50 Warning Signs of Questionable Therapy and Counseling

In no particular order, it is a red flag if you find your:

Counselor does not have sufficient and specific training to address your issues and/or attempts to treat problems outside the scope of the practice.
Therapist is not interested in the changes you want to make and your goals for therapy.
Counselor cannot or does not clearly define how they can help you to solve whatever issue or concern has brought you to therapy.
Therapist provides no explanation of how you will know when your therapy is complete.
Counselor does not seek consultation with other therapists.
Therapist makes guarantees and/or promises.
Therapist has unresolved complaints filed with a licensing board.
Therapist does not provide you with information about your rights as a client, confidentiality, office policies, and fees so you can fairly consent to your treatment. Note: The requirement for information provided to new clients by therapists differs by state and licensure requirements.
Counselor is judgmental or critical of your behavior, lifestyle, or problems.
Therapist “looks down” at you or treats you as inferior in subtle or not so subtle ways.
Counselor blames your family, friends, or partner.
Counselor encourages you to blame your family, friends, or partner.
Therapist knowingly or unknowingly gets personal psychological needs met at the expense of focusing on you and your therapy.
Counselor tries to be your friend.
Therapist initiates touch (i.e., hugs) without consent.
Counselor attempts to have a sexual or romantic relationship with you.
Therapist talks excessively about personal issues and/or self-discloses often without any therapeutic purpose.
Counselor tries to enlist your help with something not related to your therapy.
Therapist discloses your identifying information without authorization or mandate.
Counselor tells you the identities of other clients.
Therapist discloses they have never done personal therapy work.
Counselor cannot accept feedback or admit mistakes.
Therapist focuses extensively on diagnosing without also helping you to change.
Counselor talks too much.
Therapist does not talk at all.
Counselor often speaks in complex “psychobabble” that leaves you confused.
Therapist focuses on thoughts and cognition at the exclusion of feelings and somatic experience.
Counselor focuses on feelings and somatic experience at the exclusion of thoughts, insight, and cognitive processing.
Therapist acts as if they have the answers or solutions to everything and spends time telling you how to best fix or change things.
Counselor tells you what to do, makes decisions for you, or gives frequent unsolicited advice.
Therapist encourages your dependency by allowing you to get your emotional needs met from the therapist. Therapist “feeds you fish, rather than helping you to fish for yourself.”
Counselor tries to keep you in therapy against your will.
Therapist believes that only the therapist’s counseling approach works and ridicules other approaches to therapy.
Therapist is contentious with you or frequently confrontational.
Counselor doesn’t remember your name and/or doesn’t remember your interactions from one session to the next.
Therapist does not pay attention or appear to be listening and understanding you.
Counselor answers the phone during your session.
Therapist is not sensitive to your culture or religion.
Counselor denies or ignores the importance of your spirituality.
Therapist tries to push spirituality or religion on to you.
Counselor does not empathize.
Therapist empathizes too much.
Counselor seems overwhelmed with your problems.
Therapist seems overly emotional, affected, or triggered by your feelings or issues.
Counselor pushes you into highly vulnerable feelings or memories against your wishes.
Therapist avoids exploring any of your emotional or vulnerable feelings.
Counselor does not ask your permission to use various psychotherapeutic techniques.
Therapist tries to get you to exert overt control over your impulses, compulsions, or addictions without helping you to appreciate and resolve the underlying causes.
Counselor prematurely and/or exclusively focuses on helping you to appreciate and resolve the underlying causes of an issue or compulsion when you would instead benefit more from learning coping skills to manage your impulses.
Your counselor habitually misses, cancels, or shows up late to appointments.
If there are other warning signs or red flags you’d like to share, please leave a reply in the comments section below.

© Copyright 2008 by Noah Rubinstein, LMFT, LMHC, therapist in Olympia, Washington. All Rights Reserved. Permission to publish granted to GoodTherapy.org.