Wednesday, 8 October 2014

Therapy in the UK



I’m interested in talking about therapy. How does therapy work? Is there one form of therapy that is better than another? Currently if you’re seeking support for mental health there are a huge range of mental health services available to you. A quick search on the internet for “mental health support” provides information from the charity MIND and the NHS. 

The NHS website has an area on their website called “Moodzone” which is aimed at individuals with anxiety or feeling down. The page offers tips, questionnaires, audiobooks and podcasts for helping the individual start coping with anxiety and depression. If you’re seeking get therapy the NHS website has information on how to get in contact with the appropriate people. 

The charity MIND website is a dedicated website to mental health, it has areas on fundraising, information and finding local services. The information section gives detailed overviews on therapy and medical treatments. Listing Art Therapies, Cognitive behaviour therapy (CBT), Dialectical behavioural therapy (DBT), talking treatments, alternative treatments and a range of medical treatments*. Similarly the NHS website lists all the different types of therapy they offer; Counselling, Cognitive behavioural Therapy, Psychotherapy, Family therapy, Couples therapy, and Group Therapy.  

Counselling is where a counsellor listens to you, supports you and gives practical advice. The NHS recommends counselling for people who feel that they are healthy but need help in a current crisis.  

The NHS describes Cognitive Behavioural Therapy (CBT) as helping you think less negatively. Therapists discuss setting practical goals with the client.  The NHS recommends that CBT is for individuals with depression and that it is for looking at current issues rather than looking into your past.  Further information on the mechanisms behind CBT can be found on the charity MIND’s  website.

MIND defines Dialectical behaviour therapy (DBT) as a progression of cognitive behaviour therapy that has been adapted for people with borderline personality disorder.  MIND describes that DBT is saying that negative behaviours make sense, even though it’s not good in the long run and encourages change. There are many forms of CBT and DBT in clinical research and I will cover these all in detail in the future. 

The counselling page describes Psychotherapy as talking about your past to help overcome problems you’re having in the present. Psychotherapies aim is to help you understand more about yourself, improve your relationships and get more out of life. There is a dedicated page to psychotherapy and its different orientations. Further the NHS describes psychotherapy through the orientations of Psychodynamic (psychoanalytic) psychotherapy, Cognitive behavioural therapy (CBT), Cognitive analytical therapy (CAT), interpersonal psychotherapy (IPT), Humanistic therapies, and family and marital (systemic) therapy. 

The MIND charity describes Art Therapy as therapy that allows you to express your emotions and problems without talking. This can include drawing, dancing, music or drama. 

Over the coming months I’m planning on exploring all of these types of therapy, what makes then unique and what underlying mechanisms relate all of them. For example therapeutic alliance, does matching the right therapist to the right client make all the difference? 

* Whilst there is a range of medical, biological and natural treatments for mental health, this blog will not be covering them in detail.