Hi JFB,

I ask the therapist what they would like to be called. My last counselor wished to be called by his first name. I've only had one therapist who wished to be called by a professional title (Dr.). But whatever name they would like to use, I use. I guess if they suggest using a first name, and that feels uncomfortable for you....talk with them about that, and see if it is okay to use a different form of address (Mr. Smith, Ms. Jones, or whatever feels okay with you). I imagine they would talk with you about it and try to come up with a solution so you would feel comfortable.

Take care,
ErinBear