Psychotherapy

=__**Psychotherapy**__=  In recent years, significant advances have been made in the field of psychotherapy. Psychotherapy, sometimes referred to as “talk therapy,” works on the assumption that the cure for a person's suffering lies within that person and that this cure can be facilitated through a trusting, supportive relationship with a psychotherapist. By creating an empathetic and accepting atmosphere, the therapist often is able to help the person identify the source of the problems and consider alternatives for dealing with them. The emotional awareness and insight that the person gains through psychotherapy often results in a change in attitude and behavior that allows the person to live a fuller and more satisfying life.  Psychotherapy is appropriate in a wide range of conditions. Even people who do not have a mental health disorder may find psychotherapy helpful in coping with such problems as employment difficulties, bereavement, or chronic illness in the family. Group psychotherapy, couples' therapy, and family therapy are also widely used.  Most mental health practitioners practice one of six types of psychotherapy: supportive psychotherapy, psychoanalysis, psychodynamic psychotherapy, cognitive therapy, behavior therapy, or interpersonal therapy. ([], 2005-2008)


 * Psychoanalysis** is the oldest form of psychotherapy and was developed by Sigmund Freud in the first part of the 20th century. The person typically lies on a couch in the therapist's office 4 or 5 times a week and attempts to say whatever comes to mind, a practice called free association. Much of the focus is on understanding how past patterns of relationships repeat themselves in the present. The relationship between the person and the therapist is a key part of this focus. An understanding of how the past affects the present helps the person develop new and more adaptive ways of functioning in relationships and in work settings. ([], 2005-2008)


 * Behavior therapy** is related to cognitive therapy. Sometimes a combination of the two, known as cognitive-behavior therapy, is used. The theoretical basis of behavior therapy is learning theory, which holds that abnormal behaviors are due to faulty learning. Behavior therapy involves a number of interventions that are designed to help the person unlearn maladaptive behaviors while learning adaptive behaviors. Exposure therapy, often used to treat phobias, is one example of a behavior therapy. ([], 2005-2008)


 * Cognitive Therapy** helps people identify distortions in thinking and understand how these distortions lead to problems in their lives. The underlying premise is that how people feel and behave are determined by how they interpret experiences. Through the identification of core beliefs and assumptions, people can begin to think in different ways about their experiences, resulting in improvement in symptoms, behavior, and feelings. ([], 2005-2008)


 * Group therapy** is a form of psychotherapy where two clients or more work with one or more therapists or counselors. This methods is a popular format for support groups, where group members can learn from the experiences of others and offer advice. ([], 2005-2008)


 * Electroconvulsive therapy,** electrodes are attached to the head, and while the person is sedated, a series of electrical shocks are delivered to the brain to induce a brief seizure. This therapy has consistently been shown to be the most effective treatment for severe depression. Many people treated with electroconvulsive therapy experience temporary memory loss. However, contrary to its portrayal in the media, electroconvulsive therapy is safe and rarely causes any other complications. The modern use of anesthetics and muscle relaxants has greatly reduced any risk. Other forms of brain stimulation, such as repetitive transcranial magnetic stimulation (rTMS) and vagal nerve stimulation, are under study and may be beneficial for people with severe depression that does not respond to drugs or psychotherapy. ([], 2005-2008)


 * Interpersonal therapy ** w as initially conceived as a brief psychological treatment for depression and is designed to improve the quality of a depressed person's relationships. It focuses on unresolved grief, conflicts that arise when people fill roles that differ from their expectations (such as when a woman enters a relationship expecting to be a stay-at-home mother and finds that she must also be the major provider for the family), social role transitions (such as going from being an active worker to being retired), and difficulty communicating with others. The therapist teaches the person to improve aspects of interpersonal relationships, such as overcoming social isolation and responding in a less habitual way to others. ([], 2005-2008)


 * Hypnosis and hypnotherapy** are often used to manage pain and treat physical disorders that have a psychological component. Hypnosis is simply the induction of a trance or altered state of consciousness, whereas hypnotherapy involves psychotherapeutic intervention in conjunction with the hypnotic state. These techniques may promote relaxation and thereby lower anxiety and reduce tension. For example, hypnosis and hypnotherapy can help people with cancer who have anxiety or depression in addition to pain. ([], 2005-2008)