CBT? DBT? Psychodynamic? What type of therapy is right for me?

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Psychotherapy is not one size fits all. From behavioral to gestalt therapies, which approach will work best for you depends on your needs and goals.

Working with a therapist can help you manage or improve your mental health. elenabs/iStock via Getty Images Plus

Cognitive behavioral therapyCognitive behavioral therapy is considered the gold standard in psychotherapy. Numerous clinical trials have found CBT to be effective for a spectrum of emotional health challenges, from anxiety and depression to addiction and schizophrenia. Behavioral therapiesBehavioral therapies encompass a number of treatments that focus on helping your body and brain build new connections through healthier behaviors. These connections are both psychological and neurobiological .

For children and families, behavioral modification is a generally brief and problem-focused way to introduce more structure to parent-child interactions. This might involve creating a plan that establishes rewards to encourage positive behaviors, and consequences to discourage challenging behaviors.

One core skill of DBT is mindfulness. Mindfulness entails finding ways to “declutter” your mind from past emotional challenges and focus on what is happening in the moment. A common mindfulness strategy utilized in DBT is guided imagery. This involves repeatedly imagining a beautiful and relaxing physical environment, such as a beach, mountain meadow or cozy family kitchen, both to prevent and improve feelings of stress.

It utilizes the strong relationship built between you and your therapist to uncover these processes. The goal is to find functional ways of navigating interpersonal difficulties, trouble achieving personal goals or broader life dissatisfaction. Your therapist will likely help you explore your past experiences and relationships, looking for thought and behavior patterns influencing the challenges you’re facing in the here and now.

For example, if I am struggling with depression related to a problematic relationship with my parents, a session might focus on better understanding the dynamics of this particular relationship and devising practical steps for possible ways to improve it.Choosing the right therapy for youIn thinking about what kind of therapy you might benefit from most, consider how you tend to approach and solve problems in your daily life.

 

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