Psychotherapy, often called talk therapy or simply therapy, involves using verbal and psychological techniques to treat emotional distress and mental health conditions. It is delivered by trained professionals, such as psychologists, psychotherapists, counselors, psychiatrists, or social workers.
Therapy is collaborative, based on dialogue between client and therapist within a supportive, non-judgmental environment. Through these conversations, clients explore their feelings, thoughts, and behaviors, gaining insights and skills to manage life’s challenges effectively.
The specific therapeutic approach varies depending on individual needs and therapist expertise. Despite differences, all psychotherapy emphasizes building a trusting therapeutic relationship and addressing problematic thoughts and behaviors, helping individuals live healthier and more fulfilling lives.
This article is for informational and educational purposes only and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician, therapist, or other qualified health provider with any questions you may have regarding a medical or mental health condition. Never disregard professional advice or delay in seeking it because of something you have read on this site.
Types of Psychotherapy
Below are some types of psychotherapy. Note that this is not an exhaustive list and should only be taken for informational purposes, not as a replacement for medical advice.
Cognitive Behavioral Therapy (CBT)
Cognitive Behavioral Therapy (CBT) is one of the most well-established forms of psychotherapy.
It is a structured, goal-oriented talking therapy focused on identifying and changing negative thought patterns and behaviors.
Because of its strong evidence base, CBT is widely used for many mental health issues (from depression to phobias) and is often considered the “gold standard” of psychotherapy.
The American Psychological Association notes that in many studies, CBT has been found to be as effective as – or even more effective than – other forms of therapy or psychiatric medication in treating various disorders.
The approach teaches practical skills to reframe unhelpful thinking and develop healthier coping behaviors.
After a course of CBT, people often describe significant improvements in their day-to-day coping. For instance, one client wrote:
“Through CBT I’ve rediscovered my voice… I’m no longer over-analyzing every small thing that happens, worrying about any potential error or mistake that I have made.”
Acceptance and Commitment Therapy (ACT)
Acceptance and Commitment Therapy (ACT) is a modern behavior therapy that takes a different tack from traditional CBT.
ACT encourages people to accept their thoughts and feelings rather than fight or avoid them, and to commit to actions aligned with their core values.
Instead of challenging the content of negative thoughts, ACT teaches mindfulness skills to observe thoughts without getting entangled in them (a process known as cognitive defusion).
The goal is to increase psychological flexibility – the ability to stay present with what life brings and still take guided action toward what matters most to you.
Many mental health professionals highlight that ACT helps clients clarify what they truly value in life and use those values as motivation for positive change.
People who have tried ACT often report gaining a new perspective on their emotions. For example, one young person who applied ACT principles said,
“ACT has helped me to feel my emotions rather than distract myself from them. In actively embracing all my feelings, I actually have a much better sense of wellbeing.”
Dialectical Behavior Therapy (DBT)
Dialectical Behavior Therapy (DBT) is a specialized form of cognitive-behavioral therapy originally developed to help people with borderline personality disorder, though it’s now used for various difficult-to-treat conditions (like chronic self-harm, suicidal ideation, or intense mood swings).
DBT places equal emphasis on acceptance and change – the term “dialectical” reflects finding a balance between two opposites.
In practice, DBT focuses on learning to understand and accept difficult feelings, while also teaching skills to change unhelpful behaviors.
Treatment usually covers four key skill modules: mindfulness (staying present in the moment), distress tolerance (coping with crisis and pain in healthier ways), emotion regulation (managing intense emotions), and interpersonal effectiveness (communicating and setting boundaries in relationships).
Clients often attend both one-on-one therapy and group skills training in DBT, and they may have access to coaching between sessions so they can practice skills in real life.
One young woman who used DBT to cope with borderline personality disorder says:
“While DBT didn’t cure me overnight, it has given me the tools to talk about my experiences and create some breathing space between my emotions and actions,”
She noted that the structured approach helped calm her “turbulent emotions” and motivated her to fully engage in therapy.
Psychodynamic Therapy
Psychodynamic therapy (including traditional psychoanalysis and related approaches) seeks to uncover the deeper, often unconscious roots of one’s emotional struggles.
It invites self-reflection and looking at longstanding patterns in relationships and behavior. As an APA article describes,
“Psychodynamic therapy focuses on the psychological roots of emotional suffering. Its hallmarks are self-reflection and self-examination, and [using] the relationship between therapist and patient as a window into problematic relationship patterns.”
In other words, the therapist pays attention not just to what a client says, but how they relate to the therapist, as this can mirror issues in their outside relationships.
The aim is not only symptom relief, but helping people gain insight into themselves and lead healthier, more fulfilling lives beyond therapy.
Psychodynamic therapists encourage clients to speak freely about whatever is on their mind (free association), which can bring forward hidden feelings and memories from past experiences that may be influencing current behavior.
Over time, recognizing these unconscious patterns can lead to meaningful change at a deep level.
The UK Council for Psychotherapy (UKCP) reports that psychodynamic therapy has been linked to good outcomes for people with depression and personality disorders– groups that often have complex, entrenched issues.
While psychodynamic therapy may require a longer-term commitment than brief therapies, many consider the self-knowledge and emotional growth it yields to be well worth it.
Humanistic and Person-Centered Therapy
Humanistic therapy refers to a group of approaches (such as person-centered therapy, Gestalt therapy, and existential therapy) that are united by a positive, growth-oriented view of people.
Humanistic therapists emphasize the inherent potential for self-healing and personal growth within each client.
The therapist provides an accepting, non-judgmental environment so that the client can explore their own experience and find their own solutions.
As the UK Council for Psychotherapy (UKCP) explains, the humanistic philosophy “emphasises the collaborative nature of the therapy relationship, seeking to understand the client’s experience of their world.”
The therapist’s role is not to “fix problems” for the client, but to help the client develop better ways of handling them – building psychological resilience and acceptance of life’s challenges in the process.
Over time, clients in humanistic therapy tend to become more self-aware, more self-accepting, and better able to use their inner resources to find meaning and make positive changes.
Family and Systemic Therapy
Family therapy (also known as systemic therapy) takes a very different approach from individual therapy: it treats the family unit as the “client,” rather than focusing on one person in isolation.
The basic premise is that many problems are best understood in the context of family relationships and dynamics.
Instead of asking “What’s wrong with this individual?”, a family therapist will ask “What’s happening between the people in this family that might be contributing to the problem?”
Practical techniques might include family dialogues, role plays, or assigning families homework tasks to try new ways of dealing with conflicts at home.
Importantly, research suggests that involving family can reduce relapse rates in certain mental illnesses by improving the home environment.
A user on a support forum shared that family therapy taught them new ways to resolve arguments:
“We learned to really listen to each other. It was surprising to realize that each of us felt unheard in different ways. Now, instead of yelling, we pause and try to see where the other person is coming from.”
Who Is Psychotherapy for?
Psychotherapy comes in many forms, but all are designed to help people to overcome challenges, develop coping strategies, and lead happier healthier lives.
If someone has been diagnosed with a mental health condition, their medical specialist may recommend psychotherapy in conjunction with medicative treatment.
Medication is often prescribed to lessen the symptoms of a mental health condition, while therapy can help to work through unhelpful or unwanted thoughts and behaviors.
Below is a list of mental health conditions that may require psychotherapeutic treatment:
- Anxiety disorders such as obsessive-compulsive disorder (OCD), phobias, panic disorder, posttraumatic stress disorder (PTSD), social anxiety disorder, or generalized anxiety disorder (GAD).
- Mood disorders such as depression or bipolar disorder.
- Eating disorders such as anorexia or bulimia.
- Addictions such as substance-use disorder or compulsive gambling.
- Personality disorders such as borderline personality disorder or dependent personality disorder.
- Schizophrenia or other disorders that cause detachment from reality (psychotic disorders).
Although psychotherapy is often thought of as being used to treat these conditions, people do not need to have a diagnosable mental health condition to consider therapy. Therapy can be useful for many life stresses and conflicts. It can help with the following:
- Relieving stress or anxiety caused by work or any other situation.
- To cope with major life changes such as divorce, death of a loved one, or loss of a job.
- Recovering from physical or sexual abuse or being a witness to violence.
- Learning to manage unhealthy reactions such as aggressive behaviors.
- Getting better sleep, e.g., insomnia.
- Increasing low self-esteem.
Benefits and Effectiveness of Psychotherapy
Mental health experts agree that psychotherapy can benefit a wide range of people and issues.
For example, the UK’s National Health Service (NHS) says talking therapy is for anyone dealing with emotional problems or tough times, and notes that for many adults it can be “the same or more effective than medicine.”
The UK Council for Psychotherapy (UKCP) likewise emphasizes that psychotherapy can help in profound ways, solving immediate issues and transforming how we think, feel, and behave – “unlocking our potential” in ways that benefit not just individuals but also their families and communities.
Research evidence strongly backs this up. A landmark American Psychological Association (APA) resolution found that the average client receiving psychotherapy is better off than 79% of untreated clients, and concluded that therapy is “remarkably effective” despite not being a cure-all.
In fact, numerous studies and meta-analyses over decades have consistently shown positive, enduring outcomes from psychotherapy.
Clients often report that even if therapy doesn’t make their problems go away, it helps them cope better and feel happier in daily life.
Considerations and Limitations
Psychotherapy offers significant benefits, but it can also present challenges or limitations.
Some individuals might initially feel worse as they confront difficult emotions or memories. Uncovering unresolved issues can be temporarily distressing, requiring patience and consistent engagement to achieve lasting benefits.
The therapeutic relationship plays a critical role; a poor therapist-client match can hinder progress or negatively impact a client’s experience. Not every therapist will be the right fit, and it may take effort and time to find someone compatible.
Additionally, psychotherapy isn’t always effective for everyone. Some conditions, particularly severe mental health disorders, might require a combined treatment approach, including medication.
Finally, practical barriers such as cost, accessibility, or limited availability of qualified therapists can limit access. Therapy requires commitment and active participation, which might be challenging for some individuals due to personal, logistical, or emotional reasons.
Recognizing these considerations is essential to making informed decisions and getting the most out of psychotherapy.
How is psychotherapy different from psychiatry, counseling, or coaching?
- Psychotherapy focuses on exploring emotional difficulties and behavioral patterns through structured conversations, often delving into underlying issues and emotional roots.
- Psychiatry is a medical specialty practiced by doctors who diagnose mental health disorders and primarily prescribe medication, though psychiatrists may also offer psychotherapy.
- Counseling usually addresses specific problems or life transitions in a shorter, more practical way than psychotherapy, emphasizing immediate coping strategies rather than deep exploration of emotional patterns.
- Coaching helps individuals achieve specific goals, improve performance, or make lifestyle changes. Unlike psychotherapy, coaching does not treat mental health disorders or emotional distress.
How to get started
Seeking therapy early can prevent emotional challenges from becoming overwhelming. To get started, consider these practical steps:
- Talk to Your Doctor: Your primary physician can rule out physical health conditions and may refer you to a mental health specialist if needed.
- Choose a Qualified Therapist: Therapists hold various titles (psychologist, counselor, psychiatrist). Select someone appropriately trained for your needs.
- Consider Compatibility: Feeling comfortable with your therapist is crucial. Don’t hesitate to change therapists if you’re not comfortable.
- Medication Considerations: If medication may be needed alongside therapy, a psychiatrist can prescribe and manage this treatment.
- Prepare for Initial Sessions: Expect paperwork related to health history, contact information, and consent forms.
Before selecting a therapist, reflect on:
- Type of therapy (individual, group)
- Your therapy goals
- Your schedule and availability
Helpful questions to ask potential therapists include:
- Areas of expertise and demographic experience
- Approach to treatment and its effectiveness
- Expectations from clients in therapy
Further Information
American Psychiatric Association. What is Psychotherapy?.
References
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