This month marks five years since I had my first conversation and began meeting with a therapist on a regular basis. I have written about my experience somewhat in reflecting on my anxiety, and I have publicly advocated for therapy and mental healthcare online for years, but I have not yet shared in very great detail about my journey. Therapy has become more normalized recently; I could not believe my ears last summer when I heard the so-called POTUS on the radio, saying that mental health is just as important as physical health. But awareness and access are two different things, and for many people a lack of knowledge about the process may be the biggest thing standing in their way of seeking therapy.
To mark this anniversary, I thought I’d share five lessons that I’ve learned over the past five years of accessing therapy and working on my mental health. I hope this helps you feel validated in your own therapy experience, or provides the insights you’re seeking if you’re just starting to wonder if therapy might be for you.
1. There’s nothing “wrong” with you
I hope you know this, but in case you don’t, let’s start here. Therapy is not just for when people experience very serious mental health episodes, and it’s not just for people actively going through a difficult or traumatic time. While many people may find their way to therapy after a devastating loss, or a hard break-up, or some other traumatic incident, you don’t have to actively be going through something in order to seek therapy, and accessing therapy does not mean there’s anything “wrong” with you.
When I started therapy I was recently engaged, had just purchased a home, and was on my way to a promotion at work. It was one of the best times of my life. It had been several months since I first recognized that I may have anxiety, and my upcoming marriage made me feel a sudden sense of urgency to access the mental health care I needed to live my best life. I had considered therapy once before, as a teenager, but was deterred by the stigma around it and believed I was fine. Five years ago I was relieved, even excited, when I made my first therapy appointment and proudly shared about it on social media. I was met with some reactions that made me feel like I was sharing that I had some kind of terminal disease, and it made me realize that some people still believe therapy is only for when you are in dire straits.
2. Be selective
After getting over the stigma and finally accepting that I could benefit from therapy, came the enormous task of finding a therapist. My first thought was my then-employer’s Employee Assistance Program (EAP), which many companies and organizations offer. These programs provide employees with (usually) free access to sessions with licensed counselors or therapists, and may be a great option. There are also affordable options for virtual therapists offered through many services, some of which allow you to set certain criteria or specialties. I knew that I wanted to find a therapist who shared some aspects of my cultural identity, so that I would not have to spend time during sessions explaining things, and who specialized in some of the specific issues that I was dealing with.
I found my first therapist using PsychologyToday.com, which has a directory that allows you to be very specific with the criteria you set, including certain identities, specialties, ages, therapy types, and languages. It also shows you pricing options, so you can find something within your budget if therapy is not included in your healthcare plan. You can get even more specific with directories like LatinxTherapy.com, or TherapyforBlackGirls.com. Therapy is an investment, and being selective in finding a therapist will help ensure that you’re getting the most out of it.
3. Set clear goals
Okay, so you’ve found a therapist you can afford, specializing in what you need, who is accepting new clients; congratulations! Now what? Most likely you’ll start with a consultation, your therapist may send you some forms to complete an assessment, or you may have a brief meeting to discuss your concerns. In your first “official” meeting, whether it’s in-person or virtual, your therapist should discuss your goals with you. What are you hoping to get out of therapy? How do you want your life to be different 6 months to a year from now?
Having clear goals allows you and your therapist to have clarity in your treatment plan, and provides a benchmark for you to measure progress against. I remember being so surprised after my first year of therapy, when my therapist asked me to review the goals I had set in our first session together. It felt as if I had manifested all of these things that were now true or almost true, but in fact I had spent hours upon hours in therapy sessions and in every day life steadily progressing toward those goals. It’s important to continuously review and reset your goals to ensure that you continue to get what you need out of your investment in therapy, and to enable your therapist to adjust your treatment and incorporate new or different techniques.
4. Check your expectations
It’s important to be realistic with your expectations. In my experience, a therapy session often leaves me feeling less anxious – it can also leave me feeling emotionally exhausted, or angry, and on one occasion even more anxious. Attending therapy is not a one-stop shop solution to your mental wellness; it requires practice, after care, and lifestyle changes. You wouldn’t expect that a single visit to the doctor is enough to heal your physical ailments. You might also have to go pick up a prescription or OTC meds and take them, or need a cast or brace, or additional testing, or physical therapy, etc. So you shouldn’t expect that simply meeting with a therapist is going to solve all of your mental health issues. You will also need to implement healthy coping mechanisms, adopt habits that support your mental wellness and shed habits that don’t, and possibly even take medication or supplements.
It’s also important to recognize that a therapist is not a life coach…or a friend. A therapist is not meant to tell you what to do or not do when you face a difficult decision or situation, and they’re not meant to always agree with you. This is why the previous tip is so important – if you have clear goals then your therapist can continuously hold you accountable to them, then your sessions will focus on how you can better manage your mental health and move toward your goals no matter the situation. It’s also important to spend time on your mental health outside of therapy. I have found that exercising, eating a healthy diet, spending quality time with loved ones, and limiting screen time are all also essential for me to feel mentally healthy, and I continue my learning outside of therapy by reading books relevant to my experience.
5. Don’t be afraid to start over
One of the best pieces of advice I received after starting therapy, was to not be afraid to change therapists. The thought was, at first, inconceivable, that I would enter into such a vulnerable relationship with someone and then, one day, end it. I felt happy enough with my first therapist, until I didn’t. My first therapist specialized in Cognitive Behavioral Therapy (CBT), which focuses on mindsets, beliefs, and attitude, otherwise known as “talk therapy.” This was incredibly helpful at first, and provided plenty of space for me to talk through my experiences and gain greater insight into my anxiety. After a while, however, I felt like I wasn’t making much progress. Therapy began feeling like a chore, and I even found myself dreading my appointments. I took that as a definite sign it was time to move on and search for a new therapist.
I took a short break before starting again, and my experience with my second therapist has been that much better due to being informed by my experience with my first therapist. I realized that I need more than CBT, and sought someone who incorporated somatic therapy practices that focus on the mind-body connection and releasing pent-up emotions. I feel like I’ve made more progress in the last two years with my current therapist than I made in my first three years, even while meeting less frequently. As scary as it was to start the whole process over again, it was one of the most essential things I’ve done for my mental health.
I hope this helps you on your own mental health journey. I truly believe that everyone can benefit from some amount of therapy, and that the world would be a much better place if more people had access to mental healthcare.
