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What is Psychotherapy?

Before starting therapy, people understandably want to know what therapy is about, and how a therapist can help them. These are legitimate questions. Let’s try to answer them.

Psychotherapy is an English word of Greek origin, which is derived from Ancient Greek psyche (meaning “breath; spirit; soul”) and therapeia (“healing; medical treatment”). Psychotherapy today is a practical application of psychology. Psychology was officially recognized as science in 1879, when Wilhelm Wundt opened the first experimental psychological clinic. However, psychotherapy is significantly older than psychology. Initially, it was a combination of religious, magical and/or medical perspectives and was informally practiced throughout all ages when people received consultation and reassurance from others. In ancient Greece, serious mental illness was recognized as a mental condition rather than attributed to the demonic possession.  First theoretically-based psychotherapy was probably developed in the Middle East in the 9th century by the Persian physician and philosopher, Rhazes, who was a practicing physician at the psychiatric hospital in Baghdad.

In the West, serious mental illness was treated as demonic or medical conditions that required punishment or isolation, until the 18th century,  when the possibility of psychosocial intervention with a purpose of rehabilitation of the  “insane” was introduced.  However, Sigmund Freud was the first person to develop a method of psychotherapy at the end of the 19th century. Freud used the method of free associations to access unconscious in order to recognize suppressed memories and impulses that he saw as a reason of patient’s problems. Since then, many theoretical approaches in psychotherapy have emerged, including psychoanalysis, cognitive, behavioral, interpersonal, humanistic/existential and many others. In USA, psychologists primarily focused on psychological assessment. After the World War II, more and more psychologists started focusing on providing psychotherapy, which before that was a prerogative of psychiatrists.

Nowadays, psychotherapy has wide practical applications. Our overall functioning is a true combination of physical and mental health, with both aspects being strongly connected. While our physical health is perceived to be a focus of attention of medical professionals, our mental state and psychological wellbeing has a direct influence on our physical condition. For instance, for someone who has a serious illness, such as cancer, it is critical to take care of his/her mental health in order to help the body fight the disease. Psychotherapy is a strong instrument that can help people in many ways.

How Psychotherapy Can Help Me?

How Psychotherapy Can Help Me?

There can be different reasons that bring people to seek psychotherapy. Such reasons may include: depression, anxiety, relationship difficulties, grief/loss of loved ones, stress management, problems at work, unresolved childhood issues, feelings of “being stuck”, body image problems, etc.

Psychotherapist can provide support, enhance your coping strategies and help you strengthen your problem-solving skills. Therapist will utilize his/her theoretical knowledge along with empathic and listening skills in order to help you achieve your goals and promote your personal growth.

Since psychotherapy is a process, your therapeutic outcome will really depend on how much you invest yourself in therapy. Attending all scheduled therapy sessions along with your willingness to work during the sessions and at home will highly enhance the desired result. Unlike medications, which may be helpful and sometimes necessary in certain situations, therapy is aimed at the core of your problem, and actually treats a problem and not just lifts the symptom. Therapeutic progress cannot be achieved without building trust and a therapeutic relationship, so it is very important to establish such trust and a relationship first.

Since everyone has different goals for therapy, the structure of the therapeutic process and sessions will be different. Therapy entails not only the therapist listening to the client and making remarks, but also application of well-established specific theoretic approaches and therapeutic techniques, homework assignments, reading books and articles recommended by therapist, keeping a journal, etc. Depending on a client’s needs, therapy can take a shorter or longer time, or focus on a specific issue. Regardless of duration of therapy, regular weekly sessions are usually scheduled.

Some of the successful therapeutic outcomes may include:

  • Developing better understanding of yourself, your needs and goals

  • Learning how to improve your relationships

  • Managing anger, stress, depressive feelings and anxiety in a more efficient way

  • Improving your communication skills

  • Establishing more efficient new behavioral patterns

  • Learning about new ways to solve your marital and family problems

  • Improving self-confidence and boosting self-esteem

  • Finding new solutions to long-standing issues

What To Expect From The First Session?

After you decide to engage yourself in psychotherapy, you are welcome to contact me. Our first session will be devoted to assessment. I will ask you some questions that will help me get to know you better and determine your needs and goals for therapy. After I gather necessary information, you and I will discuss a treatment plan for you, including confidentiality, duration of therapy, therapeutic outcome and methods of payment.

In some cases, more thorough assessment may be required, which could include other methods of assessment, such as psychological testing. Applications of testing results and confidentiality matters will be discussed before any psychological test is implemented.

© 2020 by Irina Podolsky. All rights reserved.

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