|
What is Psychotherapy?
Psychotherapy
is the use of psychological techniques to change behaviors, feelings,
thoughts, or habits. It is generally employed to relieve symptoms
of emotional or behavioral dysfunction or distress, however it
is also used to help people achieve greater levels of self awareness
and to actualize latent potential.
Psychotherapy is the treatment, by psychological means,
of problems of an emotional nature in which a trained person
deliberately establishes a professional relationship with the
patient with the object of (1) removing, modifying, or retarding
existing symptoms, (2) mediating disturbed patterns of behavior,
and (3) promoting positive personality growth and development. (Wolberg,
1977)
Steadman's Medical Dictionary defines psychotherapy as: treatment
of emotional, behavioral, personality, and psychiatric disorders based primarily
upon verbal or nonverbal communication with the patient, in contrast to treatments
utilizing chemical and physical measures and it defines counseling as: A
professional relationship and activity in which one person endeavors to help
another to understand and to solve his or her adjustment problems; the giving
of advice, opinion, and instruction to direct the judgment or conduct of another. (Stedman's
Electronic Medical Dictionary, 1994)
Psychotherapy is a set of techniques intended to improve mental health, emotional
or behavioral issues in individuals, who are often called "clients".
These issues often make it hard for people to manage their lives and achieve
their goals. Psychotherapy is aimed at these problems, and solves them via a
number of different approaches and techniques; commonly psychotherapy involves
a therapist and client(s), who discuss their issues in an effort to discover
what they are and how they can solve them. Because sensitive topics are often
discussed during psychotherapy, therapists are expected, and legally bound, to
respect patient privacy and client confidentiality.
When should one go for
psychotherapy?
Psychotherapy
is recommended for individuals experiencing symptoms of psychological
distress related to relationship problems, life stressors,
etc. If you are depressed, anxious fearful, angry or don't
feel in control of your life psychotherapy might be helpful
to you. If you are unhappy, having relationship problems,
or feel you are not living up to your potential psychotherapy
can give help develop greater self awareness and support
your efforts in improving your life.
If you are unsure about starting psychotherapy, consult a mental
health professional for an assessment and evaluation to help
in making the decision about whether to engage in psychotherapy
and what kind.
Who does psychotherapy?
Psychotherapy
is practiced by a number of different mental health professionals.
Although they have similarities in their approach to treatment,
their varied training backgrounds sometimes lead them to choose different approaches
and/or orientations. Psychotherapy
is conducted by a license professional. Psychotherapists may be psychologists,
master’s level practitioners, and psychiatrists.
Discipline |
Training |
Special Orientation |
Psychologist |
-Ph.D.(Doctor of Philosophy in psychology)
-Psy.D. (Doctor of Psychology) and one year Internship. |
Psychotherapy: All modalities and orientations.
Psychological Evaluations. |
Licensed Mental Health Practitioner |
-M.A.(Master of Arts)
-M.S. (Master of Science)
-M.Ed.(Master of Education
-M.S.W.(Master of Social Work)
- M.S.N.(Master of Science in Nursing) |
Psychotherapy: Most modalities and orientations.
: Interpersonal, family, group |
Psychiatrist |
-M.D.(Medical Doctor)
-D.O.(Doctor of Osteopathy) and Three year Psychiatric Residency |
Biological Treatment, Psychopharmacology.
Some Psychotherapeutic modalities and orientations. |
In most countries psychotherapists must be trained, certified
and licensed with a range of different licensing schemes and
qualification requirements in place around the world. Psychotherapists
may be psychologists, social workers, trained nurses, psychiatrists,
psychoanalysts, or professionals of other mental health disciplines.
Psychiatrists' training focuses on the prescription of medicines,
with some training in psychotherapy. Psychologists have special
training in mental health assessment and research in addition
to psychotherapy. Social workers have special training in linking
patients to community and institutional resources.
Recent trends in drug development to treat chemical imbalances
have led to a more wide spread use of pharmaceuticals in conjunction
with psychotherapy by medically qualified mental health nurse
practitioners, psychiatrists, and in some states prescribing
psychologists. Medications have benefits for patients with ailments
such as bipolar disorder, impulse problems, schizophrenia and
obsessive compulsive disorder, depression, anxiety, attention
deficit problems, aggression, etc. Your psychotherapist
is trained to communicate, with side release for confidential
information, with your psychiatrist to help monitor symptoms
and side effects as those relate to medication management.
There are a wide variety of psychotherapeutic modalities (e.g.
individual, group, family) and theoretical approaches (e.g. psychodynamic,
behavioral, existential, cognitive). There are at least
five main systems of psychotherapy: psychodynamic, cognitive
and humanistic/supportive, behaviorism, and brief counseling.
There are a variety of treatment modalities or forms available
to meet each patient's individual needs. The modality chosen
will depend on factors such as diagnosis, age of the patient,
family support, financial constraints and patient preference.
Individual Psychotherapy is the
modality with one patient and one therapist. This
form offers the most attention to the patients
individual concerns however it can be limited in
that it cannot directly study family or social
relationships. There are many different styles
or theoretical orientations of therapists such
as psychodynamic, cognitive and behavioral.
Family Psychotherapy is
conducted with all or as many members as possible of a family.
The work may all be done with the entire group or involve various
combinations of family members. The process helps identify and
modify maladaptive or destructive interaction patterns as well
as foster group communication and problem solving skills.
Group Psychotherapy is
conducted with at least three and up to fifteen patients together.
This modality offers the patient the opportunity to interact
with others and learn from them as well as study their own relationship
style. Patients usually encounter some social anxiety in beginning
group therapy, however it offers an ideal environment in which
to challenge such anxieties.
Homogeneous groups are made up of individuals with similar concerns
such as chemical dependency or women's issues. These groups offer
support and understanding and the feeling that one is not the
only one struggling with a given set of concerns.
Heterogeneous groups have a more varied membership and more closely
approximate the world at large.
Marital/Relationship Therapy is
conducted with couples in a marital or "significant other" relationship.
Its purpose is to assist the couple to work together as partners
to communicate, love and solve the problems of daily life. The
establishment of realistic, adult expectations is usually an
important goal.
Stress Management training
is a process of identifying stressors, learning ones physiological
and cognitive responses to stress and developing techniques to
manage those responses. Common stress management techniques are
systematic desensitization, relaxation training, and cognitive
therapy.
Medication Management is
the use of psychotropic medications to manage emotional, cognitive,
and behavioral symptoms. The medication is prescribed by psychiatrists
after thorough evaluation and with ongoing monitoring. Medication
management is usually implemented in conjunction with other therapies
aimed at treating the underlying causes of the condition.
|