Psychotherapy 

Introduction 

Attitudes to mental health

Four people who've had mental health issues, including bipolar disorder, paranoid schizophrenia and personality disorder, talk about the negative reactions they faced and how they overcame them.

Self-help

If you have a problem, such as mild anxiety or depression, which you feel you may be able to improve yourself without professional treatment, there are many self-help books available. These are mainly based on cognitive behavioural therapy (CBT). For information on the range of books and websites available for self-help you may wish to consider the websites of charities involved in your condition.

There are also two software programmes that are recommended by the Department of Health that you can access on the internet and may be useful if you are considering self-help. They are:

• Beating the Blues - for mild and moderate depression
• FearFighter - for panic disorder and phobia

Who can benefit from talking therapy?

Find out about counselling and talking therapies and the conditions they can help

Psychotherapy is a type of therapy used to treat emotional problems and mental health conditions.

It involves talking to a trained therapist, either one-to-one, in a group or with your wife, husband or partner. It allows you to look deeper into your problems and worries and deal with troublesome habits and a wide range of mental disorders, including depression and schizophrenia.

Although psychotherapy is usually a talking therapy, sometimes other methods may be used. This could be art, music, drama or movement rather than talking.

Psychotherapy can help you to discuss feelings that you have about yourself and other people, particularly family and those close to you. In some cases, couples or families are offered joint therapy sessions together.

A therapist will treat sessions as confidential. This means you can trust them with information that may be embarrassing or secret.

Read more about how psychotherapy works.

What is a psychotherapist?

A psychotherapist is a mental health professional who is trained to listen sympathetically to someone’s problems in order to find out what is causing them difficulties and help find a solution. As well as listening and discussing important issues with you, a psychotherapist can suggest strategies for resolving problems and, if necessary, help you to change your attitudes and behaviour.

Some therapists teach specific skills to help you tolerate painful emotions, manage relationships more effectively or improve behaviour. You may be encouraged to develop your own solutions, and in group therapy the members support each other with advice and encouragement.

What is psychotherapy used to treat?

Some of the conditions that psychotherapy and other talking therapies might be used to treat include: 

Types of psychotherapy

There are several different types of psychotherapy that have been proven to be effective and are offered on the NHS. These are described below.

  • Psychodynamic (psychoanalytic) psychotherapy is where a psychoanalytic therapist will encourage you to say whatever is going through your mind. This will help you to become aware of hidden meanings or patterns in what you do or say that may be contributing to your problems.
  • Cognitive behavioural therapy (CBT) is a form of psychotherapy that examines how beliefs and thoughts are linked to behaviour and feelings. It can teach skills that retrain a person’s behaviour and style of thinking to help them to deal with stressful situations.
  • Cognitive analytical therapy (CAT) uses methods from both psychodynamic psychotherapy and CBT to work out how someone’s behaviour causes them problems and how to improve it through experimentation and self-help.
  • Interpersonal psychotherapy (IPT) looks at the way in which illness can be triggered by events involving relationships with others, such as bereavements, disputes or relocation. It helps people to cope with the feelings involved as well as to work out coping strategies.
  • Humanistic therapies aim to find out how someone thinks about him or her self and to create a non-judgemental, understanding environment between the person and their therapist.
  • Family and marital (systemic) therapy is a type of therapy that involves other members of the person’s family and helps them to work out problems together.

Most psychotherapy treatments involve meeting a therapist regularly (usually once every week or fortnight), although it may be more often if needed. Individual sessions usually last for about 50 to 60 minutes, whereas group sessions are longer. Short-term psychotherapy may involve anything between 6 and 20 sessions.

Read more about how psychotherapy works.

How can I get psychotherapy?

The best place to start if you are interested in psychotherapy is with your GP. In 2010, the government announced plans to make psychological therapies more widely available on the NHS, as they have been recognised as effective treatments for common mental health conditions.

If your GP or another healthcare professional refers you to a qualified psychotherapist, you will receive psychotherapy through the NHS free of charge.

However, psychotherapies are not always available on the NHS, and you may need to have private treatment. A private 50-minute session can cost £35-100.

There are several professional bodies you can use to find a psychotherapist, including the British Association for Counselling & Psychotherapy and the UK Council for Psychotherapy.

You can also use the services directory to find counselling and psychological therapy services in your area.

Read more about the availability of psychotherapy.

Last reviewed: 18/08/2011

Next review due: 18/08/2013

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Comments are personal views. Any information they give has not been checked and may not be accurate.

scottdjp said on 15 June 2013

Having been through CBT myself for depression I can tell you that it works and It does not treat just the symptoms.
The example of when you "blush and cannot speak in social situations" and that CBT would not examine the causes is totally wrong. Your therapist would examine the core beliefs and thoughts underneath this. For example, you have the belief "I always make mistakes and people reject me for them" so your thoughts in the situation would be "I'm going to make a mistake and these people will think im stupid and reject me" and then you would blush and not be able to speak. CBT would help you change your problematic and untrue thought pattern and also to analyse and replace your core belief with a more fitting, realistic and positive one.
CBT actually has incredibly high success rates for Depression, anxiety and OCD. Although I'm sure it has good rates for other disorders and problems as well.
If your doctor suggests CBT, you might want to give it a shot.
Dave

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susan 99 said on 09 August 2012

Cognitive Behavioral Therapy is not really psychotherapy and many trained psychotherapists are actually against it, viewing it as fundamentally unethical.

CBT is a process which equates the symptoms with the problem - e.g. a CBT practitioner would say that if you blush and cannot speak in social situations, then your 'disease' is blushing and not being able to speak in social situations, and would then provide strategies for overcoming the blushing and not speaking.

However a 'proper' psychotherapist would look at the underlying causes (in one patient this maybe the result of low self-confidence, in another paranoia) and then treat these, differing, causes accordingly.

The government wants to market CBT as psychotherapy because it is cheaper and claims to cure you in around six sessions. The evidence however is that it has a very low success rate and patients - unless dealing with a very, very specific phobia like getting on a plane say, frequently lapse.

Know what means what and then kick up a fuss! Refuse anti-depressents, refuse CBT, or a vague what-are-their-actual-qualifications conseller and demand to see a real therapist who might actually be able to help you.

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cuttysark said on 26 April 2011

This article is generally good information, albeit brief, but this may be deliberate as too much detail on this page might be unhelpful. I liked the succinct descriptions on different types of psychotherapy, and was interested to discover "person-centred psychotherapy", as I had never heard of this before. It is a very good idea to have the glossary terms at the end as it clarifies relevant words used.

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