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Psychotherapy: know the differences to make the right choice

The psychotherapies are numerous and present very big differences between them. This page will help you understand these differences, the pros and cons of each, and how the tracking takes place.
On this page, you will find out what the different types of psychotherapy are, with their characteristics, advantages, and disadvantages.

Psychotherapy: what does this term correspond to?

1 / What is psychotherapy for?

Psychotherapies, whatever they are, consist of re-establishing the patient's self-determinism. If you are a behaviorist, you will say that the patient is caught up in his patterns. If we do interpersonal therapy, we model the problems in interpersonal dysfunction. Conversely, an analyst, will speak of unconscious conflicts.
In all cases, psychotherapy aims to help the patient overcome a mental configuration that restricts him in his faculty of choice. Thus, psychotherapy tries to improve symptoms and quality of life by using only talking. Indeed, it is the verbal exchange between the patient and the therapist that allows this improvement.
No psychotherapy gives universal keys or solutions. On the other hand, the therapists in Louisville, KY, will help the patient find the specific solutions, thanks to methods specific to each therapy type.

2 / What place for psychotherapy in mental health?

Psychotherapy is one treatment, among others, for psy pathologies. It is, therefore, not a diagnosis. Therefore, a diagnosis must first be made by a psychiatrist. Only then, depending on this diagnosis, treatment with psychotherapy can be indicated. Indeed, psychotherapy is neither the only possible treatment nor necessarily the first that one tries. It all depends on the pathology and the situation: the psychiatrist will determine it.

3 / Who can practice psychotherapy?

This point is fixed by decree. Only psychiatrists, clinical psychologists, and psychotherapists can practice psychotherapy. These professions have common points and differences that you can discover on a dedicated page.

4 / What are the different psychotherapies and their effectiveness?

We do not take an inventory of all psychotherapies because only a small number are clinically effective. Unfortunately, not all are created equal.
We will focus on the main psychotherapies: those that have been scientifically proven to be effective ( cognitive-behavioral therapies (CBT), interpersonal therapy (TIP), EMDR, and systemic therapy).
Among those who have not proved their effectiveness, we will discuss two which are very widespread: psychoanalysis and mindfulness (mindfulness).
In the following, we offer a few elements to get a general idea of ​​each of them while inviting you to consult the dedicated pages if you require additional details. Also, please note that each of these types of psychotherapy has its advantages and disadvantages.

Effectiveness of different psychotherapeutic approaches

This subject is difficult because it comes up against very important issues and beliefs. In the interest of patients, we will content ourselves by bringing forward the most scientifically indisputable data. This is evidence-based medicine, that is, medical practices based on evidence.

In this rigorous assessment process, all psychotherapies are not created equal.

The cognitive-behavioral therapies, interpersonal therapy, and systemic therapy are those whose level of evidence is strongest for multiple disorders. The studies are well-conducted and very powerful (existence in particular of meta-analyzes).
Cognitive and behavioral therapy and systemic therapy. Each of these approaches was evaluated with the same rigor as any medical treatment. In contrast, interpersonal psychotherapy (IPT) was not evaluated. Indeed, this study was French, and the TIP was not then available in France. This study concluded that CBT and systemic therapy were effective but that psychoanalysis was marginal or even absent.
In 2013, an excellent meta-analysis compared seven psychotherapies: CBT, IPT, problem-solving therapy, psychoanalytic therapy, ACT, supportive therapy, and social skills. Only Cognitive Behavioral Therapy (CBT), Interpersonal Therapy (IPT), and problem-solving therapy proved their effectiveness in high-power studies and flawless methods.