Distinctions Between Different Types of Therapy

Updated on: March 6, 2025

With so many different types of therapy out there, where do I start?

It can be daunting going into an initial consultation with a psychotherapist, unsure about what sort of approach would work for you, especially if you’ve never sought out therapy before. While many therapists come to use a range of modalities in their work, it may be supportive to have a general idea about what types of therapy resonate with you.

It’s also not uncommon for me to hear from the individuals I consult with that they have pursued therapy in the past, and while people take breaks or change therapists for many of reasons, one reason for shifting gears may have to do with the therapist’s approach or primary modality not jiving or aligning so much with the client. With more information though, you might be able to advocate early on in your therapy process what way of working would feel good to you.

Table of Contents

Cognitive and Behavioral Therapies

Cognitive and Behavioral Therapies focus on addressing, acknowledging, observing and changing unhelpful patterns of thinking or behavior. They do this through inviting the client to take action in the here-and-now by assigning homework, developing skills, and practicing in-session strategies designed to target and shift specific problem areas in the client’s life.

Examples include Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), and Dialectical Behavior Therapy (DBT). These therapies work less with what’s underlying a client’s struggle, but more so with what they can control, and their motivation to work on change.

Humanistic and Experiential Therapies

Humanistic and Experiential therapies were among the first to centre the whole of the person in their treatment, rather than a single area or two in that person’s life, tailoring interventions to address the unique experience of the individual.

These therapies are less interested in solving a client’s problem and more interested in buttressing their experience of personal capability, their strengths to help themselves while scaffolding them through vulnerability. Examples include Emotion-Focused Therapy (EFT), Person Centered Therapy, and Narrative Therapy.

Psychodynamic Therapies

Psychodynamic therapies prioritize depth, and exploring prospective root causes for clients’ struggles or unhelpful patterns, which may at first be out of their awareness; they view having context and meaning for why we are the way we are or why we do the things we do as instrumental to making lasting changes.

Many of these therapies also view reflecting on client-therapist dynamics as important to self understanding and meaning making. Examples include Relational Psychotherapy, Psychoanalytic Psychotherapy, and Object Relations Psychotherapy.

Somatic Therapies

Somatic psychotherapies primarily work with the body; they may be sought out by those who experience their emotional distress physically, or by those who do not respond to traditional talk therapy methods. Somatic psychotherapies explore how emotions manifest in the body, tracking bodily responses and reactions throughout sessions; they may also connect bodily sensations to emotions and memories. Examples include Eye Movement Desensitization and Reprocessing (EMDR), Somatic Experiencing, Sensorimotor Psychotherapy and Bioenergetic Therapy.

As a therapist I take an eclectic and integrative approach, blending different types of therapy – psychodynamic, humanistic, and some behavioural based approaches remain at the foundation of my work. Please feel welcome to reach out via my contact page for a 20-minute virtual consultation to explore how I work as a therapist and how I could support you in sessions. Please allow for 24 business hours to receive a response. I look forward to connecting with you!

Different Types of Therapy FAQs

What is the difference between therapy and counseling?

While there can be a lot of overlap between psychotherapy and counselling, counselling may be more directive, advice-forward, shorter term, or focus more intently on a specific area of a person’s life. Generally, it can take a more solution focused stance, where therapy may more commonly work with a broad range of issues and address more complex mental health concerns.

What is the difference between therapy and coaching?

Where psychotherapy works mainly with the present and past, coaching may focus more dominantly on the future, and on the clients’ achievement of their future goals. Furthermore, psychotherapy is a form of healthcare, where coaching lives in the realm of self-development and wellness. Only licensed and accredited professionals may offer psychotherapy or counselling in certain jurisdictions. There are no governing bodies currently regulating coaching.

What is the difference between therapy and social work?

Sometimes we don’t know whether we need therapy or a more hands-on approach within our communities. While clinical social workers may provide therapy, those seeking guidance for navigating specific systemic challenges or wanting lower-cost community-based resources may find that reaching out to a not-for-profit agency would be more aligned with their current support needs than a clinician in private practice who charges based on a fee-for-service model.

What is the difference between cognitive and behavioral therapy?

Cognitive therapies focus on identifying and changing negative thought patterns, while behavioral therapies encourage action-based strategies to improve emotional and mental well-being.

How does psychodynamic therapy differ from other approaches?

Psychodynamic therapy explores deep-rooted emotional patterns, unconscious conflicts, and past experiences to bring awareness and long-term change.

What are somatic therapies used for?

Somatic therapies help clients process emotions through bodily awareness, making them beneficial for trauma, stress, and mind-body connection issues.

Can I combine different types of therapy?

Yes, many therapists use an integrative approach, blending techniques from multiple therapy types based on the client’s needs and goals.

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