Posts Tagged ‘therapist’

How To Find A Marriage Therapist: Questions You Should Ask

Thursday, November 27th, 2008

If you have read my ebook, Save The Marriage, you know that I have some major reservations about marital therapy. Studies have shown almost 50% of couples in therapy end up divorced. Only 10 to 20% of couples who go to therapy see any significant help from counseling. This is a major indictment on therapy, and one that has not been addressed!

The problem is not that there aren’t skilled marital therapists. The problem is there are too many therapists offering marital therapy that should not. If you decide to use a therapist to help you heal your relationship, you should be careful. Don’t go in unprepared. Many people spend less time choosing a therapist than choosing someone to fix their roof!

There are some questions I think you should ask of any therapist. If you are wondering why, I have a whole chapter on the problem with therapists in my ebook. So, here, I will focus on the questions you may want to ask:

  • “Do you have specialized training in marriage counseling?” You’d be amazed on how many therapists see couples, but have never been trained to do so. The vast majority of therapists are trained in individual therapy models. Many ideas in individual therapy models are destructive in marital therapy.
  • “How much of your work is with couples?” Someone who spends a great deal of time with couples is likely to be better at it than someone who sees a few couples each week. Therapists tend to spend their time with the type of clients with whom they are comfortable and successful. However, therapists are also likely to see clients they are less comfortable with, but who help pay the bills (that’s not cynicism, just reality).
  • “When working with a couple, do you see us together or separately?” I don’t see this as an absolute, but I think the vast majority of sessions should be with both of the spouses together. Sometimes, it is useful to see one or the other to help get past a block. However, there are a couple of risks of spending too much time with one or the other: First, therapists are humans; like it or not, they will be swayed by the views of whomever they spend the most time. Second, one or the other may perceive a coalition, even if it is not there. And third, if a therapist hears something that one cannot say to the other, then the therapist is in a difficult position: keeping a secret or violating something said in confidence.
  • “Who is your client when you are seeing a couple?” Correct answer: the relationship (or some very similar answer). Any other answer indicates that the individual(s) will be the client. This is a problem. The question of who the client is creates the frame for what will be addressed and what will be preserved. So, if the individual is the client, the client’s happiness will be of paramount importance. If the relationship is the client, then success is based on the success of the relationship.
  • “How successful are you in helping couples stay together?” They probably won’t have the statistics, but they will give you some information that is helpful. For example, they will begin to tell you their definition of success: helping people divorce with minimal damage (not a good answer), helping each find happiness (not a good answer), I hang in there until we get somewhere in the relationship (a good answer), etc. You want to hear something about success being defined as couples staying together, relationships saved.
  • “When do you tell a couple to call it quits?” There shouldn’t be many reasons to call it quits, on the therapist’s part. If they answer “affair” or “when the other wants a divorce,” keep moving. In my opinion, if the couple comes to my office, they are there to save the relationship. Barring abuse in the relationship, I opt to stick it out until the couple decides they will not continue.

As you can tell, you are looking for someone who will be an ally of the marriage. You want someone who is willing to be straight with both of you, and one that will keep pushing you to move toward health. You also want someone who has been down that road with many couples before, and someone who has been trained to walk that path.

Choose carefully. OftenArticle Search, the therapist holds a fragile relationship in the palm of his or her hand. Mistakes can destroy a relationship that may have otherwise survived. A good therapist is an asset. A bad therapist is destructive.

How to Find a Therapist for Your Child with Down Syndrome (or Other Disability)

Saturday, November 15th, 2008

Finding that “perfect” therapist for your child with Down Syndrome can be a frustrating endeavor. Babies who have Down Syndrome usually begin multiple therapies in the first three months of life through some form of early intervention services and/or private sources. When you are just beginning this journey, it can be difficult to know if your therapist is right for you and your child. Things to look for in a therapist: (not listed in any particular order)

Cleanliness

Does the therapist wash her hands or wear gloves when touching your baby’s mouth.When my son was about 2 months old we had our first meeting with the occupational therapist because he had some feeding issues due to his cleft palate. Before we could start working on his problems feeding, she had to do an assessment. Guess how she assessed the strength of his suck. You guessed it; she put her ungloved, unwashed finger in his mouth and tried to get him to suck. Needless to say, I was appalled. Being that I was still intimidated by all that was going on in my life at that point, I did not say anything to her. She came back one more time. That visit did not go any better… She brought him a special bottle (called a Habermann Feeder) to help with his feeding problems. Without going into detail, the session was no better (no more hygienic) than the first. After that I spoke with our service coordinator and requested a new OT. It was hard for me to do because I thought, “Well, this is a free service, maybe I should just be happy with what I can get.” In the end, that did not cut it though. My son’s health was more important.The point? Make sure your therapist washes her hands anytime she manipulates your child’s eating utensils and never let anyone stick their ungloved fingers in your baby’s mouth. Even if they wash their hands before, there are always germs left under the nails, etc.Children with Down Syndrome usually have weakened immune systems, so it should go without saying that extra care should be taken to ensure your child’s health. Call me picky or paranoid, but I want my baby to stay healthy

Knowledge

Does she seem knowledgeable? The therapist should, ideally, have a firm knowledge in several areas. First of all, they need to know “normal” development. This is so important. For instance, if a child has been sleeping through the night and all of a sudden, between around nine and twelve months of age he starts getting up in the middle of the night again, (this is around the time a baby acquires the new skills of pulling himself up, standing, etc.) the therapist needs to know that is part of normal development. This baby has learned something new and if he wakes up in the middle of the night, he’ll want to test it out again. He now has a whole new perspective of his world outside the crib. Someone who does not know “normal” development would not know that. They also need to know of the ways in which children with Down Syndrome tend to compensate for their musculoskeletal differences. This is the only way she can effectively teach you and your child the proper way for him to move. If the therapist walks in with a couple of Xeroxed pages, starts reading from them and seems like she has never done this before…you may want to consider asking for a new therapist. I understand that people have to learn, but I also believe that a therapist (new or seasoned) should walk into an appointment prepared enough so she doesn’t need a “cheat sheet”. In the end, you want the best for your child.

Personality

Does your child’s therapist seem to enjoy kids? Most of the therapists we have had genuinely seemed to enjoy working with Sam (and his 4 year old sister). I believe that if the therapist is uncomfortable with kids, or not genuinely interested, the kids can tell. Sammy was naturally drawn to the therapists who were most open and playful with him. Ideally, the therapist would have kids of her own, in order to know typical child behaviors.

Credentials and Experience

Don’t be afraid to ask for credentials and qualificationAsk about work experience. You don’t want a therapist who has just transferred from geriatrics to pediatrics. The two areas are as different as night and dayKnow that an occupational therapist can not effectively do the job of a physical therapist and vice versa. The two are not interchangeable. You will be seeing this person at least once every two weeks, if not moreArticle Submission, so just make sure you are happy with her and don’t be afraid to speak up.