The Liz Moody Podcast - How To Find a Great Therapist + Get the The Most Out of Therapy

Episode Date: September 23, 2024

I’m joined by my sister, Dr. Katie Moody, a practicing therapist with a PhD in psychology. We discuss how to find the right therapist and get the most out of therapy. We’ll dive into the benefits ...of therapy, different types of therapy, how to identify a good fit with a therapist, and practical tips for maximizing your therapy sessions. This episode is for anyone considering therapy, those new to therapy, and even for those already engaged in therapy to get the most out of it. 00:17 Meet Dr. Katie Moody 01:14 Why Therapy? Benefits and Scenarios 09:57 Types of Therapy 18:22 Red Flags and Green Flags in Therapy 21:56 Maximizing Your Therapy Experience 25:14 Final Thoughts Visit psychologytoday.com to find a therapist. Check out Katie Moody’s practice here or email her at drkatiemoody@gmail.com. Ready to uplevel every part of your life? Order Liz’s new book 100 Ways to Change Your Life: The Science of Leveling Up Health, Happiness, Relationships & Success now!  To join The Liz Moody Podcast Club Facebook group, go to www.facebook.com/groups/thelizmoodypodcast. Connect with Liz on Instagram @lizmoody, or subscribe to her newsletter by visiting www.lizmoody.com. This episode is sponsored by: Naväge: go to Navage.com/LIZMOODY and use the promo code LIZMOODY for a free cleaning kit with your starter pack. Brain.fm: visit brain.fm/LIZMOODY to try it completely free for 30 days. The Liz Moody Podcast cover art by Zack. The Liz Moody Podcast music by Alex Ruimy. Formerly the Healthier Together Podcast.  This podcast and website represents the opinions of Liz Moody and her guests to the show. The content here should not be taken as medical advice. The content here is for information purposes only, and because each person is so unique, please consult your healthcare professional for any medical questions. The Liz Moody Podcast Episode 267. Learn more about your ad choices. Visit megaphone.fm/adchoices

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Starting point is 00:00:00 Hello, friends, and welcome to the Liz Moody podcast, where every week we're sharing real science, real stories, and realistic tools that actually level up every part of your life. I'm your host, Liz Moody, and I'm a best-selling author and longtime journalist. Let's dive in. I am welcoming a very special guest to the podcast today, my sister, Dr. Katie Moody. Katie is a PhD in psychology. She is an excellent sister and an amazing therapist, and she's the perfect. guest to answer all of your questions about finding a therapist that you love and getting the most
Starting point is 00:00:35 out of therapy. I get so many questions from all of you guys about how do I find a good therapist, how do I get the most out of therapy? So I thought it was very fitting to invite my sister on to answer all of these. Katie, welcome. Thank you. I'm so excited to be on this podcast because I am probably the number one listener. I've listened to every single episode since day one. Oh, thank you. Thank you. I really love getting the little text from you that are like, oh, I thought this about this episode, or I really love this. And you've also suggested some great guests, too. Oh, have I? Yeah. You're like up in the research world. So my gosh, I love that. Hear your thoughts on stuff. Okay. So let's start off with why should I go to therapy? Yeah. So if you go to therapy and you really vibe with your therapist and everything's working, you might be able to kind of break generational trauma, have better relationships, maybe have better relationships. Maybe have better sex, if that's the thing you're working on. Reframe your thoughts, negative thinking patterns.
Starting point is 00:01:35 Really, there's a huge umbrella of anything under wellness, mental health, spiritual, and body health too, because that's something I like to incorporate in my practice. Every therapist is going to have a different approach to how they do therapy and what they like to work with. So you'll just have to assess out what works well for you. And we're going to get into all of the different approaches and how we can tell which one is the best for us. But just to clarify this for people. I'm going to throw out some scenarios and you can be like, yeah, that would make sense for therapy or like maybe not a good fit for therapy. I kind of love this. Okay. Okay. So I'm going through a breakup. That's perfect for therapy. Please come in. And is it okay to go for a short term feeling
Starting point is 00:02:15 thing like that? Like I'm going through this thing right now and I need help. Yeah, absolutely. It can either be just a short term thing you want to kind of resolve like a breakup, something that's going to last a few months. It could be a long term thing, like something you've been dealing with for your whole entire life. I feel just meh every day and I don't know what to do about it, but I don't feel like I'm living my life to the fullest. Is that something that a therapist can help with? Oh my gosh, yes. And for that, I would probably recommend existential humanistic approach. What's that? So any therapist, I mean, most therapists are integrative nowadays, but if they've got existential humanistic on their profile, you can expect to talk about why we feel so me, why we feel stuck, why we're not
Starting point is 00:02:58 completely that happy or satisfied with our lives. And they'll help you to humanize that experience, as well as answer some of the bigger picture questions. Like, why am I here? What's the meaning of this? What's my purpose? Usually what I find happens when I'm talking with clients is that they're not living their life in line with their values. It could mean something like they're doing the career that their parents really wanted them to do. And so they feel me because it's not actually what they were meant to do or what they feel purpose in or they don't get any meaning out of it. What if I feel like my life is going pretty well? Do you think most people would still benefit from being in therapy or do we need something that we feel like is wrong to benefit from therapy?
Starting point is 00:03:43 Oh, I don't think that something has to feel wrong in order for you to want to go to therapy or benefit from therapy. I definitely have clients come in all the time where things are mostly going pretty well. They are high achievers. They are doing well in their careers. They have a healthy relationship. There just might be some little things they want to tweak or some nuance to their life, some things they've noticed, or maybe they just want to understand themselves better. And that's totally acceptable. Like if you just want to get to know yourself better, come to therapy. Love that. Okay. Where can I find a therapist? So a couple things you could do. I like to just start with Psychology Today.com.
Starting point is 00:04:23 That is a database with a bunch of psychologists and therapists on there and social workers too. You can just start there, start with your location. And there's a lot of filters. You can filter by gender preference, religion, sexual orientation. Also, you can filter by therapeutic orientation, that kind of thing. And so that kind of gives you a good place to start. The other thing you could do is you can call your insurance and ask if they have a list of providers that you can reach out to. Some people have really good luck just talking to their friends or family and asking around.
Starting point is 00:04:58 A lot of therapists are recommended via word of mouth. Yeah, I know a lot of your clients have found you via word of mouth. Yeah, I feel super grateful that my clients appreciated working with me and then told their friends about me. So I'm looking at all these profiles. I'm looking at people's websites. If you as a therapist were evaluating these, what are you looking for to know if somebody's a good therapist? That is so tricky. And honestly, I'm not going to lie, like it is kind of like you're on the dating apps and you're just scrolling, looking at these dating profiles, sussing out if they feel
Starting point is 00:05:34 like a good fit. And then you go on the date and you're like, oh my gosh, this is completely different than what I expected. And that's why most therapists will offer a 15 minute phone consultation so that you can at least get the vibe of them. Like a little speed date. It's a speed date. Yeah. And I highly recommend that every single time that I need to refer out clients. The number one thing I recommend is treat it like dating a little bit, find three or four profiles that feel like a good fit. And what you need to do is just read their bio, take a look at what kind of things they do. And then if that already starts to feel like a yes, go ahead and give them a call, try to schedule a phone consultation, chat with them for 15 minutes, see a few.
Starting point is 00:06:21 like how you felt talking to them. Can you give us some questions that we could ask on that phone consult so that we can really suss out the vibe? Honestly, you should not have to do any of that kind of work. It would be a green flag if your therapist at the phone consultation is really answering any questions that you have about logistics, but you don't have to ask too many questions about what their style is or how they approach clients. They should be able to just give you that spiel on that phone call, first thing.
Starting point is 00:06:51 I actually find that really comforting because the worst part of therapy for me is when I feel like I have to like carry on the conversation of therapy. Oh my gosh. It stresses me out so much because I feel like I have to do that in normal social interaction and that's the thing that gives me social anxiety. So if I'm paying for a session, I really don't want to feel the conversational pressure. I am surprised to hear that you've had to carry the conversation with your therapist. I would say that's probably not a good fit. while your therapist isn't going to always lead every single time and maybe you want to do a little bit of bringing something to the table, you shouldn't have to feel the pressure to talk or to say something. You could even come into session and say, I don't know what to talk about today or I don't know nothing's going on, nothing's on my mind, or I don't know where to start. That is completely acceptable. Let the therapist, especially in the beginning, help guide and lead where that session can go. actually turn out to be a really cool session. Yeah, you've told me this before. First of all,
Starting point is 00:07:53 you told me that I can come to therapy sessions and say I have no idea what to talk about, but then you've also told me, and I found this really comforting, that some of your best sessions with clients or when they come in and don't necessarily have a direction in mind for that session, and then you guys end up going in these really different directions than expected and getting really incredible healing done. Yeah, that's so true. It just kind of depends on what my client's goals are. Another thing that I'm doing as the therapist, and taking on at least some of that burden, right, of the work. I have your goals in mind.
Starting point is 00:08:23 We talked about it at the beginning. We're talking about it all the time. I'm going to ask, well, how's this going? Like, are you keeping up with the thing we talked about? How's your dating life going? I'm going to continually be thinking about the goals we had in mind in the very beginning. And also asking you periodically, like, hey, is anything changed? Are there any other goals you wanted to talk about?
Starting point is 00:08:43 Especially after we've achieved some of your goals? If you want to keep going, like, yeah, like, do you. you have anything else you wanted to work on? So is that another green flag for that consult call or a first session for a therapist to be asking what are your goals to get out of therapy? Yes, it would be kind of a green flag. I think more so I'd be interested in just hearing about what is your life like, what's been going on, why therapy right now. We don't need to get into the nitty gritty of your exact goals in the 15-minute phone consultation because first, there's just not that much time for that. And I want to make sure that you're able to hear
Starting point is 00:09:19 how I approach things and I want to hear just about you in general. We do not need to get to specific goals quite yet. But within the first few sessions, if my therapist has not asked about my goals, that's like, eh. I think that actually depends on their therapeutic orientation. I'm sorry, they answer all psychologists give is it depends. But it really does. Some therapists are very goal-oriented and they're going to ask you about your goals and then they're going to stick to that. Some therapists are way more flexible. Like, I'm one of the flexible ones. You don't need to come in with goals, although I appreciate when you do. And if those goals change or bend a little bit throughout, that's also totally fine. The last thing I want to go over while we're looking at the psychology
Starting point is 00:10:00 today profiles, we're looking at the websites, is there are so many different types of therapy. And I think a lot of people are wondering, how do I know what type of therapy is best for me? So can you run us through the more popular and the more common types right now and kind of tell us how to know if one might be a fit? Yeah, actually. I think something to keep in mind that's very helpful, especially for folks who do not know where to turn with the type of therapy they are thinking about, is that it really does come down to the fit of the therapist. So it's going to come down to the therapeutic relationship that you and your therapist have. Style aside, right?
Starting point is 00:10:37 But if we have very specific things in mind, we can look to certain therapeutic orientations. And I can give us like a quick and dirty. A really common therapy style that a lot of therapists incorporate into their practice is CBT or cognitive behavioral therapy. This is usually more shorter term. So you're not looking at years and years of therapy. You have a definitive kind of beginning and ending. This therapy really focuses on our thoughts and then our behaviors and how we can reshape our thoughts or negative. thinking patterns that change our behavior, and we start to see behaviors that we actually want.
Starting point is 00:11:15 This type of therapy is great for anxiety, depression. I also have heard it's really good for insomnia, like CBTI. Yeah, there's CBTI specifically developed for insomnia. There's actually a lot of branches of CBT that are more specialized. And so another little tip that I have if you are looking for a therapist is what specific issue are you trying to resolve or work through and look it up that way? Like say type of therapy for insomnia. Yeah. If you're dealing with sleep issues. Yeah. Cool. So that's CBT if we have like a behavior that we're looking to change. Exactly. Yeah. I also do often recommend CBT for people who
Starting point is 00:11:55 are just newer to therapy and they haven't read all the self-help books in the world yet. Or listen to all the episodes of the Liz Moody podcast. Yeah, exactly. Okay, what other types are there? There's my favorite, which is relational, psychodynamic kind of therapy style. This is if you really want to dig a little bit deeper into your family history, your past, your childhood, your relationships and how they shape you. And if you notice that you are repeating the same patterns over and over again, maybe you're meeting the same types of people over and over again, then you might want to look into
Starting point is 00:12:29 some relational slash psychodynamic therapy. that's where we can kind of get into relational processing. The therapist is going to use themselves working with you to learn a little bit more of how you are as a person with other people. And then we can actually translate that to your relationships with other people outside of therapy. Have you used relational principles to stop choosing toxic men? Absolutely, I have. And you know what? Fun fact about me, I used to have an anxious attachment style. and as I started learning about this kind of therapy and reading all of the books on it,
Starting point is 00:13:05 we learned about attachment theory, and I healed my attachment style and moved myself toward a secure attachment. And you've helped clients do that too. Oh my gosh, I've helped so many clients, and actually I should come with a warning because I've had so many my clients break up with their partners that weren't working very well for them. Because that was a toxic relationship and in healing themselves, they realized it? Absolutely. It's happened so many times. I could not even tell you. Katie. I know. I feel bad, but also I feel so good because the client, they'll come in and they'll be like, you know what? We broke up
Starting point is 00:13:46 and I feel so much better. Oh my gosh. I love that. I love that so much. Okay, give us another time. So this type we talked about a little bit earlier on existential humanistic. This is more of a framework, not necessarily a therapeutic orientation. But this is if you have all these unanswered big picture questions about what am I doing here? Why does my life feel so meh? Also, if you're experiencing things like low self-confidence, low self-worth, this kind of therapy is really going to help humanize your experiences and help you to explore scary questions. Like what happens when we die? When we die, what do I need to do in my life to feel like I've lived a good life that's meaningful to me. Wow. So I love this kind of therapy. I think getting to those questions is
Starting point is 00:14:34 honestly kind of fun and very rewarding. Do they just pull out like a picture of the universe and show you that you're like a tiny speck in it? No, but we should. I think that would be a great poster to put up in my office. Next to like the hang in there, kitty. Exactly. Love it. Okay, next. If you're noticing that you have maybe poor emotional regulation skills or not doing so well with relationships, you're needing some interpersonal effectiveness skills and some distress tolerance skills. A really good structured and no bullshit orientation would be DBT or dialectical behavioral therapy. This one's more structured. It's more concrete. But it can be really helpful with certain personality disorders. And it can also just be helpful for people who do need more help with interpersonal
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Starting point is 00:21:25 So remember to get the offer slash Liz Moody for up to 25 free meals. What's a sign that we might look for in our lives that DBT would be a good fit for us? If someone sent to you a text that you don't particularly like and it ruins your whole day or throws off your whole day and you find yourself really fixating on that and feeling really bad, DBT might be right for you. So many people message me whenever I talk about somatic therapy. I feel like people are really, really, really interested in somatic therapy right now. Somatic therapy has to do with the body. And I really like to use this kind of therapy for chronic overthinkers or anxious people. That's me. I'm raising my hand. Yes, people who are
Starting point is 00:22:09 really in their minds and very cerebral. Which I feel like the world right. now encourages a lot. So I feel like more and more people could benefit these days from somatic therapy just because the world encourages us to think rather than be in our bodies. I could not agree more. Yeah. And that's why so many of my clients are right there, overthinking in their minds and their brains. And that's why coming back to the body can be so helpful for them. So what would a somatic session look like? Are you like waving your arms everywhere and like jumping and screaming? Or like what's the vibe? You totally can. Sometimes somatic therapy does involve let's get up and dance and move our body. It really is about
Starting point is 00:22:50 cluing into what does our body actually need right now. Do I need a hug? Do I need to get up and dance? Do I need to sing or shout or yell? That's our body's signal. And doing the thing that our body's asking for is often the thing that's going to make us feel so much better. Are there any more really common types therapy that you think we should highlight? Yeah, definitely. Specifically for trauma or PTSD, if you are dealing with that, I would recommend cognitive processing therapy or prolonged exposure. These two types of therapy, especially together, can be really effective in mitigating PTSD symptoms. So if any of those things resonated, if any of us are like, yeah, that's me, could we just search those things on psychology today and find a therapist who specializes in that type of therapy?
Starting point is 00:23:36 You 100% can do that, although I will say most therapists, including me, we are integrative. Most therapists are kind of combining different orientations like the ones I talked about and others to kind of craft a style that works for them and their clients. So you're in a session jumping back and forth. You're like, oh, this client needs somatic therapy. This client needs this DBT thing. This client needs some psychodynamic work. Yes.
Starting point is 00:24:04 but it's more than that, especially for an integrative therapist. It's not just this client needs somatic therapy, only this client needs somatic therapy and a little bit of psychoanalysis. They also need some DBT skills. And maybe we'll do a little bit of CBT and homework assignments. I love that. I love the idea of you creating like a custom cocktail, a custom mocktail based on me and my needs. That makes me really happy. So we're in therapy. What are some signs in the first few sessions that a therapist is a really good fit? I would say when you feel like you've left the session and you feel really heard, and I specifically say heard because not every session is going to leave you feeling rainbows and butterflies and really good. But if you feel like, yeah, my therapist really understands me, they really listened to me. And also, I'd add that they had some good things to say, some insights that you didn't know about before. And what are some things we could be looking out for in the first few sessions that would be red flags in a therapist? A big red flag. be if the therapist looks to be really distracted or they're not listening to you, you don't feel
Starting point is 00:25:11 heard in session. Another one is if they have really poor boundaries and they're showing up consistently late to sessions or they're letting all the sessions run over every single time. Not a great sign. If you feel like you can't share with your therapist, you need to get a different therapist because the whole point is being able to share with them and disclose really personal stuff. So if you're holding back with your therapist, either bring it up with them and let's talk about it. Like literally say, I am holding back. Yeah, say I'm not sharing everything I need to share. That's really going to help your therapist move that forward. Okay, I want to linger on that because this is something that you've taught me and Papa also talks about. Our
Starting point is 00:25:55 dad is also a therapist. Help me. But that therapists want to hear your feedback. on the actual therapy experience in addition to hearing about your life. So if you're like, I don't feel like I'm getting a lot out of sessions. They want to hear that. If you're like, I am not being completely honest with you about things. I feel embarrassed to talk about things. I feel like I have to carry the entire conversational way. All of these things that I feel like cringe about, therapists actually want to hear about that. Can you confirm that on Mike? Absolutely. I can confirm that. I want to hear so badly. how you're feeling in therapy. Like, please tell me, give me feedback. I need to know what's working.
Starting point is 00:26:39 And you won't be offended. The thing is, I won't be offended. And most therapists, I hope, would agree with this. But we do go to school for so many years. And we get a lot of training and a ton of feedback, very critical feedback. So we're not only used to it, but we make it not personal. If I'm not the right fit for you, more power to you for letting me know and let me help you find someone better. And that's critical too, yeah, because so many people go to their therapist. And you've taught me, like, don't do that. Tell your therapist that it's not working and they'll be like, first of all, why, maybe we can fix this and maybe you can just make a tweak and preserve the therapeutic relationship, but also they'll help you find somebody who is a fit. Exactly. And I'll say, like, honestly,
Starting point is 00:27:22 being able to give that kind of feedback to your therapist, even if it's hard, that's actually helping you in the real world, too. It's helping you get better at giving other people feedback. Okay. And then going back to feeling embarrassed talking about stuff with your therapist, are you ever judging clients? Do you ever feel like what they're saying is cringe? Yeah, I am not judging my clients. I really actually relate to what they're telling me. And I understand how hard it is to share with essentially a stranger about these really personal things. I can connect to that human element. We've all been there. We've all done things we're not proud of. No one fully has all their share. it together. You might be surprised to know. I'm not surprised, though, because I really have heard it all. And then what can we do to be really great clients and to get the most out of therapy? Because therapy is expensive. We want to use it to its maximum potential. So what are your tips for doing that? That's such a hard question because I feel really conflicted about that. I really want my clients to show up
Starting point is 00:28:24 and just kind of enjoy therapy, get a lot out of it naturally without really overthinking it. And that's really hard to do, especially when there is a cost to it. That said, the clients who find the most success with me are the clients who really prioritize therapy. They show up to sessions on time. They make time out of their day to come to therapy. They show up authentically and they're honest. And clients who are willing to try things. That's really all you need, base level, basically showing up and being you. But if you want some bonuses, you could take some notes in session. If something felt like it really resonated with you. You could jot down stuff that happens to you throughout the week and then bring it to session. That's really helpful. And also something that I find
Starting point is 00:29:10 helpful is to read the books I recommend and even talk about your experience reading that book as you come to session each week. Okay, I have comments. One, I get really annoyed when therapist asked me to read books. I'm just like, did you not read the book? Can you not give me the highlights of the book and how the book applies to me. Is that fair? I mean, that's fair. It's just something that I grapple with often is that we only have 50 minutes. We just don't have that much time. So you're trying to save me money. I'm saving you money. I promise you read the book. I promise I read it. I would never recommend a book that I... You're not just like, I'm too lazy to read this book, so I'm going to make you read this book. That's not what's happening. Not exactly. No.
Starting point is 00:29:53 You're just trying to fit in a lot in a small amount of time. So having me do some background work helps you do that. Yeah, it can be really helpful. And then the notes thing. I think that is such a good tip. It's the single thing that has helped me get the most out of therapy because if I don't take notes throughout the week and I just have like the notes app on my phone and I call it notes for therapy and I'll keep notes when something comes to my mind throughout the week. And if I do not do that, I show up to therapy and my mind goes completely blank. Like even if I've had the worst week in the world or the best week in the world or I've had a million thoughts about things I want to work on. I will show up in therapy and something about being there with the therapist. I'm like,
Starting point is 00:30:27 I literally have no clue what to talk about. But if I have my notes, I'll pull it up and I'll be like, oh, yeah, this thing, this thing, this thing. So if I could recommend nothing else to people, it would be that. Have a notes for therapy note on your phone and just pull it out throughout the week whenever anything comes into your brain. Anything else that you think people should know about therapy? So many of us are doing Zoom therapy and telehealth sessions online. And that's great because it helps to save a lot of time in our busy schedules. I will say, one thing that's really helpful to do is to also schedule five to ten minutes of kind of just transitioning between therapy and then the next thing that you're doing. That's going to help really integrate
Starting point is 00:31:06 everything you've just talked about and help it kind of solidify. What should we be doing with that time? Actually, nothing, nothing intense, nothing that really uses your brain. I want you to just be like walking to your car or taking the trash out, taking your dog out for a quick walk. Nothing crazy, just that. Awesome. Well, thank you so much for joining me today, Katie. We'll have to have you back for like things therapists wish you knew or I don't know. I feel like there's so many fun episodes we could do together. But do you want to tell people where they could find you if they wanted to book a session? Yeah, you can find me on psychology today. I'm Katie Moody in San Francisco. I offer hybrid so I can do office sessions and Zoom. And my email is Dr. Katie Moody at gmail.com.
Starting point is 00:31:52 I love that you and Papa are both now, Dr. Moody. Yeah, we're the doctors of the moods. Thank you, Katie. That is all for this episode of the Liz Moody podcast. If you are new to the podcast, welcome. I am so glad that you're here. Make sure that you are following the podcast on whatever platform that you like to listen on. I know that 50% of you listening to this episode, do not follow the podcast.
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Starting point is 00:32:49 It's the legal language. This podcast is presented solely for educational and entertainment purposes. It is not intended as a substitute for the advice of a physician, a psychotherapist, or any other qualified professional. I very rarely get genuinely excited about skincare, but this is one of the most innovative products that I have come across in years. And I am so obsessed with it. I've been telling all of my friends to get it. So now I need to tell you guys. Here's some science first.
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Starting point is 00:36:06 of that is your mitochondria. Here is the thing that nobody tells you, certainly nobody told me, starting around age 30, our mitochondria naturally become less efficient. More get damaged, more become sluggish, and over time that impacts your energy, your strength. your recovery and your resilience. Most of us respond by pushing more. We're like noticing these things and we're adding in more protein. We're trying to fix it with more supplements. We're trying to do harder workouts.
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