MCL, my first T was a nightmare and i also live in a smaller town. I absolutely love my new T and Ill share with you what I did, maybe it will help. I took all the providers available on my network and immediately goggled them all. Ruling out ones that were "not what I was looking for". IE, they were strictly CBT, too young, bad reviews, didn't like their picture (sad but true) etc. Then I called the few I narrowed it down too. I then narrowed it down again to ones who were willing to phone interview or answer emails prior to a committed session. Then I laid it out for them, what I MUST have (emails and reassurance) and what I cant stand (T's that are too busy or pushy and wont explain things) . One of the phone interviews, taken aback by my forwardness, referred me to my current T and the rest is history. I went into it with an open mind as I never thought I would see a male who was younger, but alas what do I know....I'm just the patient...LOL Good luck dear and let us know how it goes.