What to Expect from a Psychologist

What Happens on my First Visit to a Psychologist?

Once you have the name of a practitioner and make a first appointment, it is usual for them to ask you to describe your problem and to ask for details about your personal history. These questions will include such things as when did your problem start, what makes it better or worse, how does the problem affect your work or social life. Questions about your personal history can include details about your experiences growing up, your education and work history, your marital status and interpersonal relationships, and whether you use medication, alcohol or drugs. This information-gathering phase can take one or more sessions and may be supplemented by the use of psychological tests.

Psychological Tests

Psychological tests are used to gain a better understanding of the kind of problem in thinking, feeling or behaviour a person presents. If a psychologist plans to use a test, they should explain why it is being used and what kind of function it is used to assess. For example, some tests are used to assess and help diagnose mood, some are used to assess problems in memory or concentration, and some might be used to better understand personality characteristics. For example, some are pencil and paper tests that pose questions to which you must answer true or false and others might require you to manipulate objects or remember numbers or phrases. Testing is used to help the psychologist arrive at an impression or diagnosis of your particular problem.

Treatment

Following the information-gathering phase which may or may not include psychological testing, it is important that the psychologist discuss with the client (and/or their parent or guardian if a child) what they think is wrong and what they can offer in the way of help. Reasonable questions to ask a psychologist are:

Have you treated many people with this kind of problem?
What kind of psychotherapeutic approach do you use and how does it work?
What kind of success can I expect?

Treatments or psychotherapeutic approaches used by psychologists should be empirically-supported treatments – in other words treatments which research has proven to be effective. Common types of treatments include cognitive-behavioural therapy, interpersonal therapy, and systems therapy among others. Treatment might be offered in an individual, group, couple or family format depending on the problem and whom it affects.

What Happens During Psychological Treatment?

Early on in the treatment, the psychologist will help you make goals to work towards and identify the ways therapy will help you achieve them. Goals can include feeling less depressed, feeling more comfortable in social situations, improving pain management, changing your behaviour, or increasing self-esteem. In addition, the psychologist will review your progress in meeting these goals at certain intervals and may have you fill out questionnaires designed to help monitor progress.

Important things to remember about psychological treatments are that it can be hard work to change feelings, thoughts and behaviour – you have to be ready to commit yourself to attend sessions regularly and follow through on recommendations. One thing that can not be changed is the past but you can change how it affects you. It is also difficult to change the behaviour of other people. Psychological treatment is primarily focused on helping you make personal changes to improve your life. There is often more than one way to solve or manage a psychological problem – which one to choose can depend on the training of the practitioner and the characteristics of the client. Finally, you are entitled to be an informed consumer and active participant in the psychological treatment process – if you have questions or concerns, let the psychologist know!

Do Medications Work?

Although many psychologists are familiar with various medications, they are not licensed to prescribe medication in this province.

It is important to recognize that medications most often manage, but do not cure psychological problems or mental disorders, as is the case for other types of physical problems. There are some mental disorders for which medications are very necessary (schizophrenia and some depressions for examples). Research tells us that medication and psychotherapy work better than either medication or psychotherapy alone in managing some types of psychological problems. Some types of problems might even be better managed with psychotherapy alone.

What Happens to the Personal Information I Discuss with my Psychologist?

People are often concerned about confidentiality when consulting a psychologist. Information disclosed to a psychologist is confidential and cannot be disclosed without the client’s consent except under certain specific conditions. These conditions are referred to as the “limits of confidentiality”. Your psychologist will discuss these limits with you in the first session.