08
Jan 25

Hiring the Right Therapist for Your Teen

Therapist“Kids can’t talk to just anyone. But ‘just anyone’ is a waste of everybody’s time.”

Evaluating a therapist is a little like tasting food; it’s awfully subjective. Therapists have different styles, and you may have to try two or three before you find the one that’s right for your teen. In this article, we’ll talk about how to find good prospects, what the different degrees mean, and how to evaluate your candidates.

Finding the Perfect Therapist for Your Teen

To begin your search, consider asking for local references from the following sources:

  • Your child’s school counselor or school psychologist
  • Your religious leader or a youth minister
  • Your child’s pediatrician
  • Your local behavioral health hospital

If you are using your health insurance, it’s a good idea to print a list of providers with whom your insurance company contracts. See if any of the names you’ve heard recommended appear on that insurance list and put them on your own search list. You may notice that some therapists are in the same office. In this case, you’ll speak to a receptionist when you call. If you manage to get the receptionist at a time when she’s not too busy (avoid early mornings and Mondays) she may be able to describe some of the therapists in the office. Your teen might prefer a woman or may not do well with someone who is brusque. Sometimes a teen is better able to identify the type of person they want when they meet someone who is not right for them.

The best choice for your teen is likely to be someone who works with adolescents. If you check the local therapy offices and the hospital, you may be able to find someone who offers group therapy for teens. This person is probably a good choice for one-on-one therapy with your teen. Beyond that, someone with a degree as a marriage and family therapist (MFT) will understand teens or at least be able to recommend a therapist who does.

Understanding the Different Therapist Degrees

Let me make this easy for you.  In my experience, the degree does not mean much. It really comes down to the individual.Just for the record though, here’s what they all mean:

PhD: A therapist with a PhD holds a doctorate in psychology with an emphasis on theory and research.

PsyD: These therapists hold a doctorate as well, but their training is more clinically oriented. They may have spent considerable time interning in a behavioral health hospital.

MFT: Marriage and family therapist. These individuals hold a master’s degree and provide marriage counseling and family therapy. If your teen is working with a therapist, you and your spouse can optimize your teen’s progress by hiring an MFT to coach you through the illness.

LCSW: Licensed Clinical Social worker. These individuals have a master’s degree in social work and often work with families. Sometimes they function as a caseworker in a hospital or mental health agency. Since some of their training includes short-term work, they are adept at getting to work immediately, making them great therapists.

Making the Initial Contact

Let’s say you have assembled your list. Set aside some time when you’ll have privacy. This may not be easy if you work in an office with coworkers within earshot. If that’s the case, don’t be afraid to request that the therapist call you at home after work. A caring professional won’t mind calling you after hours. Therapists are busy with clients during the day anyway and may prefer it.

Leave a message with five or so different therapists. Some will not call back if they aren’t taking new clients, and others may tell you that they do not work with teens, so cast a wide net. Along with your name and telephone number, state the name of your insurance carrier. Most therapists take insurance, but many don’t take every carrier.  Some therapists do not take insurance at all but may charge less than the typical rate.

Explain what you need in a single sentence. Write it down if this is difficult for you. Something like, “I’m looking for a therapist for my fourteen-year-old son who is suffering from depression” should work.

Be forewarned.  Many therapists do not treat adolescents. Moreover, some don’t handle certain types of illnesses because they lack training in, say, anorexia. Often, however, these individuals can recommend another therapist who does handle such a case. You may think it best not to scare away the therapist. For example, if your teen has been arrested, you may prefer to withhold this information until you meet with her.

If you haven’t found anyone to meet with after two days, either because you did not get call-backs or nonesounded right, call the next five therapists on your list. If one therapist sounds good but cannot meet with your teen for, say, three weeks, make the appointment and keep searching for someone you can meet with sooner. You can always cancel the later appointment if you find someone your teen likes.

The Real Test of a Good Therapist

I will tell you the truth about my search for therapists. It took five tries for me to find the right person for my son and six tries to find the right person for my daughter. Kids can’t talk to just anyone. But “just anyone” is a waste of everybody’s time. Do keep in mind that the first appointment is usually a get-to-know-you appointment in which it may be difficult to evaluate the therapist. But if the chemistry is truly bad at the first meeting, call it quits.

But the real test I use to evaluate a therapist consists of asking myself these questions every time I leave the office:

  • What do I know now that I didn’t know when I walked in?
  • Do I feel more or less in control of things than when I walked in?

If you find yourself answering one of these questions in the negative, keep looking. Maintain a long-distance runner’s point of view, and don’t get discouraged. The right person is out there.

 


04
Jan 25

Caring for Your Mentally Ill Teen

Mom shows confidence in daughter“The teen who is going through a difficult time emotionally may tire easily, become confused, or get frustrated. You can help by maintaining an air of quiet encouragement.”

If only mental illness were like strep throat: you feel terrible for a few days, you take medicine, and a week later you’re back in shape. Recovery from mental illnesses is slow, measured more in months than in days. Fortunately, there are many things you can do to hasten your teen’s recovery.

Show Some Confidence

At this early point, it is easy to feel like things are out of control, but try to show your teen that you are confident about their recovery. Save the tears, anger, and self-flagellation for the therapist or for private moments with your spouse. On the other hand, it is okay to admit to your child that you’re worried. If they say they’re angry about it all, you can confide that you too feel angry that this is happening to them. Here is an example of what I mean:

Her: Why is this happening to me, Mom?

You: I don’t know why, honey. I honestly never expected something like this. I admit that I’m very worried. But I have a lot of confidence in the people who are helping us. We’ll get through this.

Her: I saw you crying last night. Admit it, you think I’m losing my mind.

You: I’m sorry you saw that. I have had some tough moments. It’s hard for a parent to see her child suffering.  But I don’t believe for a minute that you’re losing your mind. I want you to know that Dad and I are working together to get you the care you need. We’ll get through this.

Note the repetition of, “We’ll get through this.” Sometimes there is nothing more to say. Don’t feel that you have to have all the answers.

Managing Your Home Environment

Now for the good part: the things you can do to promote your teen’s recovery. The brain heals and becomes regulated by routine. Get your teen to wake up and go to bed at the same time each day. Establish a routine and have them stick to it, eating meals, exercising, and doing schoolwork at the same time each day. They will rely upon your encouragement in the early days of treatment. It can be a slow and discouraging process, particularly when a medicine trial does not go well. Reassure your teen that you intend to do everything you can to help them get well.

Meanwhile, keep the household calm and quiet. Try to serve dinner at the same time each day. Cut everything out of your schedule that you possibly can so that there is less irregular activity (besides, you need to trim your own obligations in order to take care of yourself). If you are in the habit of shouting questions to your kids, try to stop. Instead, go to them directly and speak in a normal tone of voice. If conflict is a regular part of life in your household, you may want to address it now while you have the benefit of a family therapist involved. Many families find that they become stronger when a crisis such as this occurs.

Avoid Teasing and Sarcasm

Emotionally ill teens do not perceive sarcasm or teasing the same way that we do. Their pain is always at the forefront, and everything you say to them gets filtered through that tender layer. When my teens were depressed I was astonished to find them taking what I had said literally. When I tried to explain that I was joking, they became confused and hurt. Having a teen with a mental illness can make you a better communicator.

Get Your Teen Talking

The most powerful thing you can do during this time is listen. If you are in the habit of lecturing or criticizing, your child’s recovery will be considerably delayed. I don’t mean to sound sanctimonious. After years of knowing better, I still have to work to keep the negative tone out of my voice and to avoid lecturing. There is no such thing as a perfect parent, and your child is still expecting you to be you. But why not go for an even better you? I recommend that you allow yourself to do ten percent of the talking and let your child take the other ninety percent. Maybe you’re thinking that your house will be awfully quiet with a ratio like that. But think about it: the more you talk, the less they have to speak, and you need to know what their symptoms, fears, and needs are if you are to help. One of the best ways to get your teen to talk is to reflect back what they say.  If they say, “I’m sick of hearing you and dad fight,” you can say, “It sounds like our arguing is causing you a lot of stress.” It might encourage them to further explain how they feel.

If your teen does open up and start talking, congratulations! Keep it up by saying things like, “I’d like to hear more about that.” They may very well oblige you. Don’t be afraid of long pauses. If you speak too soon, you cut off the possibility of hearing what else they have to say, and this is where the good stuff often lurks. If they finish a heated explanation and you’re quiet, you leave the door open for more. You’ll be amazed at what else you can get from your teen by just patiently waiting for more.

One thing I’ve learned about talking to kids is that they often hear the first sentence and then tune the rest out. So make that first sentence count.  Better yet, make it your only sentence. Then they’ll really remember it.

Consider Your Teen’s State of Mind

The teen who is going through a difficult time emotionally may tire easily, become confused, or get frustrated. You can help by maintaining an air of quiet encouragement. You may need to write things down for them each day. If their confusion is severe, help them prepare an index card each night, listing everything they have to do the following day. It is also wise to help them organize the books and assignments they’ll need the following day. A little planning on your part will help your teen have a better day. Eventually, they’ll be able to handle this themselves.