Psychotherapy

Diverse perspectives on attending psychotherapy still exists among individuals who contemplate seeking help. In Western countries, seeking a psychotherapist is seen as an indication of looking after one's personal health holisticly. However, many still have numerous prejudices about psychotherapy. The most common is that only "crazy" people attend psychotherapy, which is, of course, not true. 

What is psychotherapy?

In the simplest terms, it can be defined as a process in which an individual gains insight into their life, emotions, thoughts, and behaviors. Through conversation and the relationship with the psychotherapist, we explore our own inner world, the reasons for our emotions, thoughts, and actions. It is essential to emphasize that psychotherapy is not counseling; the psychotherapist will not burden us with advice on what to do and how. They will not instruct or teach us. Based on our highlighted issue, they will guide us to the essence of the problem with specific questions.

Therapeutic Relationship

The relationship with a psychotherapist is not the same as our relationship with friends, where we share some of our problems. The therapeutic environment is safe, non-judgmental, allowing us to relax and discover our inner sources of strength and qualities. We say that a healing relationship is formed between the psychotherapist and the individual attending psychotherapy.

Psychotherapy is a process that occurs in the relationship between the psychotherapist and the client, where the client must feel safe and relaxed. The psychotherapist ensures this with a relationship that is non-judgmental, empathetic, and respectful. On the other hand, they must provide the right amount of frustration, thinking, challenge, and setting boundaries. Through their relationship, the client learns and strengthens new functional patterns of emotions, thoughts, and behaviors.

Changes do not happen overnight. A certain amount of time, persistence, and hard work are required. Imagine that you have lived with certain patterns for 45 years, and now you want to resolve and eliminate them in five hours. Some problems are more challenging and complex than others; some are easier and can be processed more quickly, while others face greater resistance and denial. Rushing in the therapeutic process is neither desirable nor beneficial.

Time Dedicated Solely to You

Make use of the time that the psychotherapist will/did dedicate to you. This is your time alone. The psychotherapist will delve into you, listen to you intensively and carefully, and respond to what you confide in them. Since they cannot read your thoughts, it is important to be open with them, both about your life experiences, concerns, and problems, as well as your feelings towards them and the therapeutic process.

Who Needs Psychotherapy?

Psychotherapy is suitable for everyone. Everyone finds themselves at a crossroads when they no longer know how to proceed, facing numerous challenges, feeling that their life is caught in a vicious circle of repeating patterns. Psychotherapy is not limited by age or an individual's educational background.

The most common issues faced by clients who seek psychotherapy include:
  • Depression
  • Anxiety
  • Relationship problems
  • Interpersonal issues and conflicts
  • Stress and burnout
  • Eating disorders
  • Various types of addictions
  • Sleep disorders, insomnia
  • Grief
  • ...
We know that help is more beneficial if sought earlier rather than when it is almost too late. When we break a bone, it is obvious that we will not wait for it to heal on its own; we immediately rush to the doctor. The same should be applied to our mental health and psychological well-being. Many people who attend psychotherapy and experience its positive effects on their lives, say to their therapist: "Why did I wait so long? Why didn't I visit you earlier..."


Types of Psychotherapy

Broadly, psychotherapeutic approaches can be categorized into four groups:
  • Analytical Psychotherapy
  • Systemic Therapy
  • Cognitive-Behavioral Therapy (CBT)
  • Humanistic Approaches
1. Analytical Psychotherapy: In this approach, the psychotherapist and the client delve into bringing certain life situations to clients awareness with a focus on the unconscious. Throughout the process, they uncover deeper insights into the client's past and present relationships with others. The goal is to bring about profound and long-term changes at the levels of personality and emotion. Psychoanalysis is typically a very personal and long process, lasting several years.

2. Systemic Therapy: This approach centers around the system, the network of relationships established among group members, often with a focus on the family. Each event, change, or issue affects every member of that system, as what happens to one member influences all others. Past experiences in the primary family are believed to impact an individual's subsequent life and relationships. This approach aims to change fundamental emotional, cognitive, and behavioral patterns that repeat in our relationships with others.

3. Cognitive-Behavioral Therapy (CBT): The core of this paradigm is the belief that behavior, emotions, and thoughts occur simultaneously, with constant interaction among them. Changing thinking patterns is considered key to inducing changes in emotions and, consequently, behavior—the primary objective of this approach. Individuals in this form of therapy receive homework assignments, encouraging them to regularly engage in self-directed problem-solving. CBT is a highly structured and relatively brief approach. It places less emphasis on the emotional relationship between the therapist and the client, focusing more on therapeutic techniques, objectivity, measurability, and descriptiveness.

4. Humanistic Approaches: These highlight individual experiences and encompass various directions, such as Gestalt therapy, Transactional Analysis, Reality Therapy, and Logotherapy. Gestalt approaches assert that each individual is responsible for their personal development. Transactional Analysis presupposes that every individual is fundamentally "okay". Reality Therapy is based on the theory of choice, where individuals make various choices in life that then define them. Logotherapy emphasizes our free will and the meaning of life.


Which Psychotherapy Approach Should I Choose?

Research suggests that the enduring and trusting relationship between the psychotherapist and the client influences the success of psychotherapy more than the type of psychotherapy approach. The relationship between therapist and client is a critical determinant of the success. The client's motivation, persistence, and activity in introducing changes across all spheres of their life—emotionally, in thought, and in behavior—also contribute significantly to success.

The success of psychotherapy relies heavily on the individual entering therapy. An individual with high initiative, a genuine desire for change, strength, courage, and persistence stands to reap rich rewards.

How Should I Attend Psychotherapy?

Psychotherapy sessions can be conducted in-person, typically at the therapist's office, usually once a week on the same day and at a consistent time. When facing challenges in romantic relationships, it is advised to attend therapy together with a partner for couples' therapy. Group therapy sessions are also an option, providing a sense of belonging and support while operating on the principle of confidentiality. In group sessions, participants engage in open and free discussions. Modern technology allows us to meet with a psychotherapist via video call. This is especially suitable for individuals who are too far from the therapist's location, are located abroad, travel frequently, are high-risk pregnant women, disabled, or find in-person psychotherapy less suitable due to the nature of their work or other circumstances.

The Goal of Psychotherapy

At the outset of psychotherapy, clients and their therapists establish goals of psychotherapy which then guide the process. The reasons for starting psychotherapy usually consist only of a small portion of the problems or represent the tip of the iceberg. Goals vary from case to case, but the common thread is the elimination of symptoms, addressing the root causes of issues and traumas. Psychotherapy supports personal growth, enabling individuals to better utilize their potentials across all areas of life.
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