What kind of therapy do I need?
Which therapy or counselling do I need?
After much deliberation you finally conclude that you will embark on a course of psychological therapy in order to help you through some difficult times. Your internal dialogue has been swaying from “yes let’s do this it will help me” to “no, I don’t need therapy I can manage”.
Discussing it with close friends and family may have only made it that more difficult because they will all have their own narrative about what is right for you. However, only you know if you require some kind of psychological intervention.
Once you have decided and got past this stage you now have to figure out which psychological approach best suits your needs. Do I need psychotherapy, counselling, cognitive behaviour therapy or do I need to have couple counselling, should I go for face to face or Skype counselling?
How do I figure out which approach will work for me? This is a daunting task especially if the individual is already struggling psychologically. On top of this there are over 400 distinct models of counselling and psychotherapy to choose from.
There is no quick and simple answer to this dilemma as each client is unique and each modality has its own way of working, however, all talking therapies share the following elements:
• The therapist and client meet face to face or via another platform such as Skype, it can be one to one, couples counselling or family therapy.
• The client is usually in some kind of psychological distress.
• It is a confidential and private setting.
• The therapist listens to the client so they can understand the clients concerns.
• The goal of therapy is for the client to make some kind of change, to seek out ways of coping with life.
At first glance these elements may seem simplistic and rudimentary, however, because of the nature of talking therapies it requires a unique set of principles to be in place which sets the scene for the therapeutic relationship to prosper.
We have established that there are over 400 different schools of thought when it comes to talking therapies, we cannot obviously cover them all in this article so we have chosen a few popular talking therapies to cover.
Counselling is usually advised to individuals when something bad has happened like a bereavement or traumatic event.
Sometimes GP’s refer a client because they are unable to manage the fallout of a specific event. A counsellor will help the client through listening without judgement and providing the client with time and space to recalibrate their thoughts and emotions.
The counsellor may offer different strategies and coping techniques which the client can take away and try out. The key component to counselling is allowing the client to be heard and understood without prejudice.
Cognitive behavioural therapy
Modern day cognitive behavioural therapy (CBT) represents an evolutionary merging of behaviour therapy and cognitive therapy. Cognitive therapy allows for shifts in the thinking patterns, whereas behavioural therapy aims to modify the way we behave.
CBT is based on a set of well-developed theories that are used to aid clients to deal with psychological distress. At the core of CBT is the central tenet: our thoughts (cognitions) influence our behaviours and feelings.
A CBT therapist will work collaboratively with the client to identify and challenge their negative thought patterns, as well as help the client to better understand the impact those thoughts have on behaviour and feelings. From this point both parties are able to come up with alternative thoughts that lead to more constructive feelings and behaviour.
The continued rapid evolution of CBT is, mainly down to its empirical and theoretical grounding, hence in the UK it is the most used within mental health services.
If you suffer from obsessive-compulsive disorder, anxiety disorder, depression or other specific disorders then CBT would be a good place to start.
If you have found yourself thinking or believing that other people seem to have the perfect relationship, then you just need to look a little deeper and you will find that this is actually not the case as there is no such thing as a perfect relationship. Relational distress exists in all relationships in different forms, and from the outside it may seem that other people’s relationship is perfect.
The romantic relationship is for most couples one of the most important relationships in their life and so it’s natural that when things begin to go sour, they reach for a relationship therapist to help them through this challenging time. We know that if the relationship remains in distress and nothing is done to repair it the consequences for the couple and the extended family can be far reaching.
A couple’s counsellors’ job is to help you reconnect with your partner and find more productive ways to communicate your thoughts and feelings so that you both can manage any future conflict with shared meaning, even if this means parting ways.
Other factors such as leaning how to deal with arguments, how the past affects the present and how external factors affect the relationship.
The growing popularity of the existential approach is largely due to its refreshing alternative to other therapeutic modalities, its roots are firmly embedded in philosophy as well as psychology. Clients are encouraged to face their doubts, fears, conflicts and sense of failures while understanding that existing involves suffering for all.
One of the core beliefs within existential counselling is the rejection of psychopathology (diagnoses). This stems in the belief in the uniqueness of existence and to understand the client’s world as it exists rather than imposing theoretical frameworks. So, diagnosis such as anxiety or depression are viewed not as a mental illness, but as problems in living per se.
Individuals grappling with these existential issues may want to explore this modality to further understand why they are struggling with life.
If you need any help or advice regards any of our counselling services please contact us or to book your no obligation consultation with one of our therapists please click here: https://www.counsellingviaskype.com/how/#booking