I feel it’s very important to do an overview of the different services reviewed on this site. So that all readers can be familiar with the terms used and exactly what is meant by the different treatments. Often people have misconceptions about things, or just have never even known about them. I’m hoping that these overviews will be helpful. As always, if you have anything to add, questions ETC do so in the comments thanks!
So What is therapy? ” Therapy, also called psychotherapy or counseling, is the process of meeting with a therapist to resolve problematic behaviors, beliefs, feelings, relationship issues, and/or somatic responses (sensations in the body). ” From goodtherapy.org
I love this deffinition! It so concisely describes why someone would see a therapist. Which from that list covers all areas of a person’s life.
Thankfully, going to therapy has lost some of its stigma over the years. For many years people considered seeing a therapist (or often at that time psychiatrists did therapy as well as meds,) as a sign of “being crazy” or weak. Or only for wealthy people who had nothing better to do than sit around and talk about their problems. Like that was some kind of luxury.
Now many people realize that speaking to an objective compassionate listener, can bring clarity to whatever issues they’re dealing with as well as help bring over all insight into the person’s life. It is very common for people without any form of mental illness to use therapy for personal growth.
Unfortunately, there are still misconceptions out there. Due to the media many still see therapy as laying on a couch in a darkish room while some balding guy says “how do you feel” for an hour. Or therapy is so poorly represented as comedy that people think it’s a total joke.
All that being said I’d like to explore the various types of therapy. Many assume that all therapy or counseling is the same and that you’ll get the same results from whoever you happen to see.So that if they’re not happy with their first experience, they assume that therapy just isn’t for them. Nothing can be further from the truth!
Seeking therapy is like seeking out any doctor or specialist. Therapists are specialists in helping people with emotions, beliefs, and various other issues as stated above. Each type of therapy works on particular components. The majority of therapist combine tools and processes from different catagories.
Below is a link from the good therapy site that lists every type of therapy you can imagine! I have a bs in counseling (not that this means anything LOL,) and I never heard of some of these!
http://www.goodtherapy.org/learn-about-therapy/types
This is an incredibly extensive list. You certainly don’t need to contact a therapist having studied these terms though I’m sure they’d be impressed! It’s more about geting a feel for the general concepts and that there are big differences in ways to work with a therapist.
Cognitive behavior therapy:
“Cognitive behavioral therapy (CBT) is a short-term, problem-focused form of behavioral treatment that helps people see the relationship between beliefs, thoughts, and feelings, and subsequent behavior patterns and actions. Through CBT, people learn that their perceptions directly influence their responses to specific situations. In other words, a person’s thought process informs his or her responses.”
You’ll see this listed a lot on insurance company websites, and other search sites for therapists. Not only is it a common form of therapy, but due to the short term nature (most often completed in ten sessions or less,) and with managed care only alloting for that amount of sessions, it fits into what is available on the insurance companies end. It’s often the first step for many people of understanding what on the surface sounds simple: That our feelings and thoughts influence each other, and that is a direct cause of what we end up doing.
It’s most often used to treat anxiety and depression, because both these envolve strong emotions, and thoughts about these emotions (usually hating them!) and that leads to unhealthy behaviors. Recently, there has been a greater focus on trauma informed CBT, used to help with traumatic events.
See link: http://www.goodtherapy.org/learn-about-therapy/types/trauma-focused-cognitive-behavioral-therapy
Person centered, or client centered therapy
http://www.goodtherapy.org/learn-about-therapy/types/person-centered
So this is basically I believe like the foundation of any good therapy relationship. The therapist believes that the client knows him or herself best, knows their own situation ETC and is therefore the expert in their own lives not the therapist. This goes against the misconception that therapists see themselves as somehow above the client. Perhaps some do, and I would be very careful about sticking with someone like that. It’s important when we’re faced with difficult situations to feel that we know what works for us, often in a crisis we feel totally out of control.
So this therapy is a conversation. The person talks about what’s going on the therapist listens, actively which means that during the conversation the therapist (hopefully in a subtle way) shows the client that they’re truly listening. Through sumarizing what’s being said, or more tellingly through their energetic presence, facial expression tone of voice, just the feeling that they’re geting it. Feeling deeply heard you can open up more and start problem solving.
Psychodynamic psychotherapy
http://www.goodtherapy.org/learn-about-therapy/types/psychodynamic
This form of therapy is about looking at your past and seeing how it affects what you’re going through right now. The therapist guides you to talk about your past relationships, most basic of which is how you grew up what family life was like. And then ties that into what’s happening for you now.
In addition, the relationship between you and the therapist is used as a model. So it’s not all intelectual around just discussing your past but thhey’re able to bring those issues into the moment by observing how you interact with them. And if you can learn along with them how to change those knee jerk responses then that will over time affect other relationships.
Expressive arts therapy (I went to Lesley university I love this therapy!)
http://www.goodtherapy.org/learn-about-therapy/types/expressive-arts-therapy
This is the process of using creative arts (art, music, dance, drama, writing) to explore whatever’s going on. It’s a way of bypassing your intelectual mind, which often gets in the way of experienceing emotions and having an outlet. Research has shown it’s very effective with many different populations. People mistakenly think that this kind of therapy is just play and only for kids. But anyone can benifit from using their creative side (right brain) to work with the left brain (intelectual problem solving side) to solve a problem!
Often many standard therapies won’t work with someone so overcome by anxiety, depresssion, trauma that they can’t even articulate what’s going on. The arts can literally open the door for true healing. I minored in this and could write several posts. If you have questions just ask!
So I’ve just covered the basics. Some of these are really obscure as I said and I don’t even know about them. If anyone wants to share any experiences on a type of therapy that’s not well known feel free in the comments!
Some more popular ones to look out for on the list are: EMDR (for processing of trauma,) dialectical behavior therapy (DBT), Body psychotherapy, mindfulness, holistic psychotherapy.
So you can see that the process of therapy covers a wide range of tools. And most therapists have a particular favorite or two that they lean towards, and then add others.
So finding a therapist. People say go to your doctor. I guess you could. In my experience they just hand you a piece of paper and have no idea about these people. Maybe they do and if so that’s great. I like being able to do my own research for myself or someone else. I am generally personally not comfortable with calling a place and being assigned a therapist based on a ten minute conversation and then not being able to find any information on them at all. Unfortunately if you have medicaid, or can’t afford to see someone in private practice often that’s the route you have to go down. Keep in mind just like you can change your doctor you have every right to say hey love ya but this isn’t working out LOL!
Another place to look is your insurance company. Most companies should have a directory to search. Except in IL for medicaid they say they don’t. You can search by gender and specialty and it will sometimes say type of therapy which is why it’s good to know at least the basic terms above.
The best sites are ones that provide extensive profiles. Good therapy is one of them.
http://www.goodtherapy.org/find-therapist.html
There’s also psychology today
https://therapists.psychologytoday.com/
Prices are really high. It seems the average cost per session is between $80-$150! I honestly don’t know how these rates came to be. Fortunately many therapists do realize that even the average working person still has to like pay the rent and feed their family and so does what’s called a sliding scale. It’s basically a pay range and they’ll decide what their bottom is. Sometimes it’s down to like $50.
You can get creative. There are a lot of colleges that offer free or very low cost $20 or under therapy with interns. If you do this just be careful about how they’re supervised. And the story with interns is you get one for about a year maybe two. And then you have to get another one. The good part about an intern is they’re just learning. They’re, hopefully, really excited to be doing this really wanting to help people really open todifferent ways of looking at things. The bad part about interns is they’re just learning! They haven’t even had a year of experience being on their own with their own practice, having dealt with a variety of people and concerns and having worked through difficult situations. They just don’t have that under their belt. I’ve also experienced interns through the fact that they’re in training be very much blown about by the wind of what their supervisor has to say. And have seen them make choices/ say things that I intuitively feel they aren’t comfortable with. But they’re doing it anyway.
So this has been a long enough post. I hope I’ve covered the basics. If people want further posts on this, because therapy is really an endless subject feel free to ask. If people want to submit therapy experiences awesome. This is a general mental health services blog so that would be great. A whole other layer of this is people who do have chronic mental illness seeking therapy, or less understood issues. Because that brings up a whole other set of tricky issues.
So comments? questions? go!