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What is it Like to See a Counselor for the First Time?

I think this counselor is a little too close to her client. Respecting client’s personal space is important!

Coming to counseling for the first time can be a bit unnerving. You may feel discomfort at the thought of talking to someone new about things that are personal to you. That’s normal. Most clients who are coming to counseling for the first time will tell me they don’t know what to expect. So, if you’re nervous about coming to counseling for a first session and don’t have a clue what it will be like, you’re not alone. Allow me to attempt to debunk some mystery about the first session or as we refer to it in the counseling realm, the intake. 

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How to Receive Counseling for Free

Did you know you probably have a benefit through work that would provide you with free counseling? Seriously. Who doesn’t like free? An Employee Assistance Program (EAP) is a benefit separate from health insurance that pays for 3-8 counseling sessions at no cost to the employee.  

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2. Unanswered Prayers for Healing with Pastor Troy Powell

I had the opportunity to interview my Pastor Troy Powell. We discussed how people with anxiety and OCD wrestle with having these disorders and not receiving healing from God for them. He shares his own experiences of how his prayer life has grown and developed over the last several years. Pastor Troy discusses prayers that were answered and how he handles the ones that weren’t.

Episode Highlights:

  • How Pastor Troy went from falling asleep to engaged during his time with God in the morning
  • Receiving the call to plant a church and the unexpected miracles along the way
  • How praying to God when you are mad or distressed increases intimacy 
  • Doubts and questions during prayer
  • Hope for unanswered prayer

Verses discussed: Phil 4:6, Eph 1:9

Episode Summary:

In this episode, we dive deep into the complexities of prayer, faith, and mental health, especially when it comes to unanswered prayers and the struggle with anxiety or OCD. If you’ve ever felt frustrated by your prayers going unanswered, particularly around healing from emotional struggles like anxiety or OCD, this conversation is for you. Pastor Troy opens up about his own journey of building a consistent prayer life, dealing with frustrations and disappointments in prayer, and finding peace in the midst of unanswered prayer.

Pastor Troy shares his personal experiences with God, how his prayer life has evolved, and the importance of being vulnerable with God in those tough moments when we’re feeling discouraged or even angry. He talks about the power of “lamenting” — a biblical practice of expressing frustration and sadness to God — and how that can deepen our relationship with Him, rather than push us away. He also reflects on how God uses difficult experiences to shape our faith and how sometimes, unanswered prayers bring more profound growth and understanding than we might expect.

We also discuss how God’s timing and responses to our prayers can be a way of teaching us valuable lessons, especially when we’re facing long-term challenges like anxiety, OCD, or any emotional turmoil. Pastor Troy highlights how developing a deeper connection with God can shift our perspective on what prayer truly is, moving it from a transactional request for answers to a genuine relationship with our Creator.

👉 Be sure to listen to the full episode to hear Pastor Troy’s powerful insights on how to persist in prayer, handle unanswered prayers with grace, and ultimately trust in God’s bigger plan for your life.

Links and Resources:

Victory Church, Smyrna, TN “You’re here on purpose because you have a purpose.” 
Victory YouTube channel

More podcast episodes

4. Importance of Proper Diagnosis with Jessica Huddleston, LPC-MHSP

In this episode, I interviewed my friend and colleague Jessica Huddleston to discuss the importance of determining whether or not someone is suffering from anxiety or OCD. Many people with OCD are in therapy for years receiving reassurance-seeking, but not getting better. Jessica also discusses a common treatment for OCD.

Episode Highlights:

  • Personal story of how Jessica’s daughter has been impacted by OCD
  • Importance of differentiating between anxiety and OCD
  • Exposure and Response Prevention (ERP) 
  • Creating exposures for social anxiety
  • Power of a proper diagnosis to reduce shame and increase hope

Episode Summary:

I’m chatting with my good friend, Jessica Huddleston, a Licensed Professional Counselor and Certified Psychological Assistant at Sabin Behavioral Health in Smyrna, Tennessee. Jessica shares her personal experience raising a child with OCD and anxiety and dives into the professional importance of accurate diagnosis, especially when it comes to OCD.

Jessica talks about how early intervention can make a world of difference, both for families and for the kids struggling with anxiety and OCD. She also explains the importance of helping parents advocate for their kids in school settings and how to navigate the complexities of OCD without reinforcing harmful behaviors. Throughout this conversation, Jessica gives valuable insights on how proper diagnosis is key to unlocking effective treatment.

You’ll learn about the challenges of recognizing OCD in children, why avoidance isn’t always the best solution, the importance of accurate psychological testing, and how to help kids face their fears with the right support. Plus, Jessica shares her approach to working with clients and how exposure-response prevention (ERP) therapy helps individuals push through their anxieties.

👉 Tune into the full episode now to hear Jessica’s wisdom on navigating OCD and anxiety, and how the right diagnosis can change the course of treatment for your child or loved one!

Resources and links:

Sabin Behavioral Health in Smyrna, TN
More information about ERP and OCD

5. Can God Use Your Anxiety for Good? Rhett Smith, LMFT

In this episode, Carrie interviews Rhett Smith, a former pastor, licensed marriage and family therapist, and author of The Anxious Christian: Can God Use Your Anxiety for Good? Rhett shares his personal journey with anxiety and how his faith and psychological tools helped him transform struggles into opportunities for growth.

Episode Highlights:

  • How to integrate faith with psychological tools to improve mental health.
  • Why anxiety is not something to be ashamed of, but an opportunity for growth.
  • The importance of mental health support for pastors and church leaders.
  • How Rhett’s personal struggles with anxiety have shaped his professional work.
  • Key strategies for churches to support members dealing with anxiety and depression.

Episode Summary:

I had the incredible privilege of interviewing Rhett Smith, a former pastor turned licensed marriage and family therapist, speaker, podcaster, and author of The Anxious Christian: Can God Use Your Anxiety for Good? We dive into some really powerful conversations about anxiety, mental health, and how faith intersects with psychological tools.

Rhett shares his personal journey and how his work in therapy helps both individuals and organizations thrive. We also unpack a common verse used to address anxiety—Philippians 4:6—and explore how it can be misapplied, often leading to feelings of shame for those struggling with anxiety. Rhett’s insights are not only practical but deeply spiritual, as he shares how God can use anxiety for growth rather than just an obstacle to overcome.

You’ll learn the importance of integrating faith with psychological tools in mental health care, how to reframe anxiety as a tool for personal growth rather than something to be ashamed of, and why pastors and church leaders need mental health support and counseling too. Rhett also opens up about how his personal struggles with anxiety led him on his journey to helping others, and shares key ways churches can better support their members struggling with anxiety and depression.

Tune into the full episode now to hear Rhett’s story and valuable insights on how to transform anxiety into an opportunity for growth!

Resources and links:
Verses discussed: Philippians 4:6, 2:20, 2:28

By The Well Counseling
Rhett Smith
The Anxious Christian:
Restoration Therapy
MMPI assessment

point in your life. That’s awesome. I’m so glad that you have that gift. 

Rhett: As a therapist, I’ve just become aware that I’m going to mess my kids up. There’s no perfect parenting. The things that you don’t even intentionally do, kids just interpret in certain ways. So it’s given me a lot of hope to know that we do the best that we can and, and it’s not perfect. God’s going to work and it’s cool to see our kids inspire us. We didn’t thrive in ways that we thought we messed up. 

I think that’s why I enjoy working with people in counseling. I’m able to see people’s lives changed and transformed, and sometimes it’s really slow and other times it’s overnight. That’s what keeps me engaged.

Carrie: I really appreciate you giving us the most valuable gift of your time today and talking about these issues with anxiety and church leaders. It’s just been incredible to just get your wisdom on these issues. 

Rhett: Thank you so much. I appreciate you having me on. It’s been fun. I enjoy doing this stuff. Awesome.

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I really enjoyed that interview and I hope that you did too and were able to get something good out of it. If you want to continue the conversation with us, please hop on over to Instagram and Facebook. You can follow along with the show there and hopefully receive some microdoses of encouragement for your day.

Hope for Anxiety and OCD is a production of By The Well Counseling in Smyrna, Tennessee. Our original music is by Brandon Mangrum and audio editing is completed by Benjamin Bynam. 

Until next time.  May you be comforted by God’s great love for you.