What type of insurance do you have? Some insurances, like mine that are a preferred provider plan don't need a referral to go get some psychological help. But, if your plan needs you to get a referral you can just tell your doctor that you have some issues that you need to work out and you feel that therapy may benefit you. You don't need to ask for anti-depressants or anything of the sort to go. Your doctor may ask you what types of symptoms you are having (i.e. depression, anxiety, etc.) to decide which type of provider may be best for you. Depending on your symptoms, some providers are better equipped to help than others. Most specialize, just like doctors do. Some are do adolescent therapy, or woman's therapy, or couples, etc. You can call and ask ahead of time if they have expertise in your area of need.