COMMITMENTS : Starting Over

As difficult as it may be to find a new therapist you like, it can be done. The following questions can help you determine if a particular candidate would be a good match for you, according to what you wish to get out of therapy.

* What is your theoretical orientation? (For instance: psychoanalytic, psychodynamic, Gestalt, cognitive, behavioral.)

* How long a course of treatment do you believe in?

* What is your background and training?

* What degree do you hold?

* For a client dissatisfied with a previous therapist: How do you feel about the fact that I left another therapist?

* For a client whose therapist has left: Do you intend to stay put, or do you foresee moving or leaving for any other reason?

Once you have begun to work with someone, the new therapist should discuss your termination. If you are starting over because you were discontent with your previous treatment, look for evidence that the therapist is trying to gain insight into your needs to avoid repeating the problem. If you have been left by a therapist, expect the new therapist to bring up issues of death and other loss.

You may find that certain emotions--most likely guilt, irritability, frustration or a feeling of abandonment--may not surface until the new therapy is under way. Be prepared to discuss these feelings openly. The therapist should handle them in a way that makes you feel comfortable.