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When should you seek counseling?

From childhood through late adulthood, there are certain times when we  may need help addressing problems and issues that cause us emotional distress or make us feel overwhelmed.

When you are experiencing these types of difficulties, you may benefit from the assistance of an experienced, trained professional. Professional counselors offer the caring, expert assistance that we often need during these stressful times. A counselor can help you identify your problems and assist you in finding the best ways to cope with the situation by changing behaviors that contribute to the problem or by finding constructive ways to deal with a situation that is beyond your personal control.

Professional counselors offer help in addressing many situations that cause emotional stress, including, but not limited to:
 
bullet  anxiety, depression, and other mental and emotional problems  & disorders
bullet  family and relationship issues
bullet  substance abuse and other addictions
bullet  sexual abuse and domestic violence
bullet  eating disorders
bullet  career change and job stress
bullet  social and emotional difficulties related to disability and illness
bullet  adopting to life transitions
bullet  the death of a loved one

"Good indicators of when you should seek counseling are when you’re having difficulties at work, your ability to concentrate is diminished or when your level of pain becomes uncomfortable," says Dr. Gail Robinson, past president of the American Counseling Association. "However, you don’t want to wait until the pain becomes unbearable or you’re at the end of your rope."

"If someone is questioning if they should go into counseling that is probably the best indicator that they should," says Dr. William King, a mental health counselor in private practice in Indianapolis, Indiana. "You should trust your instincts."

Joyce Breasure, past president of the American Counseling Association and a professional counselor who has been in private practice for more than 20 years, recommends counseling when you:
 
bullet    Spend 5 out of 7 days feeling unhappy
bullet    Regularly cannot sleep at night
bullet    Are caring for a parent/child and you think about hitting that person
bullet    Place an elder in a nursing home or in alternative care
bullet    Have lost someone or something (such as a job)
bullet    Have a chronic or acute medical illness
bullet    Can no longer prioritize what is most important in your life
bullet    Feel that you can no longer manage your stress

"If you're not playing some, working some, and learning some, then you’re out of balance. There's a potential for some problems," Breasure says.

Robinson points out you don’t have to be "sick" to benefit from counseling. "Counseling is more than a treatment of mental illness," she says. "Some difficult issues we face in life are part of normal development. Sometimes its helpful to see what you’re going through is quite normal."

What is professional counseling?

Professional counselors work with individuals, families, groups and organizations. Counseling is a collaborative effort between the counselor and client. Professional counselors help clients identify goals and potential solutions to problems which cause emotional turmoil; seek to improve communication and coping skills; strengthen self-esteem; and promote behavior change and optimal mental health. Through counseling you examine the behaviors, thoughts and feelings that are causing difficulties in your life. You learn effective ways to deal with your problems by building upon personal strengths. A professional counselor will encourage your personal growth and development in ways that foster your interest and welfare.

Will my health insurance cover counseling?

Many insurance and coverage plans cover mental health services by a licensed professional counselor including some Medicaid programs, CHAMPUS, and other government-sponsored health coverage programs. If you do not have health insurance, or if your coverage does not include mental health care or the services of a professional counselor, many professional counselors will work with clients on a sliding-fee scale or will offer a payment plan. Talk to your counselor about your options.

How long does counseling take?

Ideally, counseling is terminated when the problem that you pursued counseling for becomes more manageable or is resolved. However, some insurance companies and managed care plans may limit the number of sessions for which they pay. You should check with your health plan to find out more about any limitations in your coverage. During the first few counseling sessions your counselor should also discuss the length of treatment that may be needed to achieve your goals.

Is everything I say confidential?

All members of the American Counseling Association subscribe to the Code of Ethics and Standards of Practice which require counselors to protect the confidentiality of their communications with clients. Most state licensure laws also protect client confidentiality. As a client, you are guaranteed the protection of confidentiality within the boundaries of the client/counselor relationship. Any disclosure will be made with your full written, informed consent and will be limited to a specific period of time. The only limitations to confidentiality occur when a counselor feels that there is clear and imminent danger to you or to others, or when legal requirements demand that confidential information be disclosed such as a court case. Whenever possible, you will be informed before confidential information is revealed.

Together you and your counselor will set goals, work toward achieving them, and assess how well you are actually meeting them. Counseling can help you maximize your potential and make positive changes in your life. Finally, remember that counseling may be hard work at times but change and progress do happen. A professional counselor can provide the help and support to help you master the challenges of life.

The above is public information which can be found on the website of the
American Counseling Association.  Additional information about counseling can be found through the "links" page on this site.

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