Which Therapies Work? A Guide to Finding Them

Many people seeking psychotherapy are in crisis. The urgency of their need causes them to rely on recommendations.

They wonder who they should see. Under pressure, a deep dive into a complex field can be too much.

This essay intends to assist those in distress to match themselves with the best help.

The prospective patient may not know his condition’s precise name. Without this, the task of finding a practitioner who will fit his needs is harder. Generic descriptions like depression or anxiety offer a starting point only. Even if an individual consulted someone before, there is no guarantee he was correctly diagnosed.

No, I won’t give you a magic bullet or the name of someone to call.

This will be a different approach to the search for satisfactory psychotherapeutic care.

Allow me to establish a few premises:

  • No clinician, however gifted, is an expert in every form of therapy.
  • Not every remedy is appropriate for every ailment.
  • The most recent Diagnostic and Statistical Manual of Mental Disorders or DSM-5 is over 900 pages long. If you encounter anyone foolish enough to claim mastery of all the human problems within it, run.
  • Not every therapist is a talented diagnostician. Some are not well-trained in this area nor have an extensive range of experience with clients from the book’s numerous categories.

To the good, the number of empirically validated forms of counseling continues to grow.

How, then, do you find the kind of specialized intervention you need?

Division 12 of the American Psychological Association maintains a long list of treatments, including those “evaluated to determine the strength of their evidence base.”

The website links to the therapies, describes them, and indicates the degree to which research supports their use.

Each description also includes a link to enable you to find a therapist who practices the outlined remedy. Of course, there are many other ways to locate a practitioner: recommendations, professional organizations of those who allege expertise in delivering those services, and sites such as Psychology Today.

Your insurance company might propose a list of “preferred providers,” as well. The latter group agrees to accept their HMO or PPO’s fee limits.*

If you can identify your diagnosis, you can begin your investigation with its name. Division 12 also provides an inventory of these conditions, along with this disclaimer: “the absence of a treatment for a particular diagnosis or treatment target does not necessarily suggest the treatment does not have sufficient evidence. Rather, it may indicate the treatment has not been thoroughly evaluated by our team according to empirically-supported treatment criteria.”

I hope you will not be afraid of the diagnostic process or “classification” with a name for your suffering. Without a thorough understanding of your problem, no provider can address your condition in the way best for you.

Good luck!

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*The acronym HMO refers to Health Maintenance Organization, a form of managed care. PPO refers to Preferred Provider Network.

The photo is described as Sunrise at North Point Park, Milwaukee, WI. It was taken on February 1, 2009 and is the work of Dori. The image was sourced from Wikimedia Commons.