Mental health is usually the most neglected part of one’s overall being. Even in the United States where so many eat unhealthy, ignore annual testing, and critical bloodwork and basic health, mental health even lags farther behind in concern. However, when physical symptoms of malady occur, quick and urgent solutions are sought through a physician. If one becomes acutely ill, one is encouraged to visit the doctor and find remedy, but when one manifests emotional or mental symptoms, far too many times, the symptoms are masked, ignored, or dismissed as “crazy” or as if only in one’s mind. While individuals are not labeled or stigmatized for high cholesterol or diabetes, individuals with anxiety, or depression are many times made to feel less or insane or mentally weak.
Mental health is health and it is important. Mental health is not something that just exists in one’s mind but it tied to not merely social and behavioral issues but also tied to physiological and biological factors that at times require medication like any outward condition. What exists in the mind is real and it is connected to physical health as well and if not treated can lead to other physical as well as social issues. Psychotherapy serves as a crucial way to help individuals understand themselves, their conditions and to validate their emotions. It grants to them a therapeutic relationship to find healing, as well as to find ways to cope and create better and safer ways of thinking and behaving. This short blog will look at what psychotherapy is, its efficacy, and some schools of psychotherapy and their techniques in helping individuals find healing.
Please also review AIHCP’s Healthcare Certifications, as well as its Behavioral Healthcare Certifications which include grief counseling, crisis counseling, trauma informed care, stress management, anger management, meditation instructor, Christian and spiritual counseling and many more!
What is Psychotherapy?
Psychotherapy is considered a type of talk therapy to face individuals in psychological distress (Wampold, 2019). It is considered to be an acceptable as well as beneficial healing practice with roughly 10 million Americans involved in some type of psychotherapy a year (Wampold, 2019). The effectiveness of psychotherapy includes treatments for depression, anxiety, substance abuse, obsessive compulsion disorders, eating disorders, trauma, sexual and marital issues. Despite the effectiveness, the stigma and dismissal of mental health leaves up to 40 percent of the people who would be considered by the Diagnostic and Statistical Manual of Mental Disorders or the DSM-5 as not receiving the mental help they require and need (Wampold, 2019).
Care for mental health is not something new that merely emerged onto the world stage upon the advent of modern science but has existed throughout the centuries through more humanistic and pastoral venues. These modalities utilized empathy, caring and meaning making within religious contexts to help people find peace and security in times of depression and anxiety (Wampold, 2019). However, at the turn of the 19th Century, the scientific method gained prominence in all fields of human inquiry and this eventually also effected the way individuals analyzed and studied mental health. In the later part of the 19th Century and early 20th Century, Sigmund Freud would emerge as a leader in psychoanalytic theory which would primarily utilize talk therapy as a way to understand mental pathology through the lens of the conscious and unconscious mind.
Following Freud, in the Mid 20th Century, the school of Behaviorism would become a dominant force through pioneers such as Joseph Wolpe and later Cognitive Behavioral Theory through the thoughts and genius of Aaron Beck and Albert Ellis. Later, more patient and modern concepts of Person Centered Therapies emerged through the concepts of Karl Rogers which emphasized the therapeutic relationship. In the post modern era, there are numerous different schools as well that not only have different approaches but also consider various cultural and gender based aspects of mental health and care.
Schools of Psychotherapy
According to Tan, there are numerous schools of thoughts in psychotherapy with some being completely original, while others are offshoots and subdivisions of others. More differing schools of thought can at times be at odds at core values and retain heated rivalries of thought, while other schools share similar core concepts and integrate previous concepts to evolving changes in modern treatment. There to this day exist pure schools of one discipline that a licensed professional can train within, as well as therapists who treat within that particular and only therapy, but many therapists and licensed counselors or social workers usually adhere to a blend of different methodologies borrowed from different schools to meet the needs of a client. Among the numerous schools exist Psychoanalytic Therapy, Adlerian Therapy, Jungian Therapy, Existential Therapy, Person-Centered Therapy, Gestalt Therapy, Reality Therapy, Behavior Therapy, Cognitive Behavior Therapy, Mindfulness and Acceptance-Based Therapy, Constructivist Therapy, Integrative Therapy, Positive Psychology and Marital and Family Therapy (Tan, 2022).
We will examine only a few below to give a some understanding of the different modalities
Psychoanalytic Therapy
Psychoanalytic theory as proposed by Freud looks into the subconscious of a person to understand hysteria or pathology. Freud understood the human mind to consist of the Id, Ego and Superego. The Id represented humanity’s most basic instincts and drives. The ego represented humanity’s personal desires and sense of self. The Superego was the person’s superimposed cultural and religious ideals of right or wrong and morality. When these were in conflict, anxiety resulted. In addition, based upon one’s past progression throughout various sexual stages of life, one could become stunted or face pathology due to lack of development. These issues could be found within the forgotten subconscious manifesting later in life as pathology. Freud incorporated a variety of talk therapies to confront defense mechanisms that hid the problems of the mind, as well as dream analysis to help the person uncover the trauma or repressed event of the past. Freud’s strict adherence to his theories led to divisions with Alfred Adler as well as Carl Jung (Wampold, 2019).
Behavior Therapy
Behavior Therapy is the most empirical and studied based of the therapies. It stems from empirical observation and positivism of the early 20th Century and looked to understand mental health and behavior as something that stemmed from one’s environment. Behavior Therapy finds its core and foundational base in both classical and operant conditioning. Classical conditioning is based off Pavlov’s experiments with dogs and how they responded to various stimuli. Pavlov discovered that an unconditional response to a natural stimuli such as salivating to the presence of food, could become conditioned via a conditioned stimuli associated with the unconditioned one to create the same salivation or now conditioned response. For instance, the ringing of a bell associated with dinner time, over time could still elicit salivation when food was gradually removed from the sound. This proved that one could be conditioned or counter-conditioned to respond and behave to certain introduced stimuli and possible reverse negative behaviors. In addition to classical conditioning, Behavior Therapy also emphasizes the importance of operant conditioning which is based off basic child rearing of reward and punishment of certain behaviors. Parents can reward certain acts for good behavior through positive reinforcement, or remove negative stimuli from the event via negative reinforcement to increase or maintain a certain behavior If the parent is not looking to increase or maintain a behavior through positive or negative reinforcement, the parent can look to remove or decrease a certain behavior via punishment (Tan, 2022). These types of extinction approaches are how behavior can be modified through external stimuli via operant conditioning. Behavior Therapists utilize a variety of methods to help change behavior through modeling, token economies, systematic desensitization, and relaxation strategies (Tan, 2022).
Cognitive Behavioral Therapy
Cognitive Behavior Therapy can be divided into Cognitive Therapy (CB) of Beck and Rational Emotive Behavior Therapy (REBT) of Ellis. There are multiple others based as well found within the CBT family tree including Stress Inoculation Training (SIT) as well as later developed mindful schools that include Dialectical Behavioral Therapy (DBT), as well as Mindfulness Based Stress Reduction (MBSR), Mindfulness-Based Cognitive Therapy (MBCT) and Acceptance and Commitment Therapy (ACT) (Tan, 2022).
The primary branching of CBT from Behavior Therapy was the less deterministic view of conditioning and basing more human behavior on the response to mental representation of stimuli and hence the importance of understand pathology under the lens of a person’s cognition, attitude and perception of what is occurring (Wampold, 2019). Beck believed that cognitive distortions were a key issue with many mental issues. He introduced the idea of cognitive restructuring and helping the client restructure through coping strategies and problem solving therapies (Tan, 2022). So CBT looks beyond the mere limitation of maladaptive habits being formed due to external conditioning, but more attributes them to maladaptive or irrational thinking that leads to maladaptive feelings and behaviors (Tan, 2022). Beck listed a variety of cognitive distortions such as arbitrary inferences, selective abstractions, overgeneralizations, magnifying and minimizing, personalizing, and dichotomous thinking that lead to maladaptive behaviors (Tan, 2022). Ellis added that mental constructs such as “must”, “should” or “got to” can also lead to human unhappiness, emotional problems or neurosis (Tan, 2022).
Beck introduced techniques and interventions that challenged the person to question and overthrow maladaptive thinking and cognitive processes. He endorsred such talk therapies that included analyzing one’s own words that one uses to better understand one’s thinking (Idiosyncratic Meaning, as well as questioning the evidence of claims, reattribution or reevaluating other ways to interpret events, as well as as a host of other concepts such as decatastrophizing, fantasized consequences, labeling and scaling (Tan, 2022). Ellis also added such techniques and therapies as direct disputation or challenging of a belief, as well as his ABC model which included homework for the client to directly monitor and journal certain thoughts. Ellis also utilized humor, as well as role playing as effective methods to counter certain cognitive maladaptive thoughts (Tan, 2022).
Person Centered Therapy and Existentialist Therapies
Karl Rogers was instrumental following the behavioral theory waves with incorporating a more person centered type therapy that focused more strongly than ever before on the counselor/client relationship. Many of his counseling techniques and strategies are core elements of modern counseling. Rogers emphasized empathy, genuineness and unconditional positive regard for the client. Unlike past therapies, the counselor became a guide that helped the client uncover what is best for themselves. This now type of therapy unfolded into a person discovering their own ability of self healing through a tender guide and counselor.
Rogers hoped to allow the person to actualize their potential through a empathetic relationship. In valuing the experience itself, the counselor looks to help the client find personal growth through the person’s own actualization by discovering one’s true self and self worth. Person Centered Therapy looks to not solve the problem but help the person find the ability to heal and grow through congruence, empathy, unconditional positive regard and genuineness (Tan, 2022).
Existential therapies find their origin in existentialist philosophy. Individuals need to find meaning in their lives to find purpose and understanding of their human condition. One needs to embrace their inherent freedom to find meaning in their particular life. Meaning and labeling can lead individuals from dark places, but when this meaning is lacking, then it becomes difficult to move forward. Victor Frankl, a survivor of the Nazi concentration camps, wrote extensively on meaning making and Logotherapy as ways to find meaning and to control one’s life. (Tan, 2022). Within the core of all existentialist philosophy is understanding the nature of anxiety as a natural part of life, taking control of one’s life, accepting the realities of life and death, and moving forward with a sense of meaning to one’s own life and journey (Tan, 2022).
What Therapy is Best
Despite the numerous therapies listed, or discussed, no one therapy has a true monopoly over another. Each have their own strengths and weaknesses and some even share in various common threads that tie them together. For instance, if one looks at views on human nature alone, psychoanalytical portrays a pessimistic outlook, behavioral portrays a neutral one, while humanistic paints an optimistic view. In regards to development, psychoanalytic sees human development as a series of psychosocial sexual stages tied to attachment theories, while behavioral views development from a learning and experiential standpoint. From a health standpoint, psychoanalytic views health as balance with ego, id, and superego, as well as security and healthy attachments, while behavioral schools view mental health as healthy adaptations, cognitions and absence of dysfunction. Humanistic schools would see health as congruence, awareness and acceptance of self. In regards to goals and outcomes, psychoanalytic would hope for a personality change due to a resolution between the subconscious mind and one’s current state. Behavioral schools would consider distress reduction and adaptive functioning as a final goal, while humanistic schools would for authenticity of self, self actualization and a meaningful existence as key (Wampold, 2019).
All of these outcomes seem healthy and each are achieved through different perceived roles of the therapist. One as direct and distant observer in psychoanalytic, one as a guide in behavioral, and one as a facilitator in person centered (Wampold, 2019). Ultimately the most important characteristic in any therapy is how well the therapist adheres to it and how well the client responds to it. In fact, the counselor/client relationship remains one of the most important elements in psychotherapy (Wampold, 2019). This is ironic, since of the major three, Person Centered Therapy values this relationship the most within the therapeutic relationship as emphasized by Rogers. Ultimately, the client makes it work (Wampold, 2019).
Regardless, even if Behavioral Therapy and CBT have the most empirical studies, no one therapy proves to stand out above another. It ultimately depends on the needs of the client and how their own individual needs respond to it. In this way, psychotherapy is more diverse and subjective than traditional physical medicine. Most counselors do not adhere to merely one theory but hold to a hybrid approach which finds a totality of truth in all of them together. They hence can cherry pick various techniques for certain clients and integrate as needed for the client (Wampold, 2019).
Psychotherapy, nonetheless, as a branch within itself, remains effective for mental health.
Conclusion
Psychotherapy is critical to mental health. Many face stigma over mental health and unfortunately, many disregard it as not as crucial or important as physical health. The reality is mental health is health and needs to be addressed through the variety of psychotherapies available. Many of the schools are very diverse in thought, while others share common attributes, but despite their differences, studies show all to be equally effective. Ultimately it comes down to the client and the abilities of the therapist. In fact, many therapists share and integrate from different schools of thought to find the best outcome of the patient.
Please also review AIHCP’s numerous healthcare certifications and see if they meet your academic and professional goals. Please bear in mind, AIHCP’s certifications are not modalities of practice in themselves. AIHCP does not certify a licensed counselor in a particular modality but in certain types of counseling that are not regulated at the state level, such as grief counseling, or crisis counseling. Pathology and treatments discussed are reserved for licensed clinical counselors, social workers, psychologists and psychiatrists alone. AIHCP behavioral health certifications are available to both clinical and non-clinical professionals and to be utilized within the scope of their professional and legal practice.
References
Tan, S-Y. (2022). Counseling and psychology: A Christian perspective (2nd Edition). Baker Academic.
Wampold, B. (2019). The basics of psychotherapy: An introduction to theory and practice. APA.
Other AIHCP Blogs
CBT. Access here
Behavioral Therapies. Access here
Rogerian Therapy and Depression. Access here
Freud and Defense Systems. Access here
Additional Resources
Guy Evans. (2025). Psychotherapy: Definition, Types, Techniques, & Efficacy. Simply Psychology. Access here
Psychotherapy (2022). Cleveland Clinic. Access here
Psychotherapy. Mayo Clinic. Access here