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Episode 130

Do I Need Therapy? How to Find the Right Therapist | Christian Counseling Explained

Hosted by Diana S. Rice, LMHC, CIMHP, QS

01:26:11

How do you know whether you need therapy—and how do you find a therapist you can actually trust? Searching for mental health care can feel overwhelming, especially when you are already anxious, grieving, burned out, struggling in a relationship, carrying…

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How do you know whether you need therapy—and how do you find a therapist you can actually trust?

Searching for mental health care can feel overwhelming, especially when you are already anxious, grieving, burned out, struggling in a relationship, carrying unresolved trauma, or simply realizing that your usual ways of coping are no longer helping.

Then come the confusing credentials, therapy acronyms, insurance questions, online directories, treatment modalities, and competing definitions of "Christian counseling."

In Episode 130 of The Holistic Counselor Podcast, Diana S. Rice, LMHC, CIMHP, QS, welcomes licensed clinicians Camille McDaniel, LPC, and Melissa Gendreau, LMHC, for an honest roundtable conversation about how to recognize when you may need professional support, how to find the right therapist, and what questions you are allowed to ask before trusting someone with your story.

Although all three women are Christian clinicians, this conversation offers practical guidance for anyone trying to find ethical, competent, and trustworthy mental health care.

IN THIS EPISODE, WE DISCUSS

  • How to tell the difference between normal emotional discomfort, a difficult season, and distress that may require professional support
  • Why not every painful experience automatically means you have a mental health disorder
  • How anxiety, depression, trauma, grief, relationship problems, isolation, and daily functioning may affect the level of care you need
  • Why physical health, medications, hormones, sleep, and other medical factors may also need to be discussed with a qualified healthcare professional
  • The differences among psychiatrists, psychologists, licensed counselors, social workers, marriage and family therapists, registered or associate clinicians, coaches, pastors, and biblical counselors
  • Why a professional title, impressive website, or long list of credentials does not automatically mean someone is the right therapist for you
  • How to search for a therapist by concern, specialty, location, insurance, faith preference, treatment approach, and communication style
  • How insurance directories, private-pay therapy, sliding-scale fees, community mental health centers, and superbills work
  • Why out-of-network reimbursement is never guaranteed and should be confirmed directly with your insurance company
  • What CBT, DBT, EMDR, IFS, ACT, and person-centered therapy mean
  • The difference between being informed, trained, and formally certified in a treatment modality
  • Questions to ask about a therapist's experience, training, boundaries, approach, and therapeutic style
  • How a previous positive—or harmful—therapy experience can affect your willingness to try again
  • What "Christian counselor" or "Christian therapist" may mean—and why you should never assume every provider uses those terms in the same way
  • How to ask whether faith will be integrated ethically, clinically, and only with your informed consent
  • Why shared faith does not automatically establish clinical competence or a healthy therapeutic fit
  • How to advocate for yourself without feeling responsible for pleasing the therapist

QUESTIONS TO ASK A POTENTIAL THERAPIST:

  1. Are you currently licensed to practice in my state, and where can I verify your license?
  2. How much experience do you have helping people with the concern bringing me to therapy?
  3. What treatment approaches do you use, and why might they be appropriate for my needs?
  4. Are you informed, formally trained, or certified in those approaches?
  5. What does a typical session with you look like?
  6. Is your style more structured, reflective, directive, or collaborative?
  7. How will we identify my goals and evaluate whether therapy is helping?
  8. What happens if I disagree with you or tell you that something does not feel helpful?
  9. Do you accept my insurance? If not, do you offer sliding-scale appointments or provide superbills?
  10. If faith matters to me, how do you integrate spirituality or Christianity into counseling?
  11. Will you ask for my consent before introducing prayer, Scripture, or other spiritual practices?
  12. What are your professional boundaries, confidentiality policies, and procedures for emergencies?

Remember: asking questions is not disrespectful. You are hiring a professional service, and you have the right to understand the provider's qualifications, approach, fees, policies, and limitations.

CHAPTERS:

  • 00:00 Welcome: Do I need therapy?
  • 04:47 Where do I begin when I know something is wrong?
  • 07:59 Considering symptoms, physical health, and level of distress
  • 10:39 Has our ability to tolerate discomfort changed?
  • 14:32 When should someone seek clinical mental health care?
  • 16:34 Therapy, loneliness, and the loss of community
  • 23:11 Mental health stigma and self-diagnosis online
  • 26:19 Diagnoses, insurance, and medical necessity
  • 28:48 Understanding different mental health professionals
  • 35:59 What does "sliding scale" mean?
  • 37:47 Finding affordable therapy and asking for a consultation
  • 38:48 What is a superbill?
  • 40:14 Why some therapists do not accept insurance
  • 45:01 How to begin searching for the right therapist
  • 47:30 Supervision, training, and healthy clinical guardrails
  • 52:22 How can you tell whether a therapist is doing good work?
  • 57:14 What are you hoping to gain from therapy?
  • 59:01 What if you had a bad experience with therapy?
  • 01:01:09 Researching a therapist through the "digital waiting room"
  • 01:03:47 Understanding therapy modalities and evidence
  • 01:05:35 Informed, trained, or certified: What is the difference?
  • 01:09:55 CBT, DBT, EMDR, IFS, ACT, and person-centered therapy
  • 01:13:22 What does "Christian counseling" actually mean?
  • 01:20:23 Questions Christians can ask before choosing a therapist
  • 01:22:02 Connect with Camille and Melissa

MEET THE GUESTS

CAMILLE McDANIEL, LPC

Camille McDaniel is a licensed professional counselor, educator, continuing-education trainer, consultant, author, and the founder and host of Christ in Private Practice. Her work supports thoughtful and ethical integration of Christian faith within professional counseling.

Website: https://camillemcdaniel.com Christ in Private Practice: https://christinprivatepractice.com Listen to the podcast: https://podcasts.apple.com/us/podcast/christ-in-private-practice/id1758831272

Continue the original roundtable conversation:

Episode 100—Discerning Treatment Modalities Without Fear or Polarization: https://christinprivatepractice.com/ep-100-discerning-treatment-modalities-without-fear-or-polarization-clinician-roundtable/

MELISSA GENDREAU, LMHC

Melissa Gendreau is a licensed mental health counselor in Iowa, clinical supervisor, consultant, Christian coach, speaker, and host of Forward Path with Melissa: Life and Marriage God's Way.

Therapy, supervision, and professional consultation: https://melissagendreaupllc.com

Coaching, courses, community, and podcast: https://www.melissagendreau.com

Listen to Forward Path with Melissa: https://podcasts.apple.com/us/podcast/forward-path-with-melissa-life-and-marriage-gods-way/id1861305095

RESOURCES FOR FINDING CARE

Open Path Psychotherapy Collective—reduced-fee therapy directory: https://openpathcollective.org

SAMHSA FindTreatment.gov—mental health and substance-use treatment locator: https://findtreatment.gov

Psychology Today therapist directory: https://www.psychologytoday.com/us/therapists

American Counseling Association: https://www.counseling.org

Florida mental health professional license verification and complaints: https://floridasmentalhealthprofessions.gov

If you live outside Florida, search for the official licensing board in the state where you will physically be located during therapy. A professional directory listing does not replace verification through the appropriate government licensing board.

CHRISTIAN COUNSELING RESOURCES MENTIONED

Focus on the Family counseling services and referrals: https://www.focusonthefamily.com/get-help/counseling-services-and-referrals/

American Association of Christian Counselors: https://aacc.net

A Christian directory may include licensed clinicians, coaches, pastors, or other helpers with different education and regulatory requirements. Before scheduling, verify the person's exact role, active professional license, scope of practice, training, fees, and approach to integrating faith.

LEARN ABOUT THE THERAPY APPROACHES MENTIONED

EMDR therapy information and therapist directory—EMDR International Association: https://www.emdria.org/about-emdr-therapy/ https://www.emdria.org/find-an-emdr-therapist/

Internal Family Systems: https://ifs-institute.com

Cognitive Behavioral Therapy: https://beckinstitute.org/about/understanding-cbt/

Dialectical Behavior Therapy resources: https://dialecticalbehaviortherapy.com/

Acceptance and Commitment Therapy resources: https://contextualscience.org

CONNECT WITH DIANA

Diana S. Rice, LMHC, CIMHP, QS Host of The Holistic Counselor Podcast

Website: https://theholisticcounselor.com Listen on your favorite podcast platform: https://pod.link/1732149496 Watch and subscribe on

YouTube: https://www.youtube.com/@theholisticcounselor

Instagram: https://www.instagram.com/theholisticcounselorpodcast

If this conversation helped you understand how to find the right therapist, please subscribe, leave an honest review, and share this episode with someone who may be wondering where to begin. Your support helps thoughtful mental health conversations reach people who may be searching quietly and do not yet know whom to trust.

IMPORTANT DISCLAIMER

This podcast is provided for general education and is not psychotherapy, medical care, diagnosis, crisis intervention, legal advice, or a substitute for an individualized evaluation by a qualified professional. Listening to this episode or contacting a host or guest does not create a therapist-client, physician-patient, coaching, supervisory, or other professional relationship.

Professional titles, licensing requirements, telehealth rules, insurance benefits, reimbursement policies, and scopes of practice vary by profession, health plan, and jurisdiction. Verify a provider's license with the appropriate regulatory board and confirm coverage directly with your insurance company before receiving services. A superbill does not guarantee reimbursement.

New, severe, or changing emotional or physical symptoms should be discussed with an appropriately licensed healthcare professional. Do not discontinue medication or change a treatment plan without consulting the prescribing or treating professional.

If you are in the United States and experiencing a mental health or suicide crisis, call or text 988 or visit https://988lifeline.org. If there is immediate danger, call 911 or go to the nearest emergency department.

For domestic violence support, contact the National Domestic Violence Hotline at 1-800-799-SAFE (7233), text START to 88788, or visit https://www.thehotline.org. If internet use may be monitored, use a safer device when possible.

#DoINeedTherapy #HowToFindATherapist #ChristianCounseling