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Watching a loved one struggle with mental health challenges can be painful and trigger feelings of helplessness. But while the choice to pursue therapy will be, in a large number of cases, solely up to the individual, it is possible for concerned others to offer emotional support as well as concrete assistance. This can mean connecting them with educational resources about therapy, helping them identify potential clinicians in their area, setting up appointments, or providing transportation to their first session.
Unethical therapists are much rarer than unqualified or ineffective ones, but they certainly exist. An unethical clinician may make sexual or romantic overtures toward a client, threaten or blackmail them, or breach confidentiality agreements without just cause. Clients should report such therapists to their licensing board and end therapy as soon as possible.
Therapy typically ends when the client feels they have achieved their goals or when they feel they are no longer making progress; in some cases, logistical issues, such as changing insurance coverage, necessitate the end of therapy. Alternatively, it is possible for a therapist to determine that they are not the best practitioner to aid a particular client. When this occurs, the therapist will typically refer the client to another provider, where they can continue work if they so choose.
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Therapy (or psychotherapy, sometimes called talk therapy) is the process of working with a licensed therapist or counselor to develop positive thinking and coping skills to treat specific mental health conditions like depression or anxiety, trauma, or simply the daily human challenges we all face.
Derived from existential philosophy, this modality emphasizes self-actualization in the face of the realities of the human experience, including our isolation from one another and mortality. Existential therapy helps clients face these difficult and overwhelming truths.
Nearly all aspects of life can be impacted and improved with psychotherapy. A therapist may provide new techniques for problem solving, help challenge irrational habits and incorrect assumptions, help reframe long-held views, or or assign homework to help you grow and change. A therapist can also help overcome mental health conditions like depression, anxiety, body image issues, and even addiction.
A therapist, or psychotherapist, is a licensed mental health professional who helps clients improve the lives of their clients, helping them develop better cognitive and emotional skills, reduce the symptoms of mental illness and cope with various day-to-day challenges. Therapists primarily help clients, whether via in-person or online therapy, improve their mental health. Some therapists work in a research capacity or in an academic setting.
Online therapy has been proven to have the same efficacy as in-office therapy and is typically much more affordable (often less than half the cost of traditional therapy). This is mostly due to the fact that online counseling requires less overhead than therapists who work in an office.
To fully understand psychotherapy and counseling, it can be helpful to explore its past, present, and future. This timeline will give you a richer understanding of what counseling is and how it evolved.
One of the best examples of philosophy informing psychotherapy is existential therapy, which is derived from existential philosophy. Existential psychotherapist Irvin Yalom, who shaped the field, said existential philosophers such as Nietzsche inspired his work.
The advent of online therapy has also appended what therapy is and how it is delivered. Although prior definitions of therapy did not explicitly describe it as occurring solely in-person, therapy required in-office visits because distance counseling was not easily facilitated before the development of the internet.
Before the creating of therapy as a formal procedure, people told stories to one another to inform and assist about the world. The term "healing through words" was used over 3,500 years ago in Greek and Egyptian writing. The term psychotherapy was invented in the 19th century, and psychoanalysis was founded by Sigmund Freud under a decade later.
Therapy comes in different forms. These include, cognitive behavioral therapy, dialectical behavior therapy, mindful based cognitive therapy, physical therapy, etc. Therapists are here for use and used daily by many people. Therapist are trained to provide treatment to an individual or group. Therapy was invented in the 1800s and the founder was Franz Mesmer, the "Father of Western Psychotherapy". Sigmund Freud then comes into play and shows us the understanding depth of all the different types included in therapy. Therapy is used in many ways to shape and help reform a person. This type of treatment allows individuals to regain gain goals lost or wanting to accomplish. Many individuals come into therapy looking for ways to cope with issues and to receive an emotional release. For example, healing from trauma, in need of support, emotional issues, and many more. Allowing yourself to express your thoughts and feelings go a long way in therapy recovery, this is called the therapeutic process.
Treatment decisions often follow formal or informal algorithmic guidelines. Treatment options can often be ranked or prioritized into lines of therapy: first-line therapy, second-line therapy, third-line therapy, and so on. First-line therapy (sometimes referred to as induction therapy, primary therapy, or front-line therapy) is the first therapy that will be tried. Its priority over other options is usually either: (1) formally recommended on the basis of clinical trial evidence for its best-available combination of efficacy, safety, and tolerability or (2) chosen based on the clinical experience of the physician. If a first-line therapy either fails to resolve the issue or produces intolerable side effects, additional (second-line) therapies may be substituted or added to the treatment regimen, followed by third-line therapies, and so on.
An example of a context in which the formalization of treatment algorithms and the ranking of lines of therapy is very extensive is chemotherapy regimens. Because of the great difficulty in successfully treating some forms of cancer, one line after another may be tried. In oncology the count of therapy lines may reach 10 or even 20.
Often multiple therapies may be tried simultaneously (combination therapy or polytherapy). Thus combination chemotherapy is also called polychemotherapy, whereas chemotherapy with one agent at a time is called single-agent therapy or monotherapy.
Adjuvant therapy is therapy given in addition to the primary, main, or initial treatment, but simultaneously (as opposed to second-line therapy). Neoadjuvant therapy is therapy that is begun before the main therapy. Thus one can consider surgical excision of a tumor as the first-line therapy for a certain type and stage of cancer even though radiotherapy is used before it; the radiotherapy is neoadjuvant (chronologically first but not primary in the sense of the main event). Premedication is conceptually not far from this, but the words are not interchangeable; cytotoxic drugs to put a tumor "on the ropes" before surgery delivers the "knockout punch" are called neoadjuvant chemotherapy, not premedication, whereas things like anesthetics or prophylactic antibiotics before dental surgery are called premedication.
Step therapy or stepladder therapy is a specific type of prioritization by lines of therapy. It is controversial in American health care because unlike conventional decision-making about what constitutes first-line, second-line, and third-line therapy, which in the U.S. reflects safety and efficacy first and cost only according to the patient's wishes, step therapy attempts to mix cost containment by someone other than the patient (third-party payers) into the algorithm. Therapy freedom and the negotiation between individual and group rights are involved.
Cognitive behavioral therapy (CBT) is a form of psychological treatment that has been demonstrated to be effective for a range of problems including depression, anxiety disorders, alcohol and drug use problems, marital problems, eating disorders, and severe mental illness. Numerous research studies suggest that CBT leads to significant improvement in functioning and quality of life. In many studies, CBT has been demonstrated to be as effective as, or more effective than, other forms of psychological therapy or psychiatric medications.
There are many different types of therapy, including those that are most effective with families or groups of people. You can learn about your options by talking with people you trust, like your family doctor or clergy, with people who have experience with mental health conditions, or with staff at your local Mental Health America affiliate.
You might ask therapists you're considering if they use a particular type of therapy and how it works. You may get more out of therapy if you understand how the process usually works and how the therapist thinks it will help you. Some therapists will blend a few different approaches together to suit your particular needs.
In addition to different types of therapy, each therapist has different amounts and types of training. For example, a psychiatrist is trained in therapy but also has a medical degree and can prescribe medication. A pastoral counselor will include a religious or spiritual approach to treatment. Other therapists may be trained to deal with substance use issues.
Depending on your situation, therapy can be fairly short or longer-term. Often, people see their therapists once a week for 50 minutes. Your first session will be different from future visits. The initial visit is more of a "getting to know you" session and will help your therapist get an idea of how to proceed with your treatment. 59ce067264