Understanding Therapy Types: CBT, DBT, EMDR & More Explained
With so many therapeutic approaches available, choosing the right type of therapy can feel confusing. Should you try CBT for your anxiety? Would EMDR help with your trauma? What is the difference between psychodynamic and humanistic therapy?
This comprehensive guide breaks down the major therapy types available in the UK, explaining how each works, what conditions they treat best, and how to decide which might be right for you.
Why Different Therapies Exist
Mental health is not one-size-fits-all. Different approaches have developed over the past century based on varying understandings of how the mind works, what causes psychological distress, and how change happens. Some therapies focus on changing thoughts and behaviours; others explore past experiences; still others emphasise acceptance and mindfulness.
Cognitive Behavioural Therapy (CBT)
What Is CBT?
CBT is one of the most widely practised and researched forms of therapy. Developed by Aaron Beck in the 1960s, it is based on the idea that our thoughts, feelings, and behaviours are interconnected. Negative thought patterns can create a vicious cycle that maintains psychological distress.
How It Works
CBT is structured, goal-oriented, and present-focused. You will work with your therapist to identify negative thought patterns, challenge distorted thinking, develop practical coping strategies, and learn skills you can use independently.
What CBT Treats Best
NICE recommends CBT for: Depression, Generalised anxiety disorder, Panic disorder, Social anxiety, OCD, PTSD, Eating disorders, Insomnia
Duration
CBT is typically short-term, ranging from 6 to 20 sessions.
Dialectical Behaviour Therapy (DBT)
What Is DBT?
DBT was developed by Marsha Linehan in the 1980s specifically for borderline personality disorder. It combines cognitive-behavioural techniques with mindfulness practices.
How It Works
DBT focuses on four key skills: Mindfulness, Distress Tolerance, Emotion Regulation, and Interpersonal Effectiveness.
What DBT Treats Best
Borderline personality disorder, Chronic suicidal thoughts, Eating disorders, Substance abuse, Complex PTSD
Eye Movement Desensitisation and Reprocessing (EMDR)
What Is EMDR?
EMDR uses bilateral stimulation while the client recalls distressing experiences to help process traumatic memories.
What EMDR Treats Best
NICE recommends EMDR for PTSD. It is also used for trauma, phobias, complicated grief, and performance anxiety.
Psychodynamic Therapy
What Is Psychodynamic Therapy?
This approach explores how unconscious processes and past experiences shape present behaviour, emotions, and relationships.
What It Treats Best
Depression, Anxiety, Relationship difficulties, Low self-esteem, Personality issues, Unresolved grief
Acceptance and Commitment Therapy (ACT)
What Is ACT?
ACT belongs to the third wave of CBT, emphasising mindfulness, acceptance, and values rather than just symptom reduction.
What ACT Treats Best
Anxiety disorders, Depression, Chronic pain, OCD, Workplace stress
Comparing Therapy Approaches
| Therapy | Best For | Duration | Structure |
|---|---|---|---|
| CBT | Anxiety, depression, OCD | Short (6-20 sessions) | High |
| DBT | BPD, self-harm, intense emotions | Medium-long (6-12+ months) | High |
| EMDR | PTSD, trauma | Short-medium (6-12 sessions) | Medium |
| Psychodynamic | Deep-rooted issues, relationships | Open-ended | Low |
| ACT | Anxiety, depression, values conflicts | Short-medium | Medium |
How to Choose the Right Therapy Type
Consider your goals, practical factors like time and cost, and your personal preferences. Many therapists are integrative, combining elements from different approaches.
Ready to Find a Therapist?
About the Author: This guide was produced by Seekapsych, London’s leading therapist matching service.
