Psychological Therapeutic Solutions

By Dr Deborah Kingston

By Dr Deborah Kingston

How Do I Choose the Model of Therapy?

Choosing between Eye Movement Desensitization and Reprocessing (EMDR), Trauma-Focused Cognitive Behavioural Therapy (TF-CBT), and Exposure Therapy depends on various factors, including the nature of the trauma, individual preferences, and the expertise of the therapist. Here’s a brief overview of each approach to help you make an informed decision:

1. EMDR (Eye Movement Desensitisation and Reprocessing):

  • Method: EMDR involves guided eye movements or other bilateral stimulation while the individual recalls distressing memories, helping the brain process traumatic memories and reduce their emotional impact.
  • Suitability: EMDR is often recommended for individuals with single-incident trauma or specific traumatic memories and can benefit a range of mental health conditions.

2. TF-CBT (Trauma-Focused Cognitive Behavioural Therapy):

  • Method: TF-CBT combines cognitive-behavioural techniques with trauma-sensitive interventions, including education, relaxation skills, and cognitive restructuring.
  • Suitability: TF-CBT is well-suited for children and adolescents who have experienced various types of traumas, involving collaboration with the child and caregivers.

3. Exposure Therapy:

  • Method: Exposure therapy involves gradually and safely facing feared memories or thoughts related to the trauma to reduce anxiety and fear responses.
  • Suitability: Effective for various anxiety and trauma-related disorders, it’s recommended for those with specific phobias, PTSD, or other anxiety disorders.

Factors to Consider:

  • Nature of Trauma: The type and severity of trauma may influence the choice of therapy.
  • Individual Preferences: Consider the individual’s comfort level with the techniques used in each therapy.
  • Therapist’s Expertise: The expertise and training of the therapist in a particular modality are crucial.

It’s important to note that these therapeutic approaches are not mutually exclusive, and some therapists integrate elements from multiple modalities based on the individual’s needs. Consult with a mental health professional for personalized recommendations.