Have you ever been in therapy? I’m guessing, as you are currently reading this post on a blog all about mental health, that the answer is yes. If so, did it help? I certainly hope so, but sadly many people try different therapists, as well as different flavours of therapy, and find them either minimally helpful or not much help at all.

Of course, this doesn’t mean that all therapies are unhelpful. It’s just that, in my experience, people often choose therapists without really understanding the exact type of therapy they offer, why it’s better/worse than other approaches, or whether it’s the best approach for them.

Let me give you a concrete example. If you have experienced trauma in your life, you will probably need professional help to recover from that. And so you may find yourself a nice, friendly, caring counsellor, who says what you need is to talk through those traumatic events in great detail. But for many people just talking about what they have been through, in an unstructured way, will not only be unhelpful, but actually re-traumatising.

You would need a trauma-informed therapy like EMDR, sensorimotor psychotherapy, somatic experiencing, trauma-informed stabilisation treatment, schema therapy or trauma-focused CBT. All of these approaches will help you process your traumatic memories in a safe, structured and focused way. Just talking about your experiences, in this case, is not the way to heal them.

Let me be clear – I’m not knocking counselling here. There are some wonderful counsellors out there and the work they do is invaluable. It’s especially helpful to get you through a tough time, like bereavement or divorce, when a kind, empathic, non-judgemental person is exactly what you need. But mainstream counselling is not designed to help with trauma, which is why it’s not the right choice if that’s the kind of help you need.

Finding your own path

The longer I do this work and the more therapy models I study, the more I believe that there is no one-size-fits-all approach to healing, whatever kind of psychological problem you are struggling with. I often think to myself, ‘What does this person need, at this moment, in this session?’ And I then draw from a wide range of theories, techniques and strategies in my mind to find just the right one for that person, in that moment.

You might also find that you need different therapies at different times in your life – where a highly focused, time-limited approach like CBT may be perfect for one phase of your life, a longer-term, less-structured modality like IFS may be right for another phase, or set of problems.

With that in mind, if you are considering therapy, here are some suggestions for finding your own path to healing, happiness and a flourishing life:

The relationship is everything. Whichever of the many wonderful therapies you choose, remember that the primary healing agent in any therapy is the relationship between you and your therapist. This is especially true in longer-term approaches, like schema therapy or psychodynamic therapy. But even in short-term models like CBT, feeling safe in the room (or online) with someone, that they get you, care about you, are warm and nurturing, is crucial. I often tell people to shop around – if you have an assessment with someone and it doesn’t feel right, trust your gut and find another person.
Trauma-informed therapies for trauma-processing work. As I mentioned earlier, it’s so important to find a trauma-informed therapy/therapist if you have experienced trauma in your life. The bigger and more impactful the trauma, the more important this is. So ask your prospective therapist about their model, experience and plans to help you heal. If their answers seem a little off, or unconvincing, keep shopping.
Therapy is just one piece of the pie. As well as integrating various therapy models in my work, I am also a holistic practitioner. I talk to my clients about many things, but top of the list is how much sleep they are getting and whether they exercise regularly. We are only beginning to understand the importance of sleep for mental and physical health (spoiler alert: it’s profoundly important).
And getting regular exercise is right up there with good-quality therapy, in my opinion. We need to move our bodies, in ways we enjoy, as often as possible. I’m talking weight-training, HIIT, spin classes, walking, swimming, yoga, dancing, running, vigorous gardening, rock climbing… Every system in your brain and body is built to work optimally when you’re moving, your heart rate is up, blood is pumping, your breaths are deep and skin is warm.
Extensive research shows that exercise is a powerful healing agent for stress, anxiety and depression – the three main types of psychological problem people struggle with. Meditation is also key, as are warm, loving relationships, a healthy (ideally Mediterranean) diet, moderate drinking, a healthy microbiome, mind-opening books and podcasts… Therapy is an important piece of the pie, but it’s certainly not the only one.

I hope you found that thought-provoking and helpful. I also hope you find the right person/approach for you, as that can be life-changing.

And if you are struggling right now, sending you love and warm thoughts ❤️

Dan