Psychotherapy or “talk therapy” is the treatment of psychological problems through communication between an individual and a trained mental health professional in a safe and confidential environment. Psychotherapy aims to explore and understand behaviors, beliefs, thoughts, and emotions, and to improve relationships and coping skills. Psychotherapy includes both individual or group therapy, which brings around 5 to 15 patients together each week for confidential conversation guided by a professional.
Some evidence-based psychotherapy approaches for depression
CBT is a well-established, evidence-based treatment approach for depression. CBT is a goal-oriented approach that helps patients recognize and modify thought and behavior patterns that interfere with functioning or make depressive symptoms worse. CBT has also been shown to result in improvement in brain functioning. People with depression often experience distorted negative thoughts about themselves or their situations (for example, characterizing their lives as worthless).
By working to reveal more accurate information about themselves, these negative thoughts can be countered with a more realistic picture of both the present and the future. As depression also tends to cause people to isolate, some of CBT often involves changing patterns of avoidance to help a person continue to move toward life aims. CBT commonly combines eight to twelve regular weekly sessions (sometimes more, sometimes less) with a trained therapist who assigns exercises that individuals can practice on their own in between sessions.
These exercises encourage individuals to practice replacing negative thoughts with more realistic ones based on past experience or to write negative thoughts in a journal. Once patients learn to recognize these automatic thinking patterns, they are taught more adaptive ways of thinking and acting to meet their aims. This typically has a beneficial impact on mood and future behaviors.
- During individual sessions, the patient and therapist meet to discuss issues that have come up during the previous week and work on skills.
- During group sessions, several DBT patients meet to practice different life skills in a safe, controlled environment. These skills include recognizing and managing emotions, tolerating distress, being effective in relationships, and developing mindfulness. Individuals are usually instructed to practice these methods as homework between sessions.
- Cognitive therapy aims to modify thought and behavior patterns that interfere with functioning or make depressive symptoms worse.
- Mindfulness involves continuous awareness of our thoughts, feelings, and emotions and purposely attending to the present moment without attaching judgment to our thoughts.
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