the record, fantasizing about someone and lusting for them to the point of desiring them and then wanting to act on it can sometimes be a fine line (based on how strong your relationship is), yet more times than not, folks don’t even want to go through the steps make their fantasies come true. Why?
Well, for one thing, they don’t want to ruin what they have with their partner, and two — getting to know the person on that type of level would literally ruin the fantasy. Besides, don’t be out here acting like you haven’t thought about what it would be like to have sex with someone else. Besides, again, actually, hearing about each other’s thoughts in this way can also build trust because, if you both know and don’t spazz out, that makes it easier to share other innermost thoughts, needs, and ideas.
Create a “safe word.” As we end this, back to the movie that I referenced in the intro. If you did happen to stomach one or all three parts of the Fifty Shades of Grey trilogy, you probably remember that Christian and Anastasia came up with safe words — these were words to let each other know when things were going from sexy to uncomfortable. That said, say that you want to actually try having sex in a movie theater or participating in some form of BDSM (which is also another popular fantasy), and you end up wanting to stop at some point. A safe word lets your partner know to immediately halt things so that you can process if you want to catch your breath and keep going or stop altogether.
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If you’ve read my content on here long and consistently enough, you know that it’s pretty normal for me to throw in a song for good measure. Today, “push play” on the throwback from Intro, “Come Inside.” Why? Well, there’s a part in there where the lead singer says, “I'm thinking about you/The last time we made love/And I fantasize/So many things that I dream of.” Let the song get you in the mood (‘cause if it won’t, I don’t know what will), pull out your phone, text your man a fantasy, ask him to share one in return, and I’d bet my next paycheck that it will already get you well on your way to some, let’s call them “heightened experiences”. #wink
Use your brain to tap into your sexual imagination.
Let it fuel the ride to some mind-blowing orgasms.
At the end of the day, that’s what sexual fantasies are designed to (ultimately) do, sis.
Enjoy…ENJOY.
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