Health & Wellness Articles

Types of Psychotherapy for Depression

Which Treatment is Right for You?

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If your depression is making you feel helpless and hopeless, you'd change that by identifying the specific thoughts and beliefs that you have about yourself, the world, and the future that make your hopeless feelings so powerful. You'd also examine the behavior patterns that confirm and justify your beliefs. Then you'd experiment with and practice more helpful thoughts and beliefs, and choose alternative behaviors, until the “depressive system” you’re stuck in begins to break down and your symptoms fade away. This will also help you better manage life events and situations that might otherwise trigger another depressive episode in the future.

Interpersonal Therapy (IPT)
Interpersonal therapy assumes that the most troublesome aspect of the depression is how it affects your relationships with others, which can often lead to increased social isolation and lowered self-esteem. This type of therapy can be especially appropriate for people whose depression may be related to unresolved grief over the loss of a loved one, to conflicts and problems in relationships with significant others, or to difficulties handling transitions or changes in social roles (such as job loss, retirement, empty nest syndrome, or loss of functional capacity due to illness or injury). By focusing on relationships, IPT can help people identify personal needs that are going unmet, find ways to resolve interpersonal problems or end negative relationships, and build the social skills and opportunities needed to develop and maintain supportive relationships. In some cases, IPT make take the form of group, family or marriage counseling, rather than individual therapy.

Brief Psychodynamic Therapy
Psychodynamic therapy for depression rests on the idea that the common symptoms of depression often happen when some event in your life triggers “core conflicts” that may have originated earlier in life, and no longer play an active role in conscious memory or thought processes. For example, an individual may experience an unusually persistent and debilitating sadness over the loss of a current relationship, far beyond what could be attributed to “normal” grieving, because that loss has triggered feelings associated with an earlier loss which was not fully “processed.” Or an individual may be overwhelmed by feelings of helplessness or powerlessness that are not appropriate to their adult situation, but may have been appropriate during a similar situation that existed when they were much younger. The aim of psychodynamic therapy would therefore be to help the person make the connection between past and present, and work through the feelings associated with the past so she can face the present without the added burden of this extra “baggage.”
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About The Author

Dean Anderson Dean Anderson
Dean Anderson has master's degrees in human services (behavioral psychology/stress management) and liberal studies. His interest in healthy living began at the age of 50 when he confronted his own morbid obesity and health issues. He joined SparkPeople and lost 150 pounds and regained his health. Dean has earned a personal training certification from ACE and received training as a lifestyle and weight management consultant. See all of Dean's articles.

Member Comments

  • I find it quite pathetic that it is ok with society to accept a sentence such as "It certainly would be wonderful if the illness that afflicts 17 million American adults every year could be cured by a simple visit to the doctor and a prescription." as ok.... The fact that society relies so heavily on a "magic pill" for all it's problems is sad.

    I'm all for therapy if it's done right, but the fact is that most therapists only care about adding you to the list of people in this country dependent on a man-made substance to make it all better.... - 7/8/2015 3:28:44 PM
  • Finally an article that I consider excellent. Just throwing meds at depression does not cure the depression, it just numbs it down so you don't care about it or care why you have it. Hopefully soon, physicians will get back to really helping people who have had bouts of depression and anxiety, me being one of them. The meds were a nightmare I will never forget. I only took them for a very very short time, and ended up in the hospital with a dangerous serotonin syndrome episode that could have killed me.

    Many many recover with CBT. It's retraining your habitual thought processes and yes, absolutely we have control over that. Once you realize you do have control, you can get well, the relief is amazing. Depression is not a life long illness and not a doctor on the planet can prove that. Also, there is not a doctor on the planet can prove is has anything to do with a chemical imbalance in the brain. Ask them to prove that and their eyes roll back in their heads. That was debunked years ago. - 1/13/2015 7:13:59 PM
    Thanks for explaining the different yet complex forms of psychotherapy.

    I was never presented with these types of explanations on each. I have seen at least 3 people; and most recently decided to stop seeing the last person but felt bad that I was not going to see her anymore...more because I feel that I was back to point A with my depression, however, after reading your article, I can resonate more with the two types I know will do me good! I know now that I will be looking for help and seeing the qualifications/ex
    perience to feel better of the type of therapy I will have! Big ah-ha moment for me!

    I will meet with my health care provider before the end of the month...looking forward to to this visit, my doctor, and will bring up my concerns with depression and treatment I have had in the past. This article couldn't have come to at a better time than now!

    I have more confidence to ask questions at this visit soon. There is something more that can be done by me with the right therapy; not just taking a drug to treat depression! That is powerful to know and there is quite some work ahead for me to do, but I am excited to know more of my options; this is also liberating.

    Thank you again!

    *** Blessings to all who have written a comment on this article as well! Your comments encouraged me to leave a comment *** - 2/13/2013 10:28:06 PM
  • Great article! I wanted to comment to let folks know that CBT has worked amazingly well for me, even though my depression is severe and has been recurring over a long period of time. I was able to work my way out of my most recent depressive episode with the help of my therapist, and am optimistic that I am better-equipped to deal with episodes in the future. I agree that trust and feeling comfortable with your therapist are absolutely key. - 7/20/2012 6:15:00 PM
  • Lil pinguino, I sent you an email. - 1/30/2011 5:49:44 AM
  • if i dont have insurance, are there places that offer free counseling? - 3/28/2010 3:37:34 PM
  • I have to say...this article was excellent. I usually find this expert's articles enlightening and this one was exceptionally so. I have had bouts of mild-moderate depression for several years and now realize that they are often triggered by specific events-like catastrophic relationships. His descriptions of the different types of therapy were fascinating and have triggered my interest in perhaps returning to a counselor. - 1/9/2010 11:24:18 AM
  • This was a very helpful article for me. A few months ago, I decided to go see a therapist because I knew I was suffering from post-partum depression, and it was starting to take a toll on my mental health, patience with my son, and patience with my husband. I have good relationships with my parents, siblings, in-laws, husband, and friends, so what I was looking for was a set of tools to use to control the suicidal/irration
    al thoughts.

    I realize now that I went in thinking I would be getting CBT. The therapist I was seeing was a family and marriage counselor, so she must have been trained in IPT. So the reason I wasn't getting much out of the sessions was that she was trying to get at some sort of messed up important personal relationship, and I was looking for those tools. No wonder something didn't feel quite right! I left after about 8 sessions.

    Now I know to look for a CBT therapist if I end up needing one in the future. - 7/27/2009 3:03:13 PM
  • Very Interesting article. I just completed a brief program that hit on all of these topics. - 6/14/2009 8:40:14 PM
  • SHERI1969
    This is very true and I wish everybody on this site would read this article; especially the people who don't think their emotions are within their control. I used to think that way but years of therapy and medication have helped. I'm not cured, but I'm at a decent level. Great article! - 1/20/2009 11:41:14 PM
  • Great article. I like Dr. Phil's method "You are fat because you want to be." WOW, when he said that I thought he was crazy, but as I listened, I had to admit that it did have a "pay-off" and was serving a purpose in my life and that I first had to acknowledge the problem before I could change it. Just wasn't until I found SPARKPEOPLE that I had the tools to make it all work. - 3/30/2008 1:24:41 PM
  • Treatments that target behavior, in my experience are the most effective. Especially if they are used in conjunction with medication. I believe my medication is what allows me to modify my own behavior.
    Lynn - 2/11/2008 10:51:53 AM
    Thanks, Coach Dean, for explaining the complexity of psychotherapy with such depth and clarity! - 1/13/2008 9:35:53 AM

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