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12 Most Common Counselling Approaches
Source : https://positivepsychology.com/popular-counseling-approaches/
INDEX
1. Psychodynamic Counselling .........................................................................................................2
2. Interpersonal Counselling ............................................................................................................2
3. Humanistic/Client-Centered Counselling .....................................................................................3
4. Existential Therapy .......................................................................................................................3
5. Cognitive-Behavioral Therapy ......................................................................................................4
6. Mindfulness-based Counselling ...................................................................................................4
7. Rational Emotive Therapy ............................................................................................................5
8. Reality Therapy .............................................................................................................................5
9. Constructionist Therapy ...............................................................................................................5
10. Systemic Therapy .......................................................................................................................6
11. Narrative Therapy ......................................................................................................................6
12. Creative Therapy ........................................................................................................................6
13. Key Points of Counselling Approaches .......................................................................................8
1. Psychodynamic Counselling
Psychodynamic Counselling is probably the most well-known Counselling approach.
Rooted in Freudian theory, this type of Counselling involves building strong therapist-patient
alliances.
The goal is to aid clients in developing the psychological tools needed to deal with complicated
feelings and situations. Freud also was concerned with the impact of early experiences and
unconscious drives on behavior. This focus is evident in the following quote:
The conscious mind may be compared to a fountain playing in the sun and falling back
into the great subterranean pool of subconscious from which it rises
Sigmund Freud, Brainyquote.com
Some of the ways in which these drives are uncovered include dream interpretation, projective
tests, hypnotism, and free association.
Historically, psychodynamic therapy was a lengthy process, but nowadays, it also is applied as
a relatively short-term approach. Research has indicated effectiveness for both long- and short-
term psychodynamic treatment for the treatment of psychiatric issues (e.g., Bögels, Wijts, &
Oort et al., 2014; Knekt, Lindfors, & Härkänen, 2008; Leichsenring, Salzer, & Jaeger, 2009).
2. Interpersonal Counselling
Interpersonal Counselling is a diagnosis-focused approach in which the client’s disorder is
regarded as a medical illness that requires intervention (Markowitz & Weissman, 2004).
In this sense, any fault or self-blame is diminished for the client. The role of interpersonal
relationships and attachment on mental health outcomes are also important targets for this type
of Counselling.
It is a time-limited approach during which clients learn that their psychological issues are linked
to environmental stressors. Interpersonal counselors are supportive and compassionate, serving
as client allies.
Such therapists suggest ways for clients to deal with situations in a way that promotes self-
efficacy and reduced symptoms (Markowitz & Weissman, 2004). Based on clinical trials,
Interpersonal Therapy has been effective for the treatment of psychiatric disorders, especially
depression (Markowitz & Weissman, 2004).
3. Humanistic/Client-Centered Counselling
Humanistic Counselling is based on the assumption that individuals already possess the
qualities needed to flourish. This approach encourages curiosity, intuition, creativity, humility,
empathy, and altruism (Giorgi, 2005; Robbins, 2008).
Humanistic Counselling was first developed by Carl Rogers, who later founded Client-centered
Therapy—a humanistic Counselling style that helps clients reach their full potential as human
beings.
Client-centered Therapy promotes a safe climate in which the therapist is both empathetic and
nonjudgmental. In this way, the client experiences a sense of acceptance, openness, and
unconditional positive regard.
These ideas are beautifully articulated by Rogers, who noted that:
People are just as wonderful as sunsets if you let them be. When I look at a sunset, I
don’t find myself saying, ‘Soften the orange a bit on the right-hand corner.’ I don’t try
to control a sunset. I watch with awe as it unfolds.
Carl Rogers, Goodreads.com
Carl’s words also convey the importance of allowing the client to make his/her own discoveries
rather than providing a lot of therapist direction. Therefore, with a client-centered counselor,
the client usually does most of the talking. The therapist’s role is to guide clients in an accepting
way—helping them to see the beauty within themselves.
4. Existential Therapy
Existentialism is a philosophy aimed at examining the question of human existence. It is often
associated with 19th and 20th-century writers and philosophers such as Jean-Paul Sartre, Soren
Kierkegaard, Albert Camus, and Friedrich Nietzsche.
Existential thinking is also inherent in ancient Greek philosophy going as far back as Socrates—
469-399 BCE (Flynn, 2009).
Existential Therapy does not attempt to cure a person or diminish specific symptoms, but rather,
it seeks to explore and question aspects of the human predicament (Corbett & Milton, 2011).
The client is viewed as ever-changing and always in the process of becoming (Dryden, 2007).
The existential therapist operates from the client’s perspective to explore what it means to be
alive. He/she works with the client to examine unfulfilled needs and potential; and how to make
rational choices. While this Counselling approach is still evolving, research has indicated
significant reductions in anxiety and depression symptoms following short-term existential
therapy (Rayner & Vitali, 2015).
5. Cognitive-Behavioral Therapy
Cognitive-Behavioral Therapy (CBT) is grounded in the assumption that “emotional disorders
are maintained by cognitive factors, and that psychological treatment leads to changes in these
factors through cognitive and behavioral techniques” (Hofmann & Smits, 2008, p. 621).
In other words, by combining both cognitive and behavioral approaches, CBT is focused on
how thoughts AND behaviors dictate a person’s feelings in a given situation.
The following principles guide Cognitive-behavioral Therapy:
1. Mental health disorders involve key learning and information processing mechanisms.
2. Behaviors are better understood by exposing their true functions.
3. New adaptive learning experiences can be used to substitute prior nonadaptive learning
processes.
4. Therapists use a scientific approach to therapy by creating hypotheses about patients’
cognitive and behavioral patterns; by intervening and observing outcomes; and by
reframing original hypotheses as needed (Hazlett-Stevens & Craske, 2004).
A variety of different techniques and components may be included in CBT therapy, such as
exposure, social skills training, cognitive restructuring, problem-solving training, journaling,
and relaxation training—among others.
6. Mindfulness-based Counselling
Mindfulness-based Counselling is grounded in mindfulness philosophy which “refers to a
process that leads to a mental state characterized by nonjudgmental awareness of the present
moment experience, including one’s sensations, thoughts, bodily states, consciousness, and the
environment while encouraging openness, curiosity, and acceptance” (Hofmann, Sawyer, &
Witt et al., 2010, p. 169).
During mindfulness-based therapy, the client pays attention to his/her feelings and thoughts in
the moment, and without judgment. Following Buddhist traditions, it is an openminded and
accepting way of responding to thoughts (Kabat-Zinn, 2005).
Mindfulness-based Counselling is an increasingly popular approach aimed at helping clients to
increase relaxation while removing negative or stressful judgments. This technique helps to
teach clients how to deal with emotional stressors reflectively instead of reflexively (Hofmann
et al., 2010).
Different types of mindfulness meditation approaches may be applied as part of mindfulness
Counselling such as yoga, breathing meditation, sitting meditation, bodyscan, and soundscan.
Bodyscan involves attending to different parts of the body in a gradual format while tensing
and then relaxing muscles. With soundscan, responses to sounds are adjusted such that their
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