Most people exploring counselling are choosing between three well-established approaches: Cognitive Behavioural Therapy (CBT), Psychodynamic Therapy, and Humanistic (often Person-Centred) Therapy. Each works differently, but all aim to help you feel and function better.
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CBT focuses on how your thoughts, feelings, and behaviours interactâand gives you practical tools to change unhelpful patterns.
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Psychodynamic therapy looks beneath the surfaceâpast experiences, unconscious patterns, and relationship dynamicsâto create deeper, lasting change.
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Humanistic (Person-Centred) therapy offers a warm, non-judgemental space that helps you understand yourself, build self-acceptance, and find your own way forward.
Understanding the landscape
Choosing a therapy can feel a bit like choosing a new pair of shoes: there are plenty of good options, but the ârightâ one is the one that fits you. Therapies vary in how structured they are, how much they focus on the present versus the past, and how directive the therapist will be. Below, Iâll walk you through the three main types in plain English, with the kind of friendly guidance Iâd give a mate over a cuppa.
1) Cognitive Behavioural Therapy (CBT)
What it is: A practical, present-focused approach that links thoughts (âIâm going to failâ), feelings (anxiety), and behaviours (avoidance). By experimenting with new ways of thinking and acting, you retrain the cycle.
What it helps: Anxiety disorders (including panic, phobias, health anxiety), low mood and depression, OCD, insomnia, and stress. Itâs also widely used for chronic pain management and workplace burnout.
What sessions feel like: Expect a collaborative plan, clear goals, and âhome practiceâ between sessions. Youâll learn tools such as thought-challenging, exposure in small, safe steps, and problem-solving. Itâs structured, measurable, and often time-limited (for example, 8â20 sessions).
Why people choose it: You want skills you can use straight away, prefer a clear framework, and like tracking progress. If you enjoy worksheets, apps, or step-by-step strategies, CBT might feel like a good fit.
A gentle caution: Because itâs focused on the here-and-now, CBT may feel a little brisk if youâre craving space to explore deeper themes around identity, childhood, or long-standing relationship patterns.
2) Psychodynamic Therapy
What it is: A depth-oriented approach that explores how past experiences shape your current lifeâespecially the patterns that keep repeating. It pays attention to the âunconsciousâ (the bits we donât yet see clearly) and to how your relationship with the therapist can mirror other relationships.
What it helps: Long-standing difficulties with self-esteem, intimacy, repeated conflicts, creative blocks, and complex grief. It can be especially helpful when problems feel chronic or puzzling (âWhy do I end up here again?â).
What sessions feel like: More open-ended and reflective. Thereâs less homework and fewer worksheets; instead, you talk freely and notice what arisesâmemories, feelings, even dreams. Some people work short-term; others prefer longer-term therapy to reshape deeper patterns.
Why people choose it: Youâre curious about the âwhyâ, not just the âhowâ. You sense that understanding your storyâand how it lives in the presentâcould unlock durable change.
A gentle caution: Progress can feel less linear. If youâre under time pressure and want immediate tools, you might prefer something more structured alongside it.
3) Humanistic (Person-Centred) Therapy
What it is: A warm, non-directive approach grounded in empathy, authenticity, and unconditional positive regard. Instead of telling you what to do, your therapist creates a genuinely accepting space where you can hear yourself think and feel.
What it helps: Life transitions, stress, identity questions, self-criticism, and situations where you âknowâ the answer intellectually but struggle to act on it. Itâs excellent for building self-trust and confidence.
What sessions feel like: Gentle, spacious, and deeply respectful. You set the pace and the agenda. Over time, feeling properly understood helps you access your own inner compass and make choices that fit who you are.
Why people choose it: Youâre seeking a compassionate sanctuary to clarify your values and directionâand you prefer discovering your own answers rather than following a plan.
A gentle caution: If you want a highly structured toolkit or a strong directive stance from the therapist, you may wish to blend this approach with CBT techniques.
So⊠which therapy should you choose?
Hereâs a friendly rule of thumb. If you want practical tools quicklyâperhaps for anxiety or insomniaâCBT is a great starting point. If youâre drawn to understanding recurring patterns or longstanding emotional themes, psychodynamic work can be transformative. If youâre craving a safe, non-judgemental space to reconnect with yourself and move at your own pace, humanistic therapy can be deeply healing.
Itâs perfectly sensible to mix and match across your mental-health journey. Many people start with CBT to stabilise symptoms, then move into humanistic or psychodynamic work to consolidate change. Others do the reverseâbeginning with exploration and adding skills when life throws curveballs. Thereâs no ârightâ sequence, only what serves you now.
Practical tips for getting started
Look for a therapist who feels like someone you could actually talk to on a difficult day. Check their trainingâCBT, psychodynamic, or humanistic/person-centredâand ask how they tailor sessions. A good therapist will explain their approach in plain terms, agree on goals with you, and review progress regularly. If it doesnât feel like a fit after a few sessions, itâs okay to try someone else; this is your wellbeing, and the relationship matters.
Finally, be kind to yourself. Therapy isnât about âfixingâ a broken person; itâs about supporting a whole person whoâs navigating a tough patch. Whether you choose CBT, psychodynamic, or humanistic therapy, youâre not starting from scratchâyouâre starting from experience. And with the right support, experience becomes wisdom.
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