Considerations when looking for professional mental health support

Are you thinking about seeking professional mental health support for yourself or someone close to you? Here are some key things to think about to help you choose someone that’s right for you.  

Do they have experience working with rural or farming communities and do they understand the agricultural industry?

It’s important to find someone who understands the unique stressors that come with farming, such as the financial pressures, isolation, or the extreme environmental factors farmers can face. A mental health professional who understands the agricultural industry can relate more easily, making the connection between you and them often more meaningful.  

What qualifications and accreditations do they hold?

Verifying that the professional is qualified and with a registered body ensures that they are held to the highest standards of practice, ethics and professional conduct. 

Three key registered organisations to look for include: 

• AHPRA – Australian Health Practitioners Regulations Agency: The registered body for psychologists
• AASW – Australian Association of Social Workers: The registered body for Accredited Mental Health Social Workers (AMHSW) 
• ACA – Australian Counselling Association: The registered body for counsellors and psychotherapists. 

What type of therapy or approach do they use?

There are many therapy approaches available and it can be challenging to know what works best for you. However, farmers often prefer practical, goal-oriented options like Cognitive Behavioural Therapy (CBT) or Solution-Focused Therapy. It’s also important to ensure the professional is trauma-informed (uses a strengths-based approach following principles of safety, trustworthiness, choice, collaboration, empowerment and respect for diversity). Don’t be afraid to ask about their approach to therapy. 

Do they offer flexible session options?

Given the unpredictable and demanding nature of farming, flexible appointment times (including evenings or weekends) and remote options like telehealth (online) or phone sessions might be important to consider.  

Are they someone I feel comfortable talking to?

Feeling comfortable and being able to build trust with a mental health professional is crucial for effective therapy. Finding a mental health professional who offers a 15-minute phone consult is often a good way for you to see if you feel you can connect with the professional.  

How do they maintain confidentiality?

A good mental health professional will explain how they ensure confidentiality, especially in smaller communities. Asking them how they maintain confidentiality can give you the confidence to know that what you talk about will stay between only you and your mental health professional.   

What are their fees, and do they accept rebates?

Ask about session fees, if they accept Medicare rebates, private health insurance, or if they offer bulk billing. Knowing the cost upfront can reduce financial stress. 

How long do they typically work with clients?

Some farmers may prefer short-term, solution-focused therapy, while others may benefit from long-term support. It’s helpful to understand the professional’s typical engagement style and flexibility. 

Are there any available testimonials or reviews?

Hearing from others who have used the professional’s services can provide insight into their effectiveness, particularly those from within the farming or rural community. Talking to a trusted GP or local community health provider can also help identify well-regarded mental health professionals in your area. GPs can diagnose and treat some mental health conditions as well as provide advice about, and referral to, other mental health professionals. 

What are the types of mental health professionals who can help me?

• Counsellors provide a safe and confidential space for people to explore their mental health and wellbeing. Counsellors can help you with a wide range of mental health, alcohol and other drug related concerns. Medicare rebates may be available. 
• Psychologists provide therapy (but do not prescribe medication) and treatments to help you manage stress, anxiety, depression, trauma, grief and other mental health alcohol and other drug issues. Medicare rebates may be available. 
• Accredited Mental Health Social Workers handle the assessment and treatment of psychological disorders. They adopt a holistic, practical approach by helping clients address psychological factors while identifying and tackling external stressors and issues affecting wellbeing (such as social connections, family dynamics, and broader social systems). Medicare rebates may be available. 
• Psychiatrists are medical doctors with specialised training in mental health. They can diagnose and treat mental illness, using talking therapies and/or medication. Medicare rebates may be available. 

Finally, remember, there is no ‘one size fits all’ solution to finding a mental health professional that suits your needs. It’s often necessary to try a couple of people before you find a good match for you, but don’t give up if it’s not a great fit the first time. Persevere! 

Fast facts:

• There is no ‘one size fits all’ approach to finding the right mental health professional for you.
• There are many types of health professionals working in mental health care – each with different skills, qualifications and approaches to treatment and support. 
• Booking a brief introductory consultation with a mental health professional can give you an opportunity to ask questions and get a sense of how well they fit with your needs. 

Prepared in collaboration with Sarah Crosthwaite (Accredited Social Worker with the Australian Association of Social Workers (AASW))