Stress, anxiety and depression

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The types of therapy

Talking therapy is a broad term. It covers all the psychological therapies that involve a person talking to a therapist about their problems.

You may have heard of counselling, cognitive behavioural therapy (CBT) or psychotherapy. These are all different types of talking therapy, but they share some common features.  

For some problems and conditions, one type of talking treatment may be better than another. Different talking treatments also suit different people. A particular one may be best for you and your situation.

To help you decide which one would be most suitable for you, talk to your GP about the types of talking therapy on offer (let them know if you prefer a particular one). Below is a brief explanation of each talking treatment and how they can help.

Counselling

Having counselling is probably the best-known talking therapy and the one most readily available at your GP surgery.

Counselling on the NHS usually consists of 6 to 12 sessions, each an hour long. You talk in confidence to a counsellor about how you feel about yourself and your situation. The counsellor supports you and offers practical advice.

Counselling is ideal for people who are basically healthy but need help coping with a current crisis, such as:

Read more about counselling.

Cognitive Behavioural Therapy (CBT)

The aim of CBT is help you think less negatively, so that instead of feeling hopeless and depressed, you cope better with and even start to enjoy the situations you face.

In CBT, you set goals with your therapist and carry out tasks between sessions. A course typically involves around six to 15 sessions, which last about an hour each.

Like counselling, CBT deals with current situations more than events in your past or childhood.

'Gay conversion therapy'

Conversion therapy is a controversial type of talking therapy that aims to change someone's sexual orientation or reduce their attraction to people of the same gender.

Sexual orientation is not a mental health problem. There is little evidence that gay conversion therapy works, and some evidence that it is harmful. The UK's main professional counselling organisations and the charity Stonewall have issued a joint statement opposing gay conversion therapy (PDF, 265kb).

There has been a lot of research done on CBT and it’s been shown to work for a variety of mental health problems. However, this doesn't mean that it's better than other therapies, but simply that others may not have been studied as much.

In particular, CBT can help:

CBT is available on the NHS for people with depression or any other mental health problem that it has been shown to help. There are also self-help books and computer courses which use the concepts of CBT to help you overcome common problems like depression. Read more about self-help therapies.

Find out more about cognitive behavioural therapy.

Psychotherapy

Unlike counselling and CBT, psychotherapy involves talking more about your past to help you overcome problems you’re having in the present. It tends to last longer than CBT and counselling. Sessions are an hour long and can continue for a year or more.

There are different types of psychotherapy, but they all aim to help you understand more about yourself, improve your relationships and get more out of life. Psychotherapy can be especially useful in helping people with long-term or recurring problems to find the cause of their difficulties.

There's some evidence that psychotherapy can help depression and some eating disorders.

NHS psychotherapists normally work in a hospital or clinic, where you'll see them as an outpatient. Private psychotherapists often work from home.

Family therapy

This may be offered when the whole family is in difficulty.

In family therapy, a therapist (or pair of therapists) meets the whole family. The therapist explores their views and relationships to understand the problems the family is having. It helps family members communicate better with each other.

Sessions are between 45 minutes and an hour-and-a-half long, and usually take place several weeks apart.

Family therapy is useful for any family in which a child, young person or adult (a parent or a grandparent) has a serious problem that’s affecting the rest of the family. Many types of cases are seen by family therapists, including:

  • child and adolescent behavioural problems
  • mental health conditions, illness and disability in the family
  • separation, divorce and step-family life
  • domestic violence
  • drug or alcohol addiction

Couples therapy

Couples therapy can help when a relationship is in crisis (after an affair, for example). Both partners talk in confidence to a counsellor to explore what has gone wrong in the relationship and how to change things for the better. It can help couples learn more about each other's needs and communicate better.

Ideally, both partners should attend the weekly hour-long sessions, but they can still help if just one person attends.

Group therapy

In group therapy, up to around 12 people meet, together with a therapist. It’s a useful way for people who share a common problem to get support and advice from each other. It can help you realise you’re not alone in your experiences, which is itself beneficial.

Some people prefer to be part of a group or find that it suits them better than individual therapy.


Page last reviewed: 06/01/2014

Next review due: 06/01/2016

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