How to select a therapist

The Role of the Therapist: A Professional and Empathic Perspective

In psychotherapy, it is crucial to distinguish between two main approaches used to address patients' issues. On the one hand, some therapists deal with momentary issues, such as preparing for a job interview, where behavioral techniques may suffice. On the other hand, some analysts deal with deeper, more deeply-rooted disorders, requiring a more intensive and comprehensive approach.

Essential Characteristics of an Analyst

An effective analyst must possess fundamental human qualities: empathy, understanding, and the ability to connect emotionally with the patient without crossing professional boundaries. This balance involves actively participating in the patient's emotional life without becoming an integral part of it. It is essential to avoid sharing personal details or allowing the patient to invade the therapist's personal space. Setting clear boundaries is crucial to maintaining the integrity of the therapeutic relationship.

Interpretation of Dreams

The interpretation of dreams is a fundamental aspect of psychological analysis. The therapist must interpret dreams with sensitivity to the patient's ability to understand and integrate such content. For example, when a patient dreams of being physically assaulted, he might identify the aggressor as a family friend rather than a parent, especially if he has a positive view of the latter. The therapist, knowing that it could be a parent, must handle the information with caution, informing the patient that "someone" is responsible, rather than immediately revealing the truth.

Duration and Conclusion of the Analysis

The decision about when to end the analysis is up to the patient, as no one can be forced to continue or stop therapy against their will. The therapist can advise, but it is essential to respect the patient's autonomy in these decisions. In the case of early termination, it is helpful for the therapist to be honest about their abilities and suggest further options if necessary.

Confidentiality and Professional Secrecy

Confidentiality is a cardinal principle of therapeutic practice. Even in cases where a parent is funding the therapy and requests updates, the therapist must maintain confidentiality, explaining that there is an inviolable professional secret. General reassurances can be given but without specific details. In case of requests to meet with the patient's family members, these meetings must take place in the presence of the patient to avoid misunderstandings and maintain transparency.

Experience and Youth in the Therapist

Although experience can increase a therapist's effectiveness, even younger practitioners can make valuable contributions because of their fresh energy and perspective. Therapists of all ages must take a non-directive approach that prioritizes understanding and the personal growth of the patient rather than imposing a predetermined direction on the patient's life path.

Simple and Accessible Communication

A good therapist does not rely on books to demonstrate expertise, avoiding complex quotations and complicated terminology. Using simple and accessible language facilitates understanding and strengthens the therapist's credibility. True knowledge manifests itself through simplicity and an absence of superiority, allowing the patient to feel welcomed and respected.

Management of Verbal Aggression

In the event of verbal aggression from the patient, the therapist must remain calm and allow the patient to express their feelings. This approach can transform the therapeutic relationship by showing the patient that their emotions are valid and can be expressed without fear of judgment.

Collaboration with Psychiatrists and Use of Psychotropic Drugs

The therapist needs to collaborate with psychiatrists when necessary, respecting each other's expertise. They should not oppose the use of psychotropic drugs when they are essential for the patient's stabilization. However, the therapist must respect the patient's choice not to take drugs, seeking natural alternatives when possible.

Non-Directivity and Benevolence

The therapist must avoid a directive approach, letting the patient make decisions independently. Benevolence is the key to effective therapy, as it creates an environment of trust and mutual respect. The therapist must maintain a positive and vital attitude, conveying a sense of humanity and understanding to the patient.

In summary, the therapist must be an empathetic, respectful, and non-directive professional, capable of establishing a therapeutic relationship based on trust and a deep understanding of the patient.