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Psychotherapy/Counselling

We like to view psychotherapy as "physiotherapy for the mind." Much the way physiotherapy can be used to address minor psychical issues like a strained rotator cuff or a major issue such as a significant back injury; psychotherapy can be used to address a host of psychological issues. These issues can range from minor challenges such as dealing with worry and feelings of unhappiness to more significant mental health issues such as debilitating anxiety attacks or severe depression. We have included the word "counselling" beside "psychotherapy" throughout our website, as it is a term that people are often more comfortable and familiar with when referring to psychological treatment.

What Is Psychotherapy/Counselling?

Psychotherapy/counselling refers to different psychological treatment methods that are used to help address a particular issue. With the psychotherapies we use at Sullivan + Associates, this process typically involves examining the relationship between thoughts, behaviours and feelings and how these areas impact psychological functioning. Once the problematic issue is identified and understood, a treatment plan is developed which typically involves learning psychological skills and strategies to help clients achieve the results they want.

If you wish to learn about what to expect at an initial psychotherapy/counselling sessions or future psychotherapy/counselling sessions, please click the appropriate link for more information.

At Sullivan + Associates, we believe that effective psychotherapy/counselling should be efficient, goal-oriented, collaborative and evidence-based.

Efficient

With psychotherapy/counselling, there can be the misperception that making a change and achieving a specific goal has to take an extended period. According to the College of Psychologists of Ontario, many psychological issues can be treated effectively within 8 - 20 psychotherapy/counselling sessionsAt our clinic, we find that clients typically average anywhere between 4 - 12 sessions based on the complexity of the issue (or issues) and how long the issue has been difficult for the client to manage. For instance, treatment for issues such as Posttraumatic Stress Disorder (PTSD) can take longer to treat effectively based on the number and severity of traumatic incidents.

Goal-Oriented

When clients begin psychotherapy/counselling, it is important that the client and clinician collaborate to outline specific goals and establish a plan to achieve these goals in the proper order. Our objective is not to have clients attend sessions to simply provide an update about their life since the previous session. Rather, there is a quick update about how the client has been functioning since the previous session, and unless there is a very pressing issue that needs to be addressed, the focus will return to learning and adapting skills and strategies to help clients achieve the results they want.

Collaborative

Studies show that collaboration between the client and the clinician is critical for success in psychotherapy/counselling. With psychotherapy/counselling, collaboration always begins with establishing rapport. It is critical that clients feel relaxed and comfortable with their clinician, as this will make it easier to freely provide information and commit to engaging in the therapeutic process.

Evidence-Based

With an evidence-based approach, it increases the chance that an issue will be identified correctly and treated effectively. An evidence-based approach can also help to prevent someone who is struggling with a mental health issue from suffering unnecessarily when the problem can be treated effectively and efficiently. Another advantage of participating in evidence-based treatment is that the risk of relapse decreases notably.

In psychotherapy/counselling, most evidence-based treatment approaches focus on the relationship between thoughts, feelings and behaviours and the development of a systematic plan to bring change to each of these areas to overcome an issue.

What Types of Psychotherapy/Counselling Are Used?

There are many different types of psychotherapy/counselling. One of the most effective therapies for common psychological issues, such as depression and anxiety, is Cognitive Behavioural Therapy (CBT), which is widely used at our clinic. Specific CBT techniques and additional therapies used within our clinic also include Dialectical Behaviour Therapy (DBT), Exposure and Response Prevention, Eye movement Desensitization and Reprocessing (EMDR), and Mindfulness.

Below is a description of the primary evidence-based approaches we use in our clinical practice.

Cognitive Behavioural Therapy (CBT)

CBT focuses on managing problems by changing how people think (cognitive) and how they act (behavioural).

The goal of CBT is to change patterns of thinking or behaving that contribute to problems or are ineffective in helping you to overcome an issue. When patterns of thinking and behaving have been improved, people feel better.

For example, if someone is experiencing anxiety attacks, the cognitive portion of therapy would help someone to challenge negative, inaccurate thoughts about their feelings of anxiety (e.g., “My anxiety will never go away,” “Anxiety is physically hurting me.”).

The behavioural aspect of treatment would focus on training the person to relax their body by using techniques such as deep breathing, progressive muscle relaxation, etc.

When you combine changing how you think (i.e., challenging negative and inaccurate thoughts) and changing how you act (i.e., use relaxation techniques), it helps to improve how you feel (i.e., anxiety attacks occur with less frequency and with decreased intensity).

Dialectical Behaviour Therapy (DBT)

Dialectical means bringing two opposites in therapy together: acceptance and change. This form of treatment can be particularly helpful for people who struggle with managing emotions (i.e., rapid shifts in mood, sudden outbursts of anger, etc.).

Exposure and Response Prevention

Exposure therapy was developed to help people confront feared objects, activities or situations. Generally speaking, people are naturally inclined to avoid things they fear to reduce feelings of distress. This helps to prevent feelings of anxiety in the short-term but it serves to increase feelings of anxiety in the long-term.

Mindfulness

Mindfulness skills are a cornerstone of Dialectical Behaviour Therapy (DBT); however, it is commonly used as a stand-alone therapy as well.

Mindfulness involves establishing a moment-by-moment awareness of our thoughts, feelings, bodily sensations and the surrounding environment. Individuals are instructed to pay attention to their thoughts and feelings without judging or believing there is a right or wrong way to think or feel. This treatment approach can be highly effective in helping people to maintain a sense of calm, even while managing difficult emotions.

Eye Movement Desensitization and Reprocessing (EMDR)

EMDR is a treatment that was developed to reduce the effect of distressing memories by engaging the brain’s neural adaptive information processing mechanisms. This is accomplished by following an 8-step process that instructs people to recall a distressing memory while engaged in bilateral sensory movements (e.g., side-to-side eye movements, bilateral auditory, bilateral tapping on knees, etc.). Please note: this approach is not hypnosis, and individuals remain consciously aware throughout the process.

Play Therapy

Play therapy is generally used at our clinic with children between the ages of 4 and 8 years old. With this form of treatment, children are encouraged to express their feelings through play, which is a natural self-guided process. For children, playing offers a way to express their knowledge and experiences in a fun and easy manner. In addition, the child's play materials and interactions with the clinician can help provide insight into a child's behaviour.

Common goals that can be achieved through play therapy include developing better social skills, improved emotion regulation skills, as well as processing traumatic incidents from the past.