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Finding the right therapist is much like finding a good lawyer or doctor. It takes some work. Most states license or certify mental health professionals. Only individuals who have earned specific types of degrees are allowed to provide mental health services. Psychiatrists, psychologists, social workers, psychiatric nurses, addiction specialists, mental health counselors and marriage and family therapists provide the vast majority of mental health services in the United States. Chaplains, priests and ministers provide spiritual ministry; their services do not usually fall under state regulation.
In general, you should seek a psychiatrist's help if you already know that you or your loved one needs medication. Psychiatrists are also most helpful if you suspect an existing illness is causing the mental health problem. Psychologists are best qualified to provide psychological testing; many psychologists also provide general mental health counseling. If you suspect the problem is addiction, seek out an addiction specialist. Mental health counselors, social workers, psychiatric nurses and marriage and family counselors deal with the wide spectrum of mental health problems. Some develop and advertise specific areas of expertise, (such as marital counseling or work with adolescents) that will further help you narrow your choice.
If you are going to pay out of your own pocket for care (not use insurance), you may choose any provider you wish. If you feel comfortable doing so, ask for recommendations from friends. You may also call the local mental health association or mental health referral lines. Area hospitals usually maintain referral lines as a community service. The St. Vincent Stressline is (317) 338-4800; calls are answered 24 hours a day seven days a week.
Your insurance company may maintain a list of providers that it will reimburse. If that is the case and you wish to use your insurance, you must select a provider from that list. Some companies will allow you to choose a provider who is not on the list, but will then ask you to pay a higher percentage of the cost.
You should be aware that many companies require you to "precertify" your care by calling a central number. Some will even arrange a first appointment for you. The individual on the other end of the telephone will try to get an idea of the nature of the problem. You may say as much or as little as you wish.
Your employer may also have an Employee Assistance Program (EAP) that can help you make a selection. Your EAP may simply make telephone referrals. Other EAPs can provide crisis counseling until a first appointment with an approved provider can be obtained. | 
