PTSD Treatment Questions to Ask a New Therapist By Matthew Tull, PhD Matthew Tull, PhD Twitter Matthew Tull, PhD is a professor of psychology at the University of Toledo, specializing in post-traumatic stress disorder. Learn about our editorial process Updated on October 11, 2021 Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Steven Gans, MD Medically reviewed by Steven Gans, MD Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Print Tom M Johnson/Blend Images/Getty Images Knowing what questions to ask a therapist during your visit can help reduce anxiety. Knowing what to ask can also help you determine whether there could be a good fit between you and your new therapist. Here are some questions that you may want to ask in order to get a better feel for your new therapist's background, training, and expertise. Are You Licensed? Therapists are generally required to be licensed by the state in which they practice, or at least be under the supervision of someone licensed. All states have different requirements for licensure; however, being licensed means that the therapist has passed the minimum competency standards for training within that state. Competency is usually achieved by obtaining a certain degree, obtaining a certain number of hours working with clients, and having passed a written and/or oral exam. What Kind of Training Have You Received? Depending on who you are meeting with, the educational background of therapists can differ. For example, your therapist may be a psychiatrist, psychologist or licensed clinical social worker. All of these professions are able to provide therapy; however, the education they received is different. In addition, it would be important to ask the therapist if, as part of their education, they received training in the treatment of posttraumatic stress disorder (PTSD). What Is Your Treatment Orientation? Just as the educational background of therapists may differ, so will their orientation. What is meant by the word "orientation?" Orientation refers to the psychological theory that the therapist draws from in understanding and treating psychological difficulties. For example, some therapists believe that psychological difficulties stem from problems in thinking. This type of therapist would likely have a cognitive behavioral orientation. Others may believe that psychological difficulties stem from our early childhood (particularly, our attachment to caregivers). This type of therapist would be considered to have a psychodynamic orientation. There is no one "right" orientation. However, a therapist's orientation is going to influence how they would go about conceptualizing and treating your PTSD. Ideally, you would want to find a therapist that views your difficulties in a way that makes sense to you. How Many Patients With PTSD Have You Treated? You should ask a therapist if they have had experience in treating PTSD. In addition, it would be important to know how they generally go about treating PTSD. Do they use exposure therapy? Psychodynamic psychotherapy? Is the treatment they use supported by research? There are many treatments for PTSD out there; however, only a few are supported by research. You would want to find someone who is familiar with these treatments and uses them in their practice. What Is Your Expertise or Specialty? Some therapists have received specialized or focused training in one or two disorders. If you are seeking help for your PTSD, you would want to know if the therapist has expertise in trauma, PTSD, or at the very least, anxiety disorders. What Is the Cost per Session? Therapy can be expensive, and therefore, it is important to know from the beginning how much each session is going to cost you. You may also want to ask what kind of insurance is accepted and what your co-pay would be. If you are having trouble affording therapy, you may want to inquire if the therapist has a "sliding scale." This means that the therapist has different prices depending on the client's income. Can You Prescribe Medication or Make Referrals for Medication? People differ in their beliefs on the use of medication for psychological difficulties. However, if you are interested in being evaluated for medication, it would be important to meet with a psychiatrist or to ask your therapist if they can make a referral to a psychiatrist. Do You Stay Up-to-Date on Research on PTSD? New research findings on PTSD and its treatment come out almost every day. Therefore, you would want to make sure that your therapist stays up-to-date in their training and familiarity with new research on how best to treat PTSD. Will Therapy Be Time-Limited or Long-term? Some PTSD treatments may be time-limited. That is, they may last only for a certain number of sessions. Other treatments may be more long-term. It would be important to talk with your therapist about whether or not your treatment will be ongoing or will end after your symptoms are reduced to a certain point. Finding the Right Therapist It can be very difficult to find the right therapist for you. Remember, in seeking out a new therapist, you are a consumer, and you should approach the experience as you would making an investment. In many ways, beginning therapy is an investment. It is an investment in both time and money, as well as your future. Therefore, it is important that you find the therapist that is going to work best for you in getting your needs met. This list of questions is not an exhaustive list; however, it should help you start thinking about what kind of therapist you want and what kind of questions you can ask. 2 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. American Psychological Association. What Is the Difference Between Psychologists, Psychiatrists and Social Workers? Watkins L, Sprang K, Rothbaum B. Treating PTSD: A Review of Evidence-Based Psychotherapy Interventions. Front Behav Neurosci. 2018;12:258. doi:10.3389%2Ffnbeh.2018.00258 By Matthew Tull, PhD Matthew Tull, PhD is a professor of psychology at the University of Toledo, specializing in post-traumatic stress disorder. 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