The difference between Psychotherapy and Counselling: Guest post by Aaron James

November 13, 2019 ~ Eleanor Segall ~ 2 Comments

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In our age of information, choice and variety, there are hundreds of different types of therapy and counselling available. As a starting point, one of the most common questions asked is, what is the difference between counselling and psychotherapy?

The answer is much debated as the boundaries are not always clear, especially in the UK. However, it is generally stated that counselling is typically a shorter undertaking that focuses on the present and on current behaviours. On the other hand, psychotherapy addresses deeper, longer-term issues by exploring all experiences including those from childhood and with clients undergoing therapy for longer periods of time.

To get a fuller understanding, it helps to look at both the similarities and differences.

Blurred lines

The terms counselling and psychotherapy are frequently used with overlap and flexibility. Certain therapists offer both. Some psychotherapists choose to use the term ‘counsellor’ simply as a softer, more approachable title, some use counselling as part of a psychotherapy process. There are also counsellors who adopt psychotherapeutic approaches. You can see where the confusion arises.

There are many individuals and practices offering counselling, but less that offer a full range of therapies including in-depth psychotherapies (for example, Brighton and Hove Psychotherapy who also happen to discuss this topic on their site). Reputable practices share the interests, approaches and qualifications of their therapists and will be happy to discuss their compatibility with clients.

The similarities – what you get from both

Counselling and psychotherapy are both focused on creating an open, non-judgmental, safe space to help people improve their mental wellbeing and to remove distress from their lives. The majority of therapies across the board are talking or communicative therapies where participants aim for a better understanding of themselves, and often their relationships with other people, through guided discussions with a therapist.

In talking therapies people explore their feelings and thoughts and often look at their choices. Both counselling and psychotherapy have different branches and specialisms and both can work with individuals, families, groups or particular focus areas. But there are some general distinctions that can help people decide which is most appropriate for them.

Counselling

Counselling addresses present problems and current personal issues such as a relationship breakdown, anxiety or confidence or behavioural issues. Often with some kind of structured process, the counsellor helps alleviate symptoms and current behaviour patterns that are causing distress. It may offer practical tools to break down negative feelings and habits, and it can often be goal or action based.

As it generally deals with more surface level ‘life’ issues, clients are usually involved in therapy for shorter timeframes. The Counsellor’s Guide is a good source of information for those wanting to know more.

Psychotherapy

Psychotherapy is a deeper and longer term approach. It looks not only at the present situation, but how someone’s childhood and past may be affecting and shaping emotions they have now. The therapist may help someone delve into their past to reveal hidden experiences that have affected them. Psychotherapy looks to identify the roots of an issue as part of the process.

As such it can address more complex mental health problems. It is a much more in-depth exploration of a person’s emotions aiming to bring buried issues to the surface to deliver a more profound understanding of who they are and their relationships.

Training

The training a therapist undergoes is often stated as another key difference. A counsellor or psychotherapeutic counsellor requires a diploma or degree, along with a number of hours of work placement experience. Psychotherapists are required to undergo postgraduate level specialist training of around 4 years. It is often noted too, that most psychotherapists are required to undergo therapy themselves as part of their training and so that they have experience from both sides.

However, counsellor and psychotherapist are not legally protected titles and further specialisms may often entail more training for both. A good therapist will openly share their training details and should be a registered member of one of the appropriate industry bodies such as the British Association for Counselling and Psychotherapy.

Which therapy is right for me?

The distinctions made here are broad ones to give a general guide. There are counselling and psychotherapy options to suit different types of problem, different types of people and different levels of previous experience. The therapies on offer will vary and some people undergo counselling for a long time, and some find a psychotherapy that offers a shorter solution.

It depends massively on the person seeking therapy and their needs, and the important thing is for a client is to find a therapist that they feel comfortable with. Many experts say that much of the healing comes from the positive experience of the therapist to client relationship and this can be down to a personal match.

This guest blog was written by freelance writer Aaron James, based in the UK.

5 Tips for a Mental Health Emergency Plan: Guest blog by Emily Bartels

March 12, 2019 ~ Eleanor Segall ~ 3 Comments

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When it comes to emergency plans, usually we think in a more physical sense, but did you know that mental health emergency plans are important?

Mental health emergencies can be quite stressful, and if you’re in a mental health industry or have any personal concerns about your own health, providing the right help is important. Here, we will outline important tips to help you create a mental health emergency plan that will suffice.

Have a Support system

If you tend to get overwhelmed when an emergency happens, a big way to help reduce the trauma from it is to have a support system. Whoever you are and whereever you work, your own personal triggers and issues are still there. If you’re having issues coping, find a support system- a friend, family member or therapist that can help.

You may want to come up with a plan to help your responses to situations, especially when disaster strikes. If you do have anxiety and depression, do make sure that you have people that can help around you or reach out for help from a doctor or therapist.

Prepare For Emotional Reactions

Another big thing that emergency evacuation plan Melbourne (in Australia) does point out, is you need to make sure that you have the right idea of what might happen. You should know when you have chaotic reactions, and what you struggle with when disaster strikes.

Focus on what will help, what might happen when you do suffer from an incident, and make sure to communicate it to others.

Processing information is quite hard in a stressful situation, such as fear, anxiety, depression, or even a panic attack, and you should make sure that, with the group of people you trust or the medical profession, you do speak about what happens. It’s also important to make sure that you properly communicate to others. While panic attacks and sad emotions do happen, you should know that you probably will be upset about whatever will transpire. But that its OK to feel this way.

Be Prepared to communicate

A large part of a mental health plan is to make sure that you communicate your needs. If you need to, make sure that you explain any mental health needs, such as medication you might need, in an emergency, with loved ones. Its vital to your wellbeing even when stressful to communicate. Letting others know can help them and you prepare for the worst and take action if needed. You aren’t alone.

Keep Contact information on hand

Pharmacies can help you get emergency medication, but making sure that you have the contact information for your provider, any diagnoses, and dosages of medication are important. Make sure to let some people in your support system know, and also keep those phone numbers on hand in case if the emergency lines are overloaded.

Create a Recovery Bag

If you have extra medications, a comfort item, and anything that you can use to help in the case of an emergency or crisis, put it in a small emergency kit, which you can use if you need to attend hospital or appointments. Remember, emergency kits aren’t just for physical health aspects, but also for mental health. You need to make sure you’re prepared both physically and mentally for any issues that might transpire so that you’re not suffering.

Mental health during an emergency often isn’t focused on as much as say other aspects of your health. Depression, anxiety, and even suicidal thoughts don’t always go away, and you need to be prepared for that, and reach out for help so you can recover well.

Creating a plan to try and prevent or reduce this from happening with your medical team will help if a mental health emergency comes about. From there, you can get the help that you need in order to stabilise yourself, look after yourself and recover again.

This blog was written by Emily Bartels, freelance writer with an interest in mental health and wellbeing.

Therapy Tales Part One.

February 27, 2017February 27, 2017 ~ Eleanor Segall ~ Leave a comment

My therapy journey began at just 15 years old- when I went to see the school counsellor for talking therapy due to suffering my first anxious and depressive episode (before I was diagnosed as bipolar).

Since then- 13 years later, I have tried many different kinds of therapies to help heal me from my anxiety disorder and help manage my bipolar disorder. Therapy still has a stigma, which is wrong,- but it is vital to the healing and recovery of mental illness and general healing from stressful life events eg deaths, divorce, moving house, illness.

I have done many forms of therapy, starting off with talking therapies- where you talk to your therapist about whats going on in your life (and sometimes they psychoanalyse in order to help you). I then did 3 lots of Cognitive Behavioural therapy (CBT). This is where you unpack your negative thoughts and assumptions that cause your illness in thought records, where you learn to challenge thoughts and change behaviour. However, for me, CBT was frustrating. I felt like I couldn’t fully apply it and it didn’t click with my brain.

I felt that the anxiety and panic I was dealing with was very much in the subconscious- and so the CBT could not eradicate the emotional, deep response that had formed within me to certain situations. It was then I began to realise the power of exposure therapy- which is essentially, exposing yourself to your feared situation slowly, with support. The more I went out, the more people I saw and the more I did, the anxiety began to lessen. It boosted my self esteem too to know I could overcome my fears. It is something that has to be practised and you have to be kind to yourself too and in the right head space for it to work,.

Of course, therapy works in conjunction with medications and it is also vital to make sure you like your therapist and have a good relationship with them. If you dread seeing them and you aren’t getting much from it, they are likely to be the wrong therapist for you.

I have done many other therapies: art therapy (which I loved and recommend hugely if you enjoy it), meditation and deep breathing (which I still do and which really helps my anxiety) and of course the unique therapy that friends and family bring. There are more therapies out there including ACT and its always worth googling therapies.

Ultimately, don’t be too scared about sharing with a therapist. They are trained professionals, have seen it before and they are there to support you. It is also very much trial and error. Even though CBT wasn’t for me, I found other therapies which have worked.

Just be aware that NHS therapy waiting lists are months long, so if you have the money to get private care, do.

I have worked with both psychologists, psychotherapists, occupational therapists (during a period of group therapy) and of course psychiatrists in order to keep well. It is very much a collaborative effort and now I am much better, I can deal with it with my support network (with my psychiatrist in the background)

I hope you find the right course of therapy for you and know you can heal from whatever stresses you are dealing with.