Cognitive Behavioral Therapy

Cognitive behavioral therapy (CBT) is a short-term form of psychotherapy directed at present-time issues and based on the idea that the way an individual thinks and feels affects the way he or she behaves. The focus is on problem-solving, and the goal is to change clients’ thought patterns in order to change their responses to difficult situations. A CBT approach can be applied to a wide range of mental health issues and conditions.

How It Works

CBT integrates behavioral theories and cognitive theories to conclude that the way people perceive a situation determines their reaction more than the actual reality of the situation does. When a person is distressed or discouraged, his or her view of an experience may not be realistic. Changing the way clients think and see the world can change their responses to circumstances. CBT is rooted in the present, so the therapist will initially ask clients what is going on in their mind at that moment, so as to identify distressing thoughts and feelings. The therapist will then explore whether or not these thoughts and feelings are productive or even valid. The goal of CBT is to get clients actively involved in their own treatment plan so they understand that the way to improve their lives is to adjust their thinking and their approach to everyday situations.

https://www.psychologytoday.com/us/therapy-types/cognitive-behavioral-therapy

 

Dialectical Behavior Therapy

Dialectical behavior therapy (DBT) provides clients with new skills to manage painful emotions and decrease conflict in relationships. DBT specifically focuses on providing therapeutic skills in four key areas. First, mindfulness focuses on improving an individual’s ability to accept and be present in the current moment. Second, distress tolerance is geared toward increasing a person’s tolerance of negative emotion, rather than trying to escape from it. Third, emotion regulation covers strategies to manage and change intense emotions that are causing problems in a person’s life. Fourth, interpersonal effectiveness consists of techniques that allow a person to communicate with others in a way that is assertive, maintains self-respect, and strengthens relationships.

How It Works

DBT is a cognitive-behavioral treatment developed by Marsha Linehan, Ph.D., in the 1980s to treat people with borderline personality disorder. Those diagnosed with BPD often experience extremely intense negative emotions that are difficult to manage. These intense and seemingly uncontrollable negative emotions are often experienced when the individual is interacting with others—friends, romantic partners, family members. People with borderline often experience a great deal of conflict in their relationships.

As its name suggests, DBT is influenced by the philosophical perspective of dialectics: balancing opposites. The therapist consistently works with the individual to find ways to hold two seemingly opposite perspectives at once, promoting balance and avoiding black and white—the all-or-nothing styles of thinking. In service of this balance, DBT promotes a both-and rather than an either-or outlook. The dialectic at the heart of DBT is acceptance and change.

https://www.psychologytoday.com/us/therapy-types/dialectical-behavior-therapy

 

Solution-Focused Brief Therapy

Unlike traditional forms of therapy that take time to analyze problems, pathology, and past life events, Solution-Focused Brief Therapy (SFBT) concentrates on finding solutions in the present time and exploring one’s hope for the future to find a quicker resolution to one’s problems. This method takes the approach that you know what you need to do to improve your own life and, with the appropriate coaching and questioning, are capable of finding the best solutions.

How It Works

SFBT was developed by Milwaukee psychotherapists Steve De Shazer and Insoo Kim Berg in the late 1970s, early 1980s out of an interest in paying more attention to what people want and what works best for the individual, in contrast to more traditional psychotherapies that presume to know what works for different types of problems. One of the original beliefs of SFBT therapists was that the solution to a problem is found in the “exceptions,” or those times when one is free of the problem or taking steps to manage the problem. Working from the theory that all individuals are at least somewhat motivated to find solutions, SFBT begins with what the individual is currently doing to initiate behavioral and lifestyle changes. The therapist uses interventions such as specific questioning techniques, 0-10 scales, empathy and compliments that help a person to recognize one’s own virtues, like courage and strength, that have recently gotten the person through hard times and are likely to work well in the future. Individuals learn to focus on what they can do, rather than what they can’t, which allows them to find solutions and make positive changes more quickly.

https://www.psychologytoday.com/us/therapy-types/solution-focused-brief-therapy

 

Eye Movement Desensitization and Reprocessing Therapy

EMDR is a unique, nontraditional form of psychotherapy designed to diminish negative feelings associated with memories of traumatic events. Unlike most forms of talk therapy, EMDR focuses less on the traumatic event itself and more on the disturbing emotions and symptoms that result from the event. Treatment includes a hand motion technique used by the therapist to guide the client’s eye movements from side to side, similar to watching a pendulum swing.

How It Works

The goal of EMDR is to fully process past experiences and sort out the emotions attached to those experiences. Negative thoughts and feelings that are no longer useful are replaced with positive thoughts and feelings that will encourage healthier behavior and social interactions. Ultimately, clients learn to handle stressful situations themselves.

https://www.psychologytoday.com/us/therapy-types/eye-movement-desensitization-and-reprocessing-therapy