Counselling Approaches

12 Common Counselling Approaches

Although there are many more, here are twelve (12) of the most common approaches:

Counselling TypeKey Points
PsychodynamicFocused on how past experiences affect current problems
Concerned with unconscious drives and conflicting aspects of personality
Traditionally, the therapist takes the expert role
Interpersonal CounselingDiagnosis focused
Concerned with interpersonal relationships
Therapist functions as a client’s ally
Client-Centered TherapyHumanistic approach
Focused on realizing human potential
Supports client discovery
Counselor is empathetic, nonjudgmental, and nondirective
Existential TherapyFocused on what it means to be alive
Non-symptom focused
Clients guided in discovering unfulfilled needs and realizing potential
Cognitive-Behavioral TherapyFocused on how both thoughts and behaviors affect outcomes
Evidence-based, effective, and highly versatile
Mindfulness-Based CounselingFocused on feelings and thoughts in the moment, without judgment
Includes CBT with a Buddhist-based mindfulness component
Highly versatile
Rational Emotive TherapyFocused on how faulty thinking relates to distress
Therapist is active and directive
Reality TherapyFocused on the present day
Non-symptom focused
Promotes individual responsibility and taking control of one’s life
Counselor is positive and nonjudgmental
Constructionist TherapyFocused on how cultural influences and interpretations shape meanings
Strong interest in language
Client driven, counselor acts as collaborator
Systemic TherapyFocused on how systems (e.g., school, work, family) affect underlying issues
Therapist collaborates with people across and within systems
Narrative TherapyFocused on the stories we tell ourselves about who we are
Counselor works collaboratively to create alternate stories
Creative TherapyFocused on the use of artistic expression as a cathartic release of positive feelings
Highly versatile — music and various art mediums may be used

H.S. Lonczak, Ph.D.

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