Searching for a Therapist.

It’s an unfortunate truth with UK law that, presently, anyone can set themselves up and describe themselves as a “therapist” or a “counsellor2. They don’t have to have any qualifications, no experience, no insurance, don’t need to be a member of a professional body (that oversees their practice).

This can make finding a suitable therapist quite dangerous for the layman.

Fortunately, professionally qualified therapists can be easily spotted – and if you are still unsure that the therapist/counsellor is legitimate, consider asking the following questions:-

Questions to ask a Therapist.

• What professional bodies are you a member of … and what is your membership number?
• Does your professional have different levels of membership (e.g. member, accredited member, senior accredited member) – and if so, what level of membership have you attained?  Are you aware of the next level, and are you working towards it?
• What is your qualification to practice as a therapist?
• Who awarded you the qualification? (Check that the awarding body is also a suitable member of a recognised professional body).
• How do you regularly ensure that are practising to your best (e.g. do you receive supervision, or are a member of a group supervision group)?
• When was your last training course (continued professional development/CPD)? (Check that the therapist stays up to date with current learning).
• Who is your indemnity/liability insurance with?
• (If appropriate…) … having learned of my/our needs for therapy, what will be your treatment plan for me/us?
• Is your treatment suitable for my needs?
• Have you offered this treatment before?

Trust your Instincts.

How does the therapist appear to you?  Does the therapist’s website and marketing material give the appearance of professionalism?  For example, does the website look healthily maintained, or is it a bit out of date/bedraggled?  Do the marketing materials look professionally produced, or kind of written in crayon?

Services such as VistaPrint can give a professional appearance to anyone for a little money – but these services also produce rubber-stamp images (i.e. the choices of branding can be used by anyone, over and over again).  Looking professional is a good indicator of the professionalism of the therapist, but on its own it’s not an indication of the therapist’s qualifications, practice or experience.</p>

In addition with the above questions information, if you meet with the therapist consider the following:-

• Do you have a feeling that the therapist is someone you want to work with?  If not, don’t.
• Does the therapist at least attempt to answer the questions helpfully, or evasively?
• Do you know of anyone who has previously seen this therapist for treatment?

Bear in mind that there is no legal requirement for any of the above to be set in place, but professionally qualified & practising therapists set this in place and charlatans can be more easily identified by not.

Counselling, Therapy & UK Law.

A current problem (2012) in UK Law is that counselling, psychotherapy, hypnotherapy, spiritual/religious counselling, alternative therapies (and so on) are not regulated.  Anyone can set themselves up as a “therapist” or use the word “counsellor” without any formal therapeutic qualifications to prove their effectiveness.

This leads to therapists not being legally obliged have to have any insurance.  They don’t have to be answerable to a professional body that oversees their practice.  These therapists can advertise themselves as a “counsellor” or “therapist” without actually having any training, qualifications, nor any actual experience as a professional intended to help you therapeutically.

Some think it kinda fun and modern to advertise themselves as a “Travel Counsellor” or a “Debt Counsellor” – and by the definition of the word counsellor they’re not intending to mislead the public into thinking they’re offering a therapeutic approach to your mental well-being. Unfortunately, the lack of UK law means that the responsibility lays on the client who is seeking counselling/therapy to find someone who is appropriate for their treatment. A GP may not be enough (offering limited NHS IAPT treatment with a long waiting list).  So, a client is the one mostly at risk of working with an unqualified therapist.

Help in Finding a “safe” therapist.

Finding a qualified, experienced, professionally accredited and insured counsellor/psychotherapist can be straightforward if you know of some helpful things to look out for.

This post describes how to find a suitable therapist – and offers some topics to check out with your potential therapist. At your first meeting, most – if not all – therapists should not be phased by you asking about the topics (in later sessions, however, certain therapists may not answer questions about themselves, but be interested with you in the purpose of your question – keeping the focus upon you. This is a legitimate form of therapy (eg psychodynamic / psychoanalytical) – but I include it here just so that you are aware).

Search Counsellors’ Professional Bodies.

An easy way to find a suitable therapist is to use a professional therapists’ body that offers a “find a therapist” type of service. The therapists listed may have had to pay for an entry, but would also have had their qualifications checked before being allowed to pay for an entry in the list. It’s a good place to begin searching for a therapist.

• British Association for Counselling and Psychotherapy
  http://www.itsgoodtotalk.org.uk/therapists/
• British Association for Psychotherapy
  http://www.bap-psychotherapy.org/
• The British Psychological Society
  http://www.bps.org.uk/

… however, if you wish to find your own therapist – or you would like some advice on what to check out about your potential therapist – then read on.

The iCounsellor’s Guide to Finding a Counsellor/Therapist.

Professional Qualifications.

Does the therapist has a recognised qualification in counselling/therapy?  Letters after their name – do they mean anything to you (if not, you could ask).

Diplomas and Degrees – check that the qualification included actual supervised practice (this means that they met regularly with a qualified supervisor to review their work during their training).  For example, a number of diplomas require 100+ hours of supervised counselling practice (ie actual face-to-face meetings with clients/patients to practice their model of therapy) to achieve their qualification.  Conversely, a number of degrees (primarily the study of psychotherapy from an academic point of view) require no actual client/patient practice hours at all.

Having a qualification in the theory of counselling without any actual practice may be insufficient for your needs but you need to decide this for yourself in discussion with the therapist.  Similarly, certain qualifications in counselling may not include any actual practice to gain the award if they are, say, just a certificate of attendance.

Dean has a British Association for Counselling & Psychotherapy-accredited diploma (Chichester) qualifying him to practice in psychodyamic individuals counselling.  Subsequently he gained post-graduate diploma (Chichester) qualifying him to work in systemic/psychodynamic couple counselling.  For group work, Dean was trained at IBM in group facilitation in the 1990s and has subsequently completed the Institute of Group Analysis (IGA) National Foundation in Group Analysis to extend his group work into therapeutic group work.  All of his therapy work is regularly supervised as an ongoing requirement of membership of the BACP.

See also: Explanation of Dean Richardson’s Qualifications.

Who Awarded the Therapist’s Qualification(s)?

Are the therapist’s qualifications awarded by a recognised professional body, that body also having suitable professional membership?

Dean’s qualifying diplomas were awarded by Chichester Counselling Services – a BACP-accredited training centre.

Membership of Therapists’ Professional Body.

Is the counsellor a registered member of a recognised professional body? Do they subscribe to a recognised code of ethics or an ethical framework for their therapeutic work? Is there anyone to whom you could report your complaint if you needed to?

Dean is an accredited member of the British Association for Counselling & Psychotherapy. This accreditation by the BACP confirms his substantial amount of training, experience and professional practice.

Practical Experience.

Has the counsellor got a lot of experience, or a little? Do they practice a recognised therapeutic approach? Newly qualified counsellors may be suitable and safe, but they may lack in practical experience.

Dean’s supervised counselling practice since 1999.

Special Interest & Experience.

Does the counsellor have any special interests or special experience in working in particular therapeutic areas?

Whilst Dean works with all individuals and couples as a generally practising therapist, he is also an LGBT specialist and mixed-sexuality couple relationship counsellor.

Theoretical/Therapeutic Approach.

There are different forms of counselling and psychotherapy – and whilst it’s the relationship between therapist and client that is shown to matter, some approaches might suit you better than others.

See Wikipedia – http://en.wikipedia.org/wiki/List_of_psychotherapies for information on therapy models.

Dean’s theoretical approach is psychodynamic for individual’s counselling, systemic/psychodynamic for couples relationship counselling and a Foulkesian/psychoanalytic/facilitative approach to groups.

Who does the Counsellor/Therapist see professionally?

Does the therapist state what types of person they can work with (eg adults, couples, young people, children, elderly etc).

Dean works with adults from the ages of 18 upwards and does not work with children.

Statement of how the Counsellor/Therapist works.

Does the therapist give you an idea of how they work therapeutically?

Dean works using psychodynamic, systemic & group analytic/facilitative models of therapy (read more)

Confidentiality.

Some therapists publish client-testimonials or allow clients to make comments about the therapy that the client has received.  Some comments are generalised (i.e. no identifying information is allowed in the comments).  Some comments are more specific – referring to specific therapeutic experienced – and some comments clearly identify the client by the client’s full name being used.

When reading these case comments (assuming it is a client who has written the comments as opposed to, say, a marketing technique), ask yourself if you are comfortable with the therapist’s responsibility to protect the client from breaching their own confidentiality.  Has the therapist taken care to amend a client’s comments, or anonymise the name?  Has the client left themselves in an unsafe situation by revealing, in public, the contents of confidential therapy – and the therapist has not intervened?

You might like to ask the therapist: “What is the your philosophy with respect to confidentiality and your clients writing statements about their therapy on your website?”

Confidentiality and Case Material.

Some therapists write about their cases on their website as a form of publicity.  Does the therapist state that they have changed names & places? Has the therapist stated that they have received permission from the original clients to use their case material (even if names have been changed, the fact that their story is being used is still a breach of their confidentiality). We might assume that a good therapist would do the necessary anonymising, but has the therapist actually made a statement to this fact?

Would you want your therapy to have been published – even if it was using someone else’s name – without first having been asked your permission to do so?  After being in therapy, would you wish to deny a therapist your permission to write about what you talked about?

Dean’s philosophy is to seek a client’s informed consent before using their case in case presentations for publication. His intention would be to change all names, places, and any other identifying information or situation. However, even with this procedure in place Dean has actually chosen not to publish cases to date.

On this website generalised statements are made about Dean’s therapy services using a composite of generalised client expressions made through the years.  No client names are ever used.  No specific situations of any specific individual, specific couple or specific group  are ever publicised.  No testimonials are ever used – even with a client’s permission – as this would still breach the confidentiality of the client/therapist relationship.

Fees.

Do you understand what the therapy will cost?  Does the therapist explain how any discounts or reduction in fees work?

See Dean professional fees page.

Supervision.

Therapeutic supervision is a formal meeting in which a counsellor/therapist meets with a qualified supervisor (or another appropriately qualified person) to review their clinical work. Sometimes their professional development and their personal development is reviewed too – depending on needs.  A supervisor is not a managerial role, but more of a professional service designed to support the counsellor. 

Is the counsellor taking regular supervision? Some therapists’ professional bodies require the therapist a minimum amount of supervision every month (eg 90 minutes). Some practitioners (such as psychoanalysts) are their own supervisor, although they may too seek another professional’s support.

Dean takes a minimum of 90 minutes supervision a month, increasing this as workload or case presentation demands.

Insurance.

Does the therapist have indemnity or civil liability insurance?

Dean has civil liability insurance.

Commitment to Continual Professional Development.

Does the therapist make you aware that they attend CPD (a form of continuing their training and experience throughout their practice). Some professional bodies, such as the BACP, require that the therapist obtain a min of 30 hours CPD per year.

Does the therapist make known the history of their CPD?  If so, this may be of interest to you.  If not, perhaps you might ask the therapist what was their most recent training experience or what they learned from it.  Perhaps a therapist who has not engaged in new learning recently might be able to justify to you their philosophy behind this.

Dean seeks a minimum of 30 hours CPD / year.

Marketing Claims.

Does the therapist make claims about being “the best”, or “popular”?  If the therapist makes claims of “I’ve helped hundreds…” how does the therapist substantiate that claim whilst protecting client confidentiality?  Whilst it may be a marketing technique to use superlatives to describe ones service or product, can the therapist substantiate their claims?  It may be worth asking for authenticity of the claims being made.

Website: does the therapist website look as though it is professionally produced?  When was the last entry added to the website – a week a go … a year ago?  Does the website give contact information and a local postal address?

Printed Material: does the therapist’s printed material read accurately? Does it give you a sense of professionalism?

Dean produces and maintains his own website and all marketing material. This site is his main professional website.

Dean Richardson is a BACP Accredited Counsellor / Psychotherapist (explanation of qualifications).  I am a member of the British Association for Counselling and Psychotherapy (BACP). The accreditation means that the BACP have authenticated my substantial level of training and experience to be working as a counsellor / psychotherapist. Appropriately, my counselling work adheres to the BACP’s Ethical Framework (click to read BACP’s statement on Ethics for Counselling and Psychotherapy).

The BACP can suspend, deregister or remove accreditation from member counsellors/psychotherapists who fail to perform their work to the highest professional standards and/or who contravene the BACP’s Ethical Framework.

If you have a complaint or dissatisfaction about the therapeutic service I am providing for you, it may be helpful for you to you raise your concerns initially with me.  We will try and address the matters together.  If we cannot resolve the matter together then the BACP can provide help and assistance to you if you wish to take the complaint further (read more…).

BACP Address.

British Association for Counselling & Psychotherapy,
BACP House,
15 St John’s Business Park,
Lutterworth,
LE17 4HB.

Tel: 01455 883300,
Fax: 01455 550243,
Minicom: 01455 550307,
Text: 01455 560606

http://www.bacp.co.uk/

I abide by and adhere to the British Association of Counsellors and Psychotherapy’s Ethical Framework.

As part of that framework, I practice confidentiality with all of my clinical work.  This means that you can speak with me knowing that your friends, your family, your work colleagues and so on will not get to learn what you have said in a counselling session – and neither will my friends, family, work colleagues and so on.

But … what confidentiality also means is that I will discuss your case with a strictly limited number of other professionals for sound ethical reasons.  All clients and patients of therapists should be made aware of this (as you will be during our initial meeting), but unfortunately this is not the case with some other professional therapists.  I make it a particular point to discuss what confidentiality means – and what are its boundaries – with all of my clients at the start of counselling.  During our initial meeting I will also give you a printed copy of our counselling agreement.  After all, there’s a lot to remember during our first sessions.

Because confidentiality is not just about not talking about our therapy work, our written agreement explains what confidentiality means.

For example, in addition to the ‘not discussing what we say in the room’ part of confidentiality, I will have made you aware that:

The rest of this article expands upon these matters.

Confidentiality & Supervision.

As a private practising therapist who is a member of – and accredited by – the British Association for Counselling & Psychotherapy, I meet with a qualified supervising counsellor once a month for a minimum of 90 minutes. This is to discuss my practice and my case load and to check that I’m working to my best, keeping with ethical principals, and dealing with dilemmas that come up in most every case.

I will, from time to time discuss your case and our work together with my supervisor – but I will have first made sure that my supervisor does not know you, or is likely to come in contact with you (say, for example, though the workplace).  I will refer to you only by your first name (or another name if you prefer).  If I cannot assure your confidentiality in this manner – for example if my supervisor knows you in the work place or socially – then I will seek supervision from another supervisor for the duration of our work together.

Confidentiality & Continued Professional Development (CPD).

In seeking additional knowledge to keep me up to date with therapeutic thinking, it is sometimes useful to refer to an aspect of a case whilst attending a training course.  If, when we discuss our agreement, you request that I do not refer to you during my CPD then I will respect this.  Even so, it’s rare to-the-point-of-never-happens nowadays for me to bring up casework willy nilly, and I make sure that anything I discuss within the confines of other therapists in the context of CPD still keeps your identity anonymous and our casework vague enough to never identify you.

Confidentiality & UK Law.

Confidentiality sometimes has to be broken if I am required to do so by law (for example if you disclose to me your intent of harming yourself or others (including children) or if you disclose intent of committing a serious criminal offence or terrorism).  This does not mean that I will go running to the police the moment that I hear something illegal. I will intend to discuss with you of my (admittedly rate) intent to break confidentiality of our work before I do so, but you need to be aware that the law may require that I take action first and without your consent. 

It is, perhaps, better for you to consider not discussing anything with me that may be illegal where I will not be able to protect your confidentiality once I’m party to the knowledge.

Declining your request to break confidentiality.

I have been discussing where confidentiality is maintained but expanded in the form of supervision and CPD, and have discussed UK Law where I may not be able to keep knowledge confidential.

There is another aspect: your request to reveal information about our counselling work.

Confidentiality is very important – even to ensure it is not broken in situations where you request it (for example, giving your permission to a solicitor to request that I give a report about our case work). 

If we are still working together it is best for us to have a sufficiently detailed discussion of the consequences of such events before I decide how I will respond – and I will not automatically respond with a ‘yes’.  What has been, up until this moment, vital to protect needs a serious conversation about why this need has now changed.

Should our counselling work have been completed, and we are no longer in contact, if I receive a request to reveal the contents of our counselling work with a third party … even having received your permission (eg written) to do so … I will decline.

Confidentiality – In conclusion.

Counselling is not to be taken lightly – neither by therapist nor clients.  Clinical work such as counselling and psychotherapy requires ethics, respect and the highest form of protecting both the therapist and the client’s right to feel safe during the work. 

I take a particularly thoughtful approach to protecting confidentiality – and this may surprise a number of clients who may assume that (a) nothing is ever revealed about the case to anyone … or conversely (b) I will summarise our casework to anyone when the client wants me to.

Confidentiality is vital.