The therapy question
CBT, ACT, IPT, schema. The Medicare-rebated psychologist sessions. How to find someone you don't hate by session three.
CBT, ACT, IPT, schema. The Medicare-rebated psychologist sessions. How to find someone you don't hate by session three.
I rang seven psychologists before I found one who was taking new clients. The first six waitlists were three to six months. The seventh had a cancellation that week.
The Plan from module 2 gives you the funding. This module gives you the map.
CBT — Cognitive Behavioural Therapy. The most common, the most studied, the strongest evidence base for depression. Structured. Often comes with homework. Typically 8-16 sessions for depression.
ACT — Acceptance and Commitment Therapy. A close cousin of CBT but with a different starting move. Particularly good for "stuck" depression. Strong evidence base for treatment-resistant depression.
IPT — Interpersonal Therapy. Shorter, more focused (12-16 sessions), structured around the people in your life. If your depression has a clear relational trigger, IPT is often the fastest route through.
Schema therapy. Deeper, longer, works on early-life patterns. Useful when you've done CBT and still keep ending up in the same place.
EMDR is sometimes offered for depression but its strong evidence base is in trauma.
"Talk therapy" without a named modality — fine if the clinician can name what they actually use.
A practical sequence:
If you're rural, telehealth psychology under Medicare works.
1. "Are you currently taking new clients?"
2. "What's your main therapeutic modality?" A confident clinician will name one or two.
3. "What does session one usually look like?" A vague answer is a flag.
4. "Roughly how many sessions might this take?" Honest answer for moderate depression: 8-16.
This is the bit nobody tells you up front: most men don't click with the first psychologist.
What "not clicking" feels like:
What to do:
Trust the read. Better to switch in week three than to grind through ten sessions of mismatch.
Pick the modality. Make the calls. Switch if it's not right.
A blunt field guide to the first month after the conversation. Sleep, paperwork, the kids, and the part nobody warns you about.
5 minHow to start the talk you've been rehearsing in the shower for six months. A practical guide to the words, the room, the aftermath.
4 minWhen she ends it and you didn't see it coming. The first 72 hours, the stories you'll tell yourself, and what to actually do.
4 minA self-interrogation guide for the man considering ending his marriage. Not advice. Questions. The hard ones, in order.
5 min