Therapeutic approaches in counseling
Person-centered,
cognitive-behavioral, and solution-focused counseling are some of the many
therapeutic approaches used in counseling:
Research
suggests that the therapeutic relationship itself is more important for a good
outcome than the particular theories your therapist favours. This means that if
your therapist succeeds in helping you to feel safe, accepted and treated with
respect and perhaps also challenges you in a positive constructive way, you are
likely to be able to make good use of your sessions.
Person-centered therapy
Core Concept:
Person-centred
counselling is one of the humanistic modalities or approaches. It was founded
in the 1940s by the American psychologist Carl Rogers who believed that, given
the right conditions, a person can reach their full potential and become their
true self, which he termed ‘self-actualisation’. This actualisation process is
innate and accessible to everyone.
Person or
client-centred therapy is based on the view that everyone has the capacity and
desire for personal growth and change, given the right conditions. Rather than
being seen as the expert and directing the therapy, the counsellor offers
unconditional positive regard, empathy and congruence to help you come to terms
with any negative feelings and to change and develop in your own way.
Key
Features:
- Client Autonomy: The client is seen as
the expert on their own life, and the therapist acts as a facilitator
rather than a director.
- Unconditional Positive
Regard:
The therapist accepts the client without judgment or conditions, fostering
trust and safety.
- Empathy: The therapist strives
to deeply understand the client's feelings and experiences.
- Congruence: The therapist is
genuine and transparent, which promotes an authentic and trusting
therapeutic relationship.
A
person-centred counsellor will help you to explore your own issues, feelings,
beliefs, behaviour, and worldview, so you can become more self-aware and
achieve greater independence.
Applications:
Person-centred counseling is useful in a variety of contexts, including
personal development, self-esteem issues, and mild to moderate emotional
difficulties. It is especially effective for clients who seek a supportive
environment to explore their thoughts and emotions.
Cognitive behavioral therapy (CBT)
Dr. Aaron T. Beck is considered the
founder of cognitive behavioral therapy (CBT). Beck developed CBT in the
1960s as a treatment for depression, but it has since been adapted to treat a
wide range of mental health conditions.
This short-term approach focuses on changing the way you
think and behave to feel better. It's based on the idea that your thoughts
and feelings affect your behavior. CBT can help with anxiety, depression,
phobias, and more.
CBT aims to help you change
the way you think (cognitive) and what you do (behaviour). Rather than looking at
past causes, it focuses on current problems and practical solutions to help you
feel better now.
The way we think about
situations affects the way we feel and behave. If we view a situation
negatively, we may experience negative emotions and feelings which lead us to
behave in an unhelpful way. Your therapist will help you identify and challenge
any negative thinking so you can deal with situations better and behave in a
more positive way
CBT can be helpful for
depression, anxiety, stress, phobias, obsessions, eating disorders and managing
long term conditions.
Techniques
used in CBT:
There
are a variety of techniques used in CBT – including keeping thought records,
relaxation and breathing, progressive muscle relaxation, identifying and challenging
your style of thinking and behavioural experiments.
One
technique is behavioural activation which looks at how you engage in certain
activities, such as hobbies and socialising, and how you can increase your
chances of enjoying them and getting a sense of achievement from life.
Key
Features:
- Cognitive Restructuring: The therapist helps the
client identify distorted or negative thinking and replace it with more
rational, positive thoughts.
- Behavioural Activation: Encourages clients to
engage in activities that boost mood and improve well-being.
- Skills Training: Teaching clients coping
strategies, such as problem-solving, stress management, and relaxation
techniques.
- Homework Assignments: Clients are often given
tasks or exercises to complete between sessions, reinforcing learning and
progress.
Applications:
CBT is highly effective for a range of psychological issues, including anxiety,
depression, phobias, and obsessive-compulsive disorder (OCD). It is also used
in treating substance abuse, eating disorders, and trauma-related conditions.
Solution-focused counseling
Core
Concept:
SFBT is a goal-oriented, short-term therapy that focuses on solutions rather
than problems. It encourages clients to focus on what is working in their lives
and how to build on their strengths to solve current difficulties. The
therapist helps the client envision a future without the problem and identify
the steps needed to achieve that outcome.
Steve
de Shazer and Insoo Kim Berg developed Solution-Focused Brief Therapy (SFBT)
in the late 1970s while working at the Brief Family Therapy Center in
Milwaukee, Wisconsin.
This approach focuses
on the client's solutions rather than their problems. It emphasizes
collaborative work and the assumption that change is inevitable.
This
therapy promotes positive change rather than dwelling on past problems.
Practitioners will encourage you to focus positively on what you do well, set
goals and work out how to achieve them. Just three or four sessions may be
beneficial.
When
choosing a therapeutic approach, you can consider things like:
·
Whether the problem is new or recurring
·
Whether you need immediate relief
·
How much time you can commit to counseling
·
Whether you want to understand the
underlying cause of your problems
Key
Features:
- Future-Focused: Instead of dwelling on
the past or analyzing problems in-depth, the therapy focuses on future
solutions and desired outcomes.
- Strength-Based: SFBT emphasizes the
client's strengths, resources, and previous successes in resolving
challenges.
- Goal Setting: Clear, measurable, and
realistic goals are established early in the therapy process.
- Scaling Questions: The therapist may ask
clients to rate their current progress or feelings on a scale, helping to
track improvements.
Applications:
SFBT is especially useful for clients who need rapid, practical solutions, such
as those dealing with life transitions, relationship problems, or work-related
stress. It is also effective in organizational settings, coaching, and crisis
intervention.
Comparison of Approaches:
Aspect |
Person-Centred |
Cognitive-Behavioural (CBT) |
Solution-Focused (SFBT) |
Focus |
Self-exploration
and personal growth |
Challenging
and changing negative thoughts |
Future
goals and solutions |
Role
of Therapist |
Facilitator,
empathetic listener |
Instructor,
coach |
Guide,
collaborator |
Duration |
Can
be long-term |
Structured,
time-limited |
Short-term,
often brief |
Client
Role |
Active,
autonomous |
Active,
follows structured tasks |
Active,
solution-focused |
Applications |
Self-esteem,
personal issues |
Anxiety, depression |
Life
transitions, crisis, relationship issues |
CONCLUSION :
- Person-Centred therapy provides a
supportive space for clients to explore their inner world, often leading
to greater self-awareness and personal growth.
- CBT offers practical
techniques for clients to manage specific psychological issues by changing
the way they think and behave.
- SFBT emphasizes efficiency
and solutions, making it a great option for clients seeking quick,
actionable steps for specific challenges.