About Counselling and Psychotherapy
Psychotherapists and counsellors practise a "talking cure" - which means that you talk and they listen. Sessions are generally yours to use as you wish, but from time to time the therapist will reflect your story back in a way that helps to make sense of what's going on. They may make connections between different parts of your story, offer you perspectives that you may not have considered, encourage you gently to explore issues a bit more deeply, and perhaps suggest things to think about when you leave the session.
There's not much difference between psychotherapy and counselling, though psychotherapy training courses are longer and more rigorous. In practice, the term "counselling" tends to be used for more problem-focused work, while "psychotherapy" is more likely to be used where the emphasis is more on an individual's inner world. Clients often come to counselling to deal with particular problems but continue their explorations as a way of making their lives richer and more meaningful.
There are literally hundreds of different theories and trainings, but research suggests that the quality of the relationship that client and therapist can build between them is more important than the type of therapy. Nevertheless, some types of therapy work better for particular problems than others, and some clients are able to engage better with some types of approach than others.
He allowed himself to be swayed by his conviction that human beings are not born once and for all on the day their mothers give birth to them, but that life obliges them over and over again to give birth to themselves.
- Gabriel Garcia Marquez
You don't necessarily need to know anything about the different approaches to therapy before choosing a therapist or counsellor. However, if you do want to understand a bit about the different approaches and in particular want to see how my own approach - integrative and transpersonal - fits in, the section entitled What Type of Therapy Should I Choose? gives a bit more information.
Counselling and therapy do work, and millions of people have benefited from them. They make conscious the forces and potentials that lie within us and help to lay old concerns and issues to rest. Many people see the process as helping the mind realise a natural potential to be well and happy. However, to work well the process takes time, commitment, energy and courage. Those who make most use of therapy are those who see it not so much as a treatment, or something done to them, but as a journey or a process for which they are fully responsible, with the therapist as facilitator and guide.
Working with a therapist is a bit like employing a guide to help you through unexplored country. A therapist can help you along the way but it is still your territory and you stay in charge of the journey.
Lastly, a word about couples counselling. Couples work feels quite different from individual counselling. It is rather more oriented to immediate problem-solving. I sometimes adapt a quotation that was originally written about war: "Everything in relationships is very simple. But the simplest thing is difficult." Obviously it helps to have an understanding of the deep forces at work within a relationship, and sometimes it is possible to work with them, but more often than not the task is to sort out how a couple communicate with each other and how they each express their needs. Sadly, many couples leave it too late, and the work then is more about minimising the pain of separation than about staying together. Sometimes one party won't admit there is a problem and that the relationship needs help until the other is half-way through the door. Putting a couple back on track is hard work that needs strength and restraint from both parties, and a commitment to work in counselling for at least a few months.
Marriage hath in it less of beauty but more of safety, than the single life; it hath more care, but less danger, it is more merry, and more sad; it is fuller of sorrows, and fuller of joys; it lies under more burdens, but it is supported by all the strengths of love and charity, and those burdens are delightful.
- Bishop Jeremy Taylor