Therapy Watch: Passing the Buck

How do therapists decide whether to refer a new client to a colleague? We asked the members of Psychology Today's Therapy Directory.

"I offer a 20-minute phone consult so the client and I can feel things out. After that, the first few appointments are for finding out even more about whether this is a fit. If I can see I'm not the best fit, or that the client's needs are beyond my expertise, I'm very comfortable referring out." —Elyn Tromey, Boulder, CO

"I routinely refer clients out, whether I need the fee or not. It's much more important to me to have a client base I enjoy working with and feel competent to serve than it is to bring in any one particular client." —Victoria Schlicht, Tustin, CA

"I have worked with too many clients who've been re-traumatized by therapists inexperienced in the client's issues. Sometimes these therapists are unaware of the harm they're causing. Sometimes they carry fears of harming the client by making them feel abandoned or unacceptable." —Heather Niles, Wakefield, MA

"I match clients with colleagues based on 'fit' as well as expertise and experience (sending a new mom with postpartum depression to a therapist I work with who's a mom and has experienced it). There are times where I think the therapist will really 'get' this client, and the client will feel understood. I keep my referral network to a small group whom I greatly respect." —Peter Hannah, Seattle, WA

Type your ZIP code into our Therapy Directory, and see who's near you.

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