Frequently Asked Questions About Counseling - Also Known as Therapy or Psychotherapy

People often have questions about counseling but don't know who to ask.  These are just a few of the questions you might have.  If you have others that aren't mentioned here, please feel free to contact us for answers.


What is counseling?

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Counseling is a collaborative process in which a unique, confidential, helping relationship is created.  In this dynamic the therapist may act a guide helping the client to learn more about himself or herself, their feelings, behaviors, and reactions to situations.  A myriad of things can be discussed depending on what is important to the client in their life.

Is what I say kept confidential?

By law, what you say in sessions remains confidential within the office.  The exclusions to that are

  • Counselors may reveal information when a client is at risk for serious harm such as has divulged that they are contemplating suicide or harming another person.
  • Counselors are required to report the abuse or neglect of children, the elderly or people with disabilities, or ongoing domestic violence.
  • Counselors may divulge information if they receive a court order to do so.  This may happen if a person’s mental health came into question in a court proceeding.
  • If you are using your health insurance to pay for services, the insurance company may require copies of records

How often will I meet with my therapist?

The frequency of meetings is generally determined by either or both the therapist and client.  At Solutions Counseling and Wellness Center weekly appointments are standard although at first some clients may come in twice per week.  Likewise after some time, often clients wean off services by having appointments every other week, then monthly, and then only when they feel they need one.

How long will it take to feel better?

This can vary from the very first session to weeks or even months.  Every client is different as are their histories, biology, and complaints.  Often clients begin to feel better within the first few sessions.  Once they begin to feel better they can keep progress going by exploring more long standing issues.

What is the difference between a Therapist and a Counselor?

At Solutions Counseling and Wellness Center these terms are used interchangeably.  In the state of Montana however, a counselor may be an unlicensed individual working for example in a group home.  When talking about therapy, that can mean physical therapy as well.  It is safest to look for someone’s credentials after their name.  Both LCPC and LCSW serve in Montana to designate a licensed Therapist or Counselor.