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Considering therapy, need help

Corrupt_ToTheCore

Well-Known Member
#1
I've reached a pretty bad state in my life, and the circumstances have lead me to believe that receiving therapy would help more than it would hurt, but I have absolutely no idea what type of therapist I should be looking for, or even what types exist! If anyone could spare some time to assist me in confirming what to do, I would greatly appreciate it. I don't even know where to start.
 

AvidFan

Personal Assistant to Professor Tiddles - Retired
SF Supporter
#2
There are several broad schools of therapy, viz the psycho-dynamic, behavioural and humanistic.

The behavioural is things like CBT, and offshoots, with a very directive therapist who will get you to do exercises and think about how your thoughts influence your emotions.

Psycho-dynamic can also be pretty directive and involves the therapist digging hard into your infancy and childhood and exposing the roots, perhaps working with your dreams and fantasies

Humanistic therapy involves things like Transactional Analysis (which is influenced by psycho-dynamic theory) and Client/Person Centered Counselling. Transactional analysis will look at your various ego states (Adult, Parent, Child) and how these interact within you and with others but can also be quite open. Person centered counselling is the least directive of the therapies, you will create a safe and trusting relationship with a therapist and each week you will discuss whatever you want - the therapist responds to what you bring, understand you from your perspective, offers empathy and a non judgemental space, but may challenge your ideas and beliefs about yourself and encourages you to grow (it's like you're a seed and the therapist waters you, they are quite hands off and treat you as a person who is suffering instead of someone who is "disordered" - the other types work more closely with the "disorder" model).

Different types suit different people. In the UK person centred counselling is probably the most common type of therapy, along with CBT which is favoured by the NHS (but is shown to be effective 50% of the time so doesn't suit everyone!). In the US behavioral therapies and CBT will be the most practised and it will be much more from a "Treatment/patient" perspective than client/therapist. Ironically Carl Rogers, an American, invented person centred therapy, discarding the "disorder" idea and calling people clients rather than patients - but the approach is not that common in the US. Other countries will vary.

The choice available to you will depend on your location, and whether you need to go through insurance, access some free service, or are able to pay entirely out of your own pocket. There are lots of other therapies as offshoots from these schools - such as dramatherapy, music therapy, art therapy, outdoor therapy, etc (It's said there are over 400 different types of therapy once you take these offshoots into account!!)

This is about all I have the energy to write at the moment - it's a huge topic, and I've tried to give as succinct and answer as possible but will have missed a lot out, but if you have any questions I will try to answer them.
 

MAC0

Y.N.W.A
SF Supporter
#3
When I first started being suicidal i put myself in therapy here inthe UK from the NHS and came here i had to wait a few months but was offered 2 types of therapy the kind where you have one on one visits and talk through your issues and one that they said would work on changing my reactions to situations in the end i went with the first got put on antidepressants 6 weeks into it but they do an assessment with you to find which kind of treatments they can offer you

I cannot talk about other countries but i am sure others like Avid on here know more ln that
 
#4
The style of therapy that's best depends on what you need. CBT is good if the way you are thinking is effecting how you feel. If you have a lot of negative self-talk, negative outlook, etc., then it might be a good fit.

You could get a feel for what CBT is like, and possibly get some benefit from reading this book:

Mind Over Mood, Second Edition: Change How You Feel by Changing the Way You Think
Dennis Greenberger, Christine A. Padesky

It's one of the most highly recommended CBT books for depression.

If you feel like the most important thing is to find a therapist who will listen, understand, and empathize with your experiences, then a different style of therapy might be best.

There's also more to treating depression than just meds and therapy. I can say more about that if you're interested.

I hope something can help.
 

Corrupt_ToTheCore

Well-Known Member
#5
Yeah, I didnt really understand much of that... can you explain it like you would to someone who has never been to any kind of therapy and is absolutely brand new to the concept? Almost all of that went over my head, sorry. Thank you for trying to help, though.
 

AvidFan

Personal Assistant to Professor Tiddles - Retired
SF Supporter
#7
Yeah, I didnt really understand much of that... can you explain it like you would to someone who has never been to any kind of therapy and is absolutely brand new to the concept? Almost all of that went over my head, sorry. Thank you for trying to help, though.
What didn't you understand? Where are you based? Do you have the means to pay for therapy yourself?

If you really struggle you could try BetterHelp, it's not perfect by any means but some people find it the easiest and quickest way to accesss (online) therapy - they'll ask you a lot of questions and match you with a therapist, if you don't like the therapist, you can switch straight away. And again, and again. The downside of BetterHelp is it charges a monthly subscription so you have to pay a month upfront at a time, out of that they don't really pay the therapists very well, so you might end up with an overworked therapist, and there are also a few data protection concerns, but it may be a way of experimenting if you really feel stuck and want to give it a try!
 
#8
What didn't you understand? Where are you based? Do you have the means to pay for therapy yourself?

If you really struggle you could try BetterHelp, it's not perfect by any means but some people find it the easiest and quickest way to accesss (online) therapy - they'll ask you a lot of questions and match you with a therapist, if you don't like the therapist, you can switch straight away. And again, and again. The downside of BetterHelp is it charges a monthly subscription so you have to pay a month upfront at a time, out of that they don't really pay the therapists very well, so you might end up with an overworked therapist, and there are also a few data protection concerns, but it may be a way of experimenting if you really feel stuck and want to give it a try!
I don't recommend BetterHelp as they have serious privacy issues (as per Mozilla's ranking on online therapy services). Really it's better to go with a local provider who may offer online or phone counselling as well as in person.

Anyone with a master's degree in Counselling Psychology should be able to help. If you can't afford to pay, most cities with a university that offers the Master's degree programs will offer free therapy with trained grad students who are doing practicums. May not be long-term though.
 
#10
Ok.

CBT stands for Cognitive Behavioral Therapy. I don't really know the formal definition of it, but I think it's supposed to focus on changing your perspective on things. Like the book title says, it's changing how you feel by changing how you think.

Getting the book I mentioned from a library might be a good way to get a feel for what that style of therapy would be like.

Other styles of therapy might emphasize talking about the things that bother you.

There's no guarantee that any particular style of therapy will help, or therapy in general. There's other treatment methods out there though if you don't find meds or therapy helpful.
 
#11
I really recommend just finding an accredited therapist with a Master's in Counselling Psychology or a PhD in Clinical psychology. They should be able to give you the type of therapy that you would most benefit from (they would be trained in many types).
 

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