How do I choose a therapist when there are so many to pick from? Here’s my short answer: pay attention to the person, not just the profile. In the first consultation call, notice whether talking feels easy, whether they can actually see you each week, and whether you walk away with more clarity about what’s going on.

If you’re trying to find a therapist in Pasadena, all the choices in front of you can be really overwhelming. Let’s walk through it, from the directory to that first call. If you’d rather skip the scrolling, our therapist matcher can do the first sort for you.

How Do I Choose a Therapist?
Dr. Connor McClenahan on how to choose a therapist: fit, availability, and clarity.

Why does the person matter so much?

Therapy isn’t just about what kind of therapy is done. It’s about the person you’re sitting in front of. Research suggests the relationship with your therapist has a lot to do with how much therapy helps, in person or online (Flückiger and colleagues, 2018).

Degrees and years in practice still matter for basic training. They just tell you less than you’d think about whether this person can help you feel understood.

How do I narrow down a therapist directory?

Start small. In a city like Pasadena there are hundreds of therapists, and a lot of people freeze up with that many choices. Whether you’re using a directory or an AI tool, try this:

  • Look at the photo. Ask yourself: could I picture having coffee with this person? Could I see them as a mentor?
  • Notice how soon they get back to you. If you call or email and don’t hear back for four or five days, that can be a sign regular sessions will be hard to get.
  • Read what others say. Reviews and a friend’s recommendation can tell you something about a therapist’s style.
  • Get clear on what you want help with. Your friend’s great therapist may not be the right one for what you’re facing.

Once you reach out, they’ll usually try to set up a free consultation, often about 15 minutes, to talk about who you are and what you’re going through. That call is where these three things come in.

1. Goodness of fit: does it feel easy to talk?

Goodness of fit is the first thing to look for, and it carries a lot of weight. In the consultation, ask yourself: do I feel easy talking to this person? Do I want to keep talking? Do I feel heard? Do I feel some kind of relief?

Therapy is all about opening up. You’re letting someone witness things you may never have had the courage to say out loud. So that sense of ease isn’t a small extra. It’s the ground the work stands on. As an older post on our site put it, “You don’t go to therapy, you go to a therapist.”

2. Availability: can they see you every week?

Availability means the therapist actually has a weekly opening at a time that works for you. It sounds simple, but it’s really important to ask about.

I’ll often connect really well with someone on a consultation call, and then we try to set a time and our schedules just don’t line up. At that point I have to refer them to someone else. So ask about it up front: “Do you have a regular weekly time open, and when is it?”

3. Clarity: do you understand your problem a little better?

Clarity means that by the end of the call you have a clearer sense of your problem and your goals. I know fifteen minutes is a short period of time. But a lot of times, when the fit is good, people often leave that first call with a better feel for what this struggle is doing in their life, where they want to be, and what’s really going on.

If you notice that kind of clarity while you’re talking, it can be a good sign this is a therapist who will do good work with you.

Not sure where to start? Take our matcher.

The three things at a glance

What to look for What to ask yourself How to check it
Goodness of fit Do I feel heard? Do I want to keep talking? Notice how you feel during and after the consult call
Availability Can I see this person every week? Ask for their regular open times before you book
Clarity Do I understand my problem and goals a bit better? Try to say your goal in one sentence after the call

What questions should I ask a therapist in the first call?

Good first-call questions help you check fit, schedule, and how they work. Try these:

  1. Do you have a regular weekly time open, and when is it?
  2. Have you worked with people dealing with what I’m facing?
  3. What would our first few sessions look like?
  4. What do you do when a client feels misunderstood by you?
  5. How will we know if this is helping?

A clear answer to number four, without getting defensive, tells you a lot.

Degree, years, or fit?

Factor What people expect What it really tells you
Fit with the therapist Nice to have One of the stronger signs, per research on the therapy bond
Years in practice More years means better help Useful background, but research suggests years alone predict results less than people expect
Degree or license type More school means better help Confirms training and scope, says less about fit

Use years and degree to check basic qualifications. Then trust what you notice in the room. If you’re wondering what kind of professional you need in the first place, start with this guide to the different kinds of therapists.

How does therapist matching work at Here Counseling?

Our online therapist matcher lets you type a few sentences about what’s going on. It compares your words with how each of our therapists describes the issues they focus on, and suggests a match with a percentage for each one. It never picks for you. It’s a starting point, not a verdict. You still get a consultation call to check the fit yourself. You can read more about how we pair clients with therapists or meet our counselors.

FAQ

How do I know a therapist is a good fit?

Notice how talking to them feels. A good fit usually means you feel easy talking, you feel heard, and you want to keep going. You might feel some relief. If you keep editing yourself or leave feeling rushed, pay attention to that. Your own read in the room is useful information.

What should I ask a therapist in the first call?

Ask if they have a regular weekly time that works for you, whether they’ve worked with what you’re facing, what the first sessions look like, and how they handle moments when you feel misunderstood. Their answers help you check fit, availability, and how they work.

How many sessions before I know it’s working?

It’s different for everyone. Many people get a sense in the first few sessions of whether they feel safer speaking honestly, and research suggests how that connection feels early on tends to go with how therapy turns out. How long change takes depends on the person and the problem. Our post on how long therapy takes goes deeper.

Is it OK to switch therapists?

Yes. Not every therapist is the right one for you, and that’s normal. If the fit still feels off after a few meetings, it’s reasonable to look elsewhere. Here’s more on how to leave a therapist when the fit is wrong.

Do your therapists take Aetna?

Some of our therapists are in network with Aetna. See which Pasadena therapists take Aetna.

You don’t have to guess alone

Picking the wrong therapist can mean months of polite sessions while the hard stuff stays untouched. You don’t have to sort through hundreds of profiles by yourself. Look for fit, availability, and clarity, and give yourself permission to keep looking until it feels right. Whether it’s anxiety counseling in Pasadena, depression, or couples work, our matcher can suggest a match, and then we’ll set up a call to see if we can help.

If you are looking for someone in the Pasadena area, sessions are available in Suite 629 in the Playhouse District or through online therapy across California. A short consult call is a low-pressure way to notice whether the fit is there. Request a free consult call.


Dr. Connor McClenahan, psychologist and director of Here Counseling in Pasadena

Dr. Connor McClenahan