Therapy Types
How to choose the most suitable therapy
Choosing the type of treatment depends on many factors, such as the type of difficulty, the severity of the condition, personal preference, previous treatment experience, and sometimes practical considerations such as availability, cost, or whether the treatment can be received in the community setting.
Sometimes the patient chooses the type of treatment, and sometimes the choice is made together with a professional who helps with an initial assessment and guidance.
It is important to remember: You do not always need to make the "right" choice from the beginning. In many cases, treatment begins with one therapeutic approach and later combines or transitions to another approach, depending on the needs that develop during treatment.
It is important to note that treatment always begins with a mental health assessment, and usually an initial assessment meeting (intake) takes place before the process begins. The purpose of this meeting is to assess the mental health status, explain the diagnosis or suspected diagnosis to the patient, and provide the main recommendations regarding the type of treatment and the required treatment setting.
Types of treatment
Psychological treatment - a shared journey of self-discovery and healing
Psychological treatment, or psychotherapy, is one of the main ways to address mental and emotional difficulties. It is a therapeutic process based on conversations between the patient and the therapist, with the goal of understanding experiences, emotions, and internal patterns and helping create change that leads to improved quality of life. Each of us has a personal story made up of emotions, thoughts, and life experiences. Psychological treatment offers a safe and supportive space to explore this story, understand the connections between past experiences and life in the present, and discover new coping strategies and inner resources.
In the therapeutic process, the shared work aims to:
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To better understand emotions, thoughts, and behavior patterns.
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To identify recurring patterns that affect relationships and personal well-being.
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To develop more effective ways of coping with difficulties and challenges.
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To strengthen a sense of ability and improve quality of life.
In medical situations or during hospitalization, therapeutic intervention can help with coping with illness, a medical crisis, and rehabilitation processes.
- Who is qualified to provide this type of treatment: Psychological treatment is provided only by licensed psychologists who are authorized to do so. Psychotherapy is provided by professionals who have received appropriate training in the mental health field, including psychologists, clinical social workers, psychiatrists, and certified psychotherapists.
- Where treatment takes place: Psychological treatment can be received in various settings - health maintenance organizations (HMOs), hospitals, public treatment centers, or private clinics. In some cases, treatment can also be provided online through video sessions.
Learn more about mental health treatment using technological tools
Main therapeutic approaches in psychotherapy
There are various therapeutic approaches, with some therapists working primarily with one approach and others combining different approaches based on the unique personal needs of the patient.
Medication treatment
Medication treatment is one of the main tools available to doctors working in mental health, and sometimes to family physicians, following a medical assessment. Its purpose is to help reduce mental health symptoms through medications that affect brain activity and the nervous system.
Some people are concerned about the term "psychiatric medications," but for many, these medications provide significant support that can relieve psychological distress and help them return to functioning and daily routines. In many cases, medication treatment is not used on its own but is combined with psychological treatment.
- Nature of the treatment: Medications work by balancing biochemical processes in the brain and can therefore reduce symptoms such as depression, anxiety, intrusive thoughts, significant mood changes, or sleep disorders. There are different groups of medications, including antidepressants, anti-anxiety medications, mood stabilizers, and antipsychotic medications.
- Who is this treatment suitable for? Medication treatment may be suitable when psychological distress is significant and affects daily functioning, such as in cases of severe depression or anxiety. However, there are situations where psychological treatment alone can be started, with an assessment later of whether medication is also needed.
- Who is qualified to provide medication treatment? A psychiatrist. In some cases, a family physician can also prescribe certain medications, but assessment and follow-up are usually conducted by a psychiatrist.
When is medication treatment usually considered?
Important to know
Important to know
- During treatment, medical follow-up is conducted to adjust the medication dosage and monitor side effects.
- As mentioned, in many cases, combining medication treatment with psychological treatment may be particularly effective.
- Sometimes it takes several weeks before the full effect of the medication is felt.
Hypnosis
A therapeutic method based on creating a state of heightened concentration and focused attention, which allows deeper access to internal experiences, emotions, and thought patterns. In this state, the person remains aware of their surroundings and maintains control over the process, while their attention is more focused.
Biofeedback
Biofeedback is a treatment method based on the connection between the body and mind and combines principles from the fields of psychology and physiology. Using specialized equipment, real-time feedback is provided on bodily processes such as heart rate, breathing, muscle tension, or skin conductivity.
Meditation and mindfulness
Meditation and mindfulness are practices that focus on developing awareness and presence in the moment and are now also used as tools that help strengthen mental resilience and reduce stress and anxiety. Regular practice of these methods can help improve the ability to regulate emotions, cope with overwhelming thoughts, and increase a sense of calm and focus. The main difference between them:
Mind-body treatments
Treatments based on the understanding that emotional experiences, especially stress and trauma, are not experienced only through thoughts and emotions but are also felt in the body. Sometimes experiences that have not been fully processed may be expressed through physical tension, heightened alertness, emotional overwhelm, or a sense of disconnection.
One of the main approaches in this field is Somatic Experiencing (SE), a therapeutic approach that offers gradual and personalized work with bodily sensations, helping reduce tension, strengthen a sense of inner safety, and restore balance to the entire system.
Who is qualified to provide treatment: Therapists who have received training in this field.
Group therapy
A shared space, guided by a professional, where sharing and listening create mutual learning, broaden understanding, and foster a sense of belonging, together promoting personal growth and change. In this space, the patients themselves serve as a source of support and change for one another. Sometimes, simply meeting people who are also coping with difficulties reduces feelings of loneliness and allows people to see their challenges from new perspectives, as well as learn additional coping styles. The group also provides an opportunity to explore interpersonal patterns within a supportive therapeutic environment and practice new ways of communicating and coping.
Play therapy
A therapeutic approach designed primarily for children, based on the understanding that play is the natural and primary way children express themselves. While adults use spoken language to express emotions and thoughts, children express their inner world through play and imagination.
Dyadic therapy
A therapeutic approach that focuses on the relationship between a child and one of their parents (or another primary caregiver), based on the understanding that this early relationship plays a central role in children's emotional and social development. During treatment, the parent and child attend sessions together with the therapist. In some cases, separate sessions with the parent are also included. The therapeutic focus is on their interactions: how they communicate, express emotions, respond to one another, and cope with challenging situations.
Additional treatments
There are also treatments that offer a broader response with unique characteristics and are more tailored to specific needs, such as art therapy, animal-assisted therapy, or couples and family therapy. It is important to note that, in many cases, combining different therapeutic approaches allows for a more precise and beneficial treatment process. Therefore, it is important to choose a treatment framework that is suited to each person's individual needs.
Dr. Adi Lavi-Rotenberg is an expert rehabilitation psychologist and an expert member of איט"ה. She is a psychologist at Zohar Clinic, Rambam Health Care Campus. She is a lecturer in the Department of Community Mental Health, University of Haifa.
Liat Ariel is an expert clinical psychologist, supervisor, and group analyst. She is the Director of the Psychological Services Division, Rambam Health Care Campus, Haifa. She is Head of the School for Applied Psychology and Head of the Psychotherapy Program, Continuing Medical Education, Technion.