It's a new year folks, and many of you are thinking about looking into your long-standing problems in relationships, depression, anxiety, and of course the list goes on as does the unique story of each person's life.

There are generally two ways to find a therapist or doctor: a personal or professional referral, or a web-search. I'd like to talk a little about these options, and I am starting with a bias. I think you should be looking for people who have trained at a Psychoanalytic Institute, such as the San Diego Psychoanalytic Center, and I hope to convince you as to why.

From either referral source (website or personal), the message to you is: "this person is the best," so to speak. Friends, colleagues, or other doctors may provide the referral in a way that suggests you are receiving a special password. Many providers present themselves as "evidence-based," using "proven" methods; with the implication being that other (usually psychoanalytic therapists like me) are doing this confusing labyrinthine work that they cannot understand. Still others present themselves to be essentially spiritual healers and sort of zen-masters in a nutshell (no pun intended).

So how do you navigate the referrals and web-searches well enough to avoid unhelpful docs and to find someone useful?

First, I am interested in you developing an understanding of "psychodynamic" or "psychoanalytic" therapies. These forms of treatment work from the assumption the you have an unconscious part of your mind, and that understanding the unconscious part of your mind is crucial in symptom relief or depression and anxiety and in forging a path into more enhancing relationships. In order to understand that the unconscious exists, you only need to think of confusing patterns in your own life. People find themselves in dysfunctional relationships, attached to incompatible partners, engaging in self-defeating cycles at work or in love, treating loved ones harshly when they do not actually want to, and much more. Most people, when they think about it, do not imagine patterns like the ones above are helpful and would like to change them.

A cognitive therapist (someone who does not acknowledge that we have an unconscious) believes that you suffer with "distorted cognitions" or "maladaptive beliefs" and supposes that you need to learn different ways of thinking.  The idea is that you will recognize better or more healthy ways of thinking and that you will then correct problems in your life.

…I have many problems with the notion of cognitive helping above. The cognitive therapist seems to think you have an error of intellect, because the absence of cognitive networks is an intellectual deficit. I make no such assertion. Most people come in to my office with the full knowledge that some things are real problems, and that for some reason they cannot bring themselves to behave or feel differently. If I could simply say “well, you just didn’t recognize that your thinking is inaccurate and that you can just think this way,” I think I would wave that magic wand many times. But, that’s not how therapy works, because it’s not how the mind works. You hang around in troubling relationships, or you co-create troubling patterns in an otherwise viable relationship not because you are making intellectual errors, but because there is something happening in a deeply complex pattern of unconscious networks, which all add up to a belief that you should be treated or should treat others a certain way. Feelings of a void in one’s self and a confusion and anxiety pertaining to one’s identity is far more complex than a set of cognitive gimmicks can solve.

One metaphor may help illustrate my point. A CBT or cognitive therapist might say, “some people just need help putting a new tire on the car, and can be on their way.” My response is, then that person is in for some real problems if the car’s alignment is the problem because they will continue crashing into the guardrails.  

How do I think change works? I believe, and research studies by some of the most prominent scientists in the field agree, that attention to unconscious processes and a focus on the therapeutic relationship in all of its complexities will help you. Forget about studies for a moment, and let’s just think together. Doesn’t it make sense that if you develop a deep and strong relationship with your psychologist, that understanding your self in the context of that relationship will be the most helpful? If you could talk about a moment that just happened with me in session and draw upon the feelings that arose, wouldn’t we be able to ascribe meaning and understanding about how your mind works with much more weight that talking about some distant, historical, or intellectual error in the past?

If you agree with me that it is most helpful to assume you have a part of your mind that is unconscious and works in irrational ways, and that it is helpful to comprehend the therapeutic relationship with the unconscious in mind, then you are still left with one problem. How do you go about finding someone who is actually trained well enough to work with you on these deeply complex matters?

Psychologytoday.com is the most popular way of searching for therapists, followed probably by Goodtherapy.org. These are basically online phone books where therapists can put in a short bio and pitch their shtick, so to speak.  The problem is this: it is a fact, not just my opinion, that in order to specialize in “psychodynamic therapy,” “psychoanalytic therapy,” and certainly “psychoanalysis” where unconscious processes can be understood, a therapist needs to have gone to a Psychoanalytic Institute for certification after they have their graduate degrees and are practicing, and only a tiny minority of my colleagues ever enter such training; this field is in a sort of crisis for that reason.

The problem for you is that the web-searches offer you no good way of knowing who’s who….who has the training versus who is just claiming they work in a “psychodynamic” when in fact they are just using a label. There are over 10,000 different forms of “therapists” in San Diego county, and only 127 people who are active members of the San Diego Psychoanalytic Center, the only place in town where one can receive this form of training. I do not have the numbers tallied yet, but the amount of providers claiming to work in “depth-oriented” and “complex” ways are making claims that may be true, but that are not verifiable by you. 

Rollo May talked about the crisis of untrained therapists in this video. 
Note: while the video lists Rollo May as an "existential" therapist, he was a trained psychoanalyst. 

For a useful article on choosing a therapist, click here. 

I hope that this article has helped you understand something more about searching for therapists, and the importance of your therapist having attained verifiable psychoanalytic training from an accredited regional institute.

Sincerely,

Lucas Klein, Ph.D.

 


Comments

07/16/2016 3:01am

Asking questions are actually pleasant thing if you are not understanding anything fully, except this post provides nice understanding even.

Reply
02/02/2017 10:51pm

If our health is being talked about, we must rely on the advice from reliable people. In this article, we should only follow advises and referrals from the specialist. Choosing a therapist is a crucial thing. It's like choosing a person whom your health will be trusted with. In health, we must choose our therapist wisely.

Reply
11/07/2016 10:30am

You are absolutely right about it. It might be very difficult to find a reliable therapist.

Reply
12/28/2016 2:35am

I have a friend who's suffering from anxiety. I have encouraged her to look for help from a therapist. I've been with her when I discovered her illness and I was alarmed because I don't know what to do to help her. She told me that they scare her so I didn't push her. But it helps when you talk to them. Just let them talk and listen to whatever they say so they won't feel alone. It's something I learned when I've been helping her through it.

Reply
12/28/2016 6:59am

Depression and anxiety is a very severe condition and patient should take this condition much seriously and consult with the highly qualified consultant.

Reply

I care for such information and facts much.

Reply
12/29/2016 10:51am

Thanks for sharing this blog....

Reply

Now I know much more about this therapies! Thanks a lot for this knowledges ;)

Reply
01/05/2017 2:10pm

I just found this articel a few minutes ago. However, I can feel that it's very good for our next consideration. Good Post!

Reply
01/10/2017 11:59am

Occupational health Advisor's (OHA) can contribute by helping managers to manage sickness absence more effectively.

Reply
01/13/2017 11:08pm

Nice to know about this thanks for having great post <3

Reply
01/23/2017 7:03pm

I read this blog and really enjoy it.

Reply

I found this blog after a long time which is really helpful to let understand different approaches. I am going to adopt these new point to my career and thankful for this help.

Reply
02/07/2017 12:56am

Sometime few educational blogs become very helpful while getting relevant and new information related to your targeted area. As I found this blog and appreciate the information delivered to my database.

Reply
02/09/2017 10:21pm

I appreciate you for this good help in the field of medical...Thanks for your post.

Reply
02/12/2017 9:36pm

I am thankful to this blog giving unique and helpful knowledge about this topic, I read your blog now share great information here. This blog increse my knowledge source .

Reply

Informative article, just what I was looking for. Thank you so much for taking the time for you personally to share such a nice info.

Reply
02/19/2017 5:53am

I think it will be okay if I have different opinion than you. :d

Reply
02/21/2017 2:20am

Really appreciate all the stuff made by this blog to let people know more about this topic. I added little more relevant points to my knowledge which definitely going to help me in coming future.

Reply
02/21/2017 10:42pm

No one can stop you writing a perfect blog or article if you are passionate to your job. Your aim is to satisfy your readers with a well written blog and your passion is always behind your every successful assignment. Impressive writing skills can be observed over here.

Reply
02/21/2017 11:06pm

I would like to know more about these suggestive points. Give me little more brief and I think they can help me. Here the mentioned points are very useful and I am definitely going to adopt in my life.

Reply
02/21/2017 11:37pm

Hello! It looks like the writer of this blog is really very professional because I never read such kind of writing before. The way of writing and the way of using right words on right place shows some expert skills

Reply
02/21/2017 11:46pm

I really appreciate the efforts made here behind writing such a wonderful blog. I can recognize this blog very well for all the efforts made by writers to deliver well and standard information.

Reply
02/22/2017 3:02am

A blog must be connected to the person in need. It is really important to understand the actual feel of such necessity and the essence of objective behind it. Author must give proper time to understand every topic before writing it.

Reply
02/24/2017 3:46am

Share great information about your blog , Blog really helpful for us . We read your blog , share most useful information in blog . Thanks for share your blog here .

Reply
02/24/2017 2:42pm

Really great news!!! this information is well worth looking everyone. Good tips. I will be sharing this with all of my friends! Thank you for sharing valuable information.

Reply
02/25/2017 1:48am

Best wireless router for iPad demands high-performance wireless environment in delivering clean wireless network, high-speed, and Quality of Service. The router should support wireless n technology with dual band supports, and the Quality of Service for multimedia traffic prioritization.

Reply
03/08/2017 1:48pm

On the off chance that our wellbeing is being discussed, we should depend on the counsel from solid individuals. In this article, we ought to just take after exhorts and referrals from the authority. Picking a specialist is a critical thing. It resembles picking a man whom your wellbeing will be trusted with. In wellbeing, we should pick our specialist admirably.

Reply
03/08/2017 11:50pm

Useful and helpful tips. You can try CBD Oil health supplement along with your sessions. It is a natural medication and does not have side effects. To start with you can take low dosage and can increase it as you body starts to accept it.

Reply
03/20/2017 12:16am

very informative blog with updated information.thanks for the post!

Reply
07/07/2017 6:16pm

Thanks for this information. i like it

Reply
07/07/2017 7:43pm

Situs bola online paling top di Indonesia.

Reply
07/10/2017 12:03am

This site is excellent and so is how the subject matter was explained. I also like some of the comments too. Waiting for the next post.

Reply
07/10/2017 12:58am

When i visited your site, i found some information usefull. Thanks.

Reply
07/10/2017 10:25pm

Mantap info terbaru webnya.

Reply
07/10/2017 11:37pm

Great news. Good Information.

Reply
07/12/2017 12:49am

Agen domino 99 bagus dan terpercaya.

Reply

I am glad to read this post, its an interesting one. I am always searching for quality posts and articles and this is what I found here, I hope you will be adding more in future. Thanks

Reply
07/21/2017 1:11am

Become popular in SBOBET Online Indonesia.

Reply
07/21/2017 7:19pm

Informasi playing SBOBET disini.

Reply
07/23/2017 9:19pm

Poker online bagus dan luar biasa.

Reply
07/24/2017 1:01am

Game poker online terpercaya Indonesia.

Reply
07/25/2017 1:08am

Mantap situs poker online disini.

Reply
07/25/2017 7:47pm

Luar biasa informasi pada website ini. Agen SBOBET is the best.

Reply
07/26/2017 1:48am

Join SBOBET Now and get some bonus today.

Reply
07/26/2017 4:18am

Wealth management services aren't only for the "wealthy" as defined with those as millions of dollars of income. In fact, most people can benefit from the services of a wealth management advisor to help with everything from estate planning to life insurance, wealth transfer to retirement investing.

Reply
07/28/2017 4:06pm

Thank you very much, it's very important issue for us.

Reply
07/28/2017 6:12pm

Agen SBOBET Terbaik dan Bagus Indonesia.

Reply
07/28/2017 9:12pm

Agen SBOBET Peluv terpercaya Indonesia.

Reply
08/01/2017 12:07am

We also provide same services, you can contact us!

Reply
08/02/2017 3:25pm

All of us are becoming increasingly aware of the problem of hearing loss by workers in noisy jobs with complaints coming from the industry sector, the unions, the states and the Federal government, to mothers of teenagers whose ears take on more loud rock music than what they can stand.

Reply
08/04/2017 11:56pm

Join bersama agen SBOBET pifu6

Reply
08/08/2017 11:36pm

Playing toto online only scorpionbola.com

Reply
08/09/2017 3:01am

Main togel online cepat dan aman.

Reply
08/10/2017 12:25am

Hubungi agen togel Singapura online untuk mendapatkan informasi disini.

Reply
08/10/2017 5:41pm

Agen togel SGP Indonesia terpercaya handal.

Reply
08/11/2017 5:46am

This is really great information found here, I really like your blog. Thanks very much for the share. Keep posting.

Reply

This site is excellent and so is how the subject matter was explained. I also like some of the comments too. Waiting for the next post.

Reply

Very interesting subject , regards for putting up.

Reply



Leave a Reply