Selecting Therapists
Published: June 28, 2026
Every generation inherits a map they didn't ask for—full of rigid rules, bad theology, and counterproductive attitudes passed down under the guise of "wisdom." When you choose to live authentically, opening yourself up to be seen in depth, it makes you incredibly resilient, but it also makes you remarkably easy to hurt. Navigating that vulnerability requires more than just a friend; it takes a deliberate choice about who you allow into your inner circle. Here is a look at the tools, the history, and the choices behind finding the right space to heal and move forward.
I studied many types of personality theories, analysis, and therapies in college. In that age (1970s) the outcomes of all therapies were not great and mainstream science believed that it was all hocus-pocus, not science. That's vastly true of Freudian psychology. I was in a group sponsored by his daughter, Anna Freud, and their ideas (mostly psychosexual) were nothing I would ever implement, which I legally could have pursued in that state since I was grandfathered in as a psychologist, though I ultimately chose a different path in social psychology. But Freud, the father of 19th. Century psychology, was interesting and somewhat helpful. I especially like Carl Jung. I liked Carl Rogers' "person-centered therapy" as a primary approach.
What appealed most to me, as a pastor wanting to help those who couldn't move forward, was called "Attitude Change" in the literature. I've worked with this all my life. But when I inquired about it at that time, university psychology professors called it "what marketers use," and if I wanted a more personal approach, I should go to the school of education and become a "touchy feely psychology" counselor.
Academics can be very biased and demeaning, but they were mostly teaching B.F. Skinner's Operant Conditioning, which has very limited application, and the rest of the psychological world eventually realized its limitations as a robust standalone theory—last laugh goes to me. At that time there was virtually no integration of social psychology into clinical practice, my university didn't teach it or include it in courses, and CBT, which was based on attitude change, was still in its infancy. I was frustrated.
As time went by in the 1970s and 1980s, Gestalt and Transactional Analysis therapies became available. And then CBT. I began to realize that people who spent all of their time diving into their past weren't moving forward, they were simply mired in a swamp of unresolved and paralyzing feelings and this often made it worse.
Gestalt, Transactional Analysis, and CBT made it possible for them to move forward. But in the 2000s another field took root: Life Coach. Life coaches pick up where therapy steadily becomes a diminishing return on investment. It's not enough to understand and fix your problems. You have to discover your path forward and have the impetus to do it.
And lastly, the importance of Validation (Caroline Fleck, PhD) came to the forefront as a game-changing component of therapy. Validation doesn't mean shouting, "You're right!" or "I know you think or feel that!" It means you recognize how something impacts their feelings, and you're mindful of that person's experience and understand. It's the opposite of invalidating them. The approach of denying feelings not only doesn't work, it stops therapy in its tracks and blocks relationships.
I'm not a therapist and never wanted to be. I use social psychology and attitude change in my daily life and especially in my primary field, communications. I'm also an engineer, but I learned early on that you don't fix people with a screwdriver and hammer technique—it isn't just turning the right screws or deciding which side of the head to hammer. I understand systems, but people are endlessly complicated, and almost all are driven by their "feelings" and attitudes about things rather than rational thought (this was a shock to me).
How do you choose the right therapist?
It depends on what you need. One of the first things I learned in college is that most of the people studying psychology just needed a friend to talk to who accepts them as they are (validating, not invalidating). It's like the people who work well with alcoholics are the people who have traveled that path. It's like a church, which is for people who have walked the difficult path and help others through their struggles (not invalidate them).
If you just need a friend, most psychologists today are validating and will let you talk endlessly. It's a valid technique for many. Or you can find a good friend who will listen without running away. It's an equally valid technique.
Getting over barriers: The goal of CBT therapy is to help individuals identify, challenge, and replace unhelpful thought patterns and behaviors with balanced, adaptive alternatives. People are full of counterproductive attitudes. CBT is the gold standard for getting you past barriers that are obstructing your life.
Need to live more authentically: The primary goal of Gestalt therapy is to help individuals cultivate deep self-awareness, personal responsibility, and a holistic understanding of how they function within their environment. Instead of dwelling on the past, it empowers clients to process current experiences, integrate disjointed parts of themselves, and live authentically in the present.
Need the personal agency to move forward with your life: The primary goal of Transactional Analysis (TA) therapy is to help individuals achieve autonomy by breaking free from maladaptive, childhood-conditioned patterns and take responsibility for their own lives. It empowers clients to make new, conscious decisions about their behavior and relationships.
Need assistance moving forward: The purpose of a life coach is to help you clarify your goals, overcome personal and professional obstacles, and create actionable strategies for growth. They act as a supportive, results-oriented mentor—bridging the gap between your current circumstances and the life you want to lead. Most life coaches are good at mentoring people and helping them motivate themselves, and most aren't psychologists or therapists.
Many of these techniques overlap, if you choose the right one. It's common to go through several therapists before finding one you resonate with. Some will help you find a tag for your condition, which is helpful in developing understanding. This is especially true for those doing medical billing who have to diagnose a specific condition to get paid.
Some reject the medical model as too far into pathology. These include Humanist, Psychosocial, Holistic and those focusing on Cognitive Constructivism, Social Constructivism, and Clinical Constructivism. Psychologists like Carl Rogers, Abraham Maslow, and R.D. Laing, are supported by decades of clinical research which provide empirical backing for several of their fundamental principles.
For me, I find deep resonance with these theories as applicable for understanding and helping most people who don't have a pathological cause for their difficulties. I studied these in an international group of psychologists for years. This is partly because I want to help people, not treat them. If I recognize a psychological obstruction, I refer them to a therapist (most won't go and cite past failures, so I have to work with them without therapy, and it always has a good outcome).
Effectiveness Benchmarks for Behavioral Change
You can also look at how each profession is effective in helping change your behavior to help you select. General clinical data and industry observations suggest these rough success rates:
Friends: Substantial psychological research demonstrates that friendship provides vital social buffers that protect mental health. Furthermore, global clinical research has proven that trained peers can serve as highly effective alternatives to professional therapists when clinical resources are scarce. Just having someone who accepts and validates you and may offer good advice is amazingly helpful. But many may need a professional to help them develop understanding, unpack deep trauma, and develop long-term coping mechanisms. If people find their mental state is an obstacle in life, they should get professional help.
Motivational Speakers (< 5% to 10% sustained change): Provide short-term inspiration and emotional highs. The impact quickly decays without immediate, deliberate action, as audiences are passive receivers of general wisdom.
Psychology Therapists (60% to 80%+ sustained clinical recovery): Deliver the most statistically rigorous, lasting results. Therapists use evidence-based modalities like Cognitive Behavioral Therapy (CBT) to alter underlying cognitive patterns, resolve past trauma, and equip clients with lifelong coping mechanisms.
Life Coaches (40% to 70% sustained change): Yield much higher behavioral compliance. Because coaching relies on active goal-setting, actionable planning, and continuous accountability, clients actively implement new habits. (Those who want to do this type of work can study it online on Udemy and several universities.)
A pastor's role is different: Life and spiritual counseling. It's not the pastors or any psychologist's job to tell you what direction to go in. They might see talents in you that you perhaps don't see and tell you. But pastors recognize that we are all different and God has a specific role for our lives, and reaching those many objectives depends a lot on our attitudes, decisions, and behaviors that are obstacles that religion doesn't necessarily help with no matter how much we try to be like Jesus. We recognize there are many paths to the same objective—life is rarely a direct route. We often don't even understand the events in our lives, at least we may understand some much later. Sometimes we see attitudes and behavior based on bad theology (such as thinking God hates us) and the bad examples of others, such as parents.
I believe it's incumbent on pastors to either understand psychology and social psychology or to refer people who want counseling to others who do understand. This is because many people want to move forward spiritually and personally with their lives but can't because of some psychological block that they never get past. And because if you haven't studied the field, you can't recognize what type of help the person needs.
Helping people and leaders understand attitude formation and change is why I write about it. People change very slowly, but attitudes can be permanent obstacles to achieving life objectives. Clearing away a counterproductive attitude that is stopping growth can rapidly accelerate change and growth.
Here's the thing: You can stay dissatisfied with your life and stuck from moving forward, or you can find someone to help you. Choose wisely.
I hope you found this helpful.