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Starting Therapy for the First Time in Chicago: What to Look for in a Therapist

  • Writer: Jennifer Harris, PsyD
    Jennifer Harris, PsyD
  • 2 days ago
  • 4 min read

Starting therapy for the first time can bring up a mix of emotions. You might feel hopeful, nervous, skeptical, relieved, or all of those at once. For many people, the hardest part isn't therapy itself—it's knowing

Woman in a yellow sweater sits on a couch in a therapy session, listening seriously; water glass and tissue box on table.

where to begin.


If you're looking for a therapist in Chicago, you'll quickly realize there are hundreds of providers with different specialties, training backgrounds, and approaches. The number of options can feel overwhelming. Fortunately, you don't need to find the "perfect" therapist. You simply need a thoughtful place to start.


Start With What You're Experiencing

Instead of searching for a general therapist, begin by thinking about what has led you to seek support.


Are you dealing with anxiety? Depression? OCD? Relationship difficulties? Grief? Trauma? Chronic stress? Life transitions? Perhaps you're struggling with perfectionism, self-esteem, or feeling stuck without knowing exactly why.


Many therapists develop expertise in particular concerns through advanced training and years of clinical experience. Working with someone who regularly treats the challenges you're facing can make a meaningful difference. A therapist who specializes in OCD, for example, may use different interventions than someone whose primary focus is couples therapy or trauma treatment.


Even if you're unsure of exactly what's going on, it's okay. You don't need a diagnosis before reaching out. A good therapist will help you better understand what you're experiencing and recommend an appropriate course of treatment.


Learn About Different Therapy Approaches

Every therapist has a unique style, but many are also trained in specific treatment approaches. You don't need to become an expert before starting therapy, but having a basic understanding of different modalities can help narrow your search.

Some common approaches include:


  • Cognitive Behavioral Therapy (CBT): Focuses on identifying unhelpful thinking patterns and changing behaviors that maintain emotional distress. CBT is often effective for anxiety, depression, and many other concerns.

  • Mindfulness-based therapies: Teach skills for observing thoughts and emotions without immediately reacting to them. These approaches help people become less caught up in worry, self-criticism, or overwhelming emotions. They can also learn more about their bodies relationship with stress.

  • Psychodynamic therapy: Explores recurring emotional patterns, relationships, and life experiences that continue to influence the present. This approach can provide deeper insight into longstanding difficulties and foster lasting change.


Many therapists integrate several approaches rather than relying on just one. What's most important is finding someone whose way of working feels like a good fit for you.


Read Beyond the Therapist's Credentials

Licensure and education matter, but they don't tell the whole story.


Take time to read therapists' biographies. Notice how they describe their work and the types of clients they enjoy helping. Do they explain their philosophy in a way that resonates with you? Can you picture yourself talking with them?


Sometimes a therapist's personality and communication style are just as important as their credentials.


Ask Questions Before Starting Therapy

Many therapy practices offer a brief consultation call before the first appointment. If that's available, take advantage of it.


Some questions you might ask include:

  • Have you worked with concerns similar to mine?

  • What does therapy usually look like with you?

  • How do you decide which treatment approach to use?

  • How often do clients typically meet?

  • Do you assign exercises or things to practice between sessions?


You don't need an extensive interview. A short conversation can give you a better sense of whether you feel comfortable moving forward.


Pay Attention to How You Feel

Research consistently shows that one of the strongest predictors of successful therapy is the relationship between therapist and client.


You don't have to immediately feel completely at ease, especially if you've never been in therapy before. Feeling nervous is normal. What you're looking for is something more subtle: Do you feel listened to? Do you feel respected? Does the therapist seem genuinely interested in understanding your experience rather than rushing to give advice?


Trust develops over time, but you should feel that you're talking with someone who creates a safe, collaborative environment.


Remember That Therapy Is a Process

Many people expect to know after one session whether therapy will "work." While an immediate connection certainly happens sometimes, it's equally common for the relationship to develop over the first few meetings.


Your therapist is getting to know you, and you're learning how they work. Both people are building an understanding of your goals and what will be most helpful.

If something doesn't feel right, bring it up. Good therapists welcome feedback and understand that open communication is part of the therapeutic process.


Looking for a Therapist in Chicago?

Whether you're searching for therapy in Chicago or another city, finding the right therapist is less about choosing the most impressive résumé and more about finding someone whose experience, treatment approach, and personality fit your needs.


At Jennifer Harris PsyD & Associates, our therapists work with individuals experiencing anxiety, OCD, depression, trauma, relationship concerns, life transitions, and many other challenges. We believe therapy should feel collaborative, compassionate, and tailored to each person's goals.


If you're considering therapy, a good place to begin is by completing our contact form so we can help match you with a therapist, or you can book an appointment directly with one of our providers. Taking that first step may feel intimidating, but it can also be the beginning of meaningful, lasting change.

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