Which Type of Therapy Is Best to Treat Depression or Anxiety?

If you’re considering therapy to boost your mental health, the options can be overwhelming. Different approaches, different credentials, not to mention telehealth, texting and even therapy by robot! It’s scary spilling your problems to a stranger, but whether it’s your first time or you’ve done it before, Alok and Sheena have tips to help you get more out of therapy.
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Find our experts and hosts:
:: Dr. Alok Patel ::
Website: alokpatelmd.com/
Twitter: @AlokPatelMD
Instagram: @alokpatelmd
:: Sheena William, RN ::
Twitter: @Keepingitkinky1
Instagram: @keepingitkinky
:: Erlanger Turner, Ph.D ::
Pepperdine University faculty site: : gsep.pepperdin...
personal website: www.drerlangert...
Therapy For Black Kids organization: www.therapyfor...
:: In a criss? Get immediate help ::
Call 911
or
National Suicide Prevention Lifeline: 1-800-273-TALK (8255) for English, 1-888-628-9454 for Spanish, or Lifeline Crisis Chat
or
Crisis Text Line: Text SIGNS to 741741 for 24/7, anonymous, free crisis counseling
:: Resources to Find a Therapist ::
Psychology Today
www.psychology...
National Institute of Mental Health
www.nimh.nih.g...
BetterHelp
www.betterhelp...
Mental Health America
www.mhanationa...
Recovery International (peer-led cognitive behavioral support):
recoveryintern...
:: Sources Mentioned in the Episode ::
Recent Trends:
www.nature.com...
www.nami.org/m...
www.apa.org/ne...
Approaches to Therapy:
www.apa.org/to...
www.mayoclinic...
Kenneth Howard's classic study:
i-cbt.org.ua/w...
Meta of meta study:
pubmed.ncbi.nl...
Medication or Therapy for Depression?:
www.health.har...
Zoom Boom:
www.scientific...
Telehealth Effectiveness:
www.tandfonlin...
www.thelancet....
Therapy by text:
www.ncbi.nlm.n...
Racial and Ethnic DIfferences in Accessing Care:
www.samhsa.gov...
First robot therapy session (1972):
datatracker.ie...
:: Other Resources ::
American Psychological Association
www.apa.org/
American Psychiatric Association
www.psychiatry...
Types of Credentials
whatsyourgrief...
CDC: Prevalence of Mental Health Treatment in U.S.
www.cdc.gov/nc...
APA: Understanding Psychotherapy and How it Works www.apa.org/hel...
Is One Therapy Better Than Another?
www.psychother...
Talkspace: A Brief History of Therapy
www.talkspace....

[@schnuder]

Therapy is a crucial aspect of my ongoing healthcare. One thing not mentioned in the video that I have found to be helpful is that there are therapists who specialize in particular medical condition. A neck injury has lead to me experiencing high levels of chronic pain. Seeing a psychologist who specializes in pain management has really helped in managing my pain and related areas of mental health such as anxiety and depression. The pain psychologist isn't a fix-all, but combined with proper treatment (as needed) from a psychiatrist, pain medicine physician, and occupational and physical therapists, my life is drastically better than it would be otherwise. The only caveat is that due to the US not having public healthcare, health insurance is a major part of my life, especially in deciding on my career path and where exactly I want to work. Whenever I'm interviewing for a position, I always have to closely exam the healthcare benefits, in particular mental health, which may be outsourced to another insurance carrier.

[@pbsvitals]

That's a great point - psychotherapy is not the only route to addressing anxiety, depression and the other strains of life. We feel you on the insurance question...

[@prettypic444]

There's also a huge issue with therapy among the neurodiverse community. A lot of neurodiverse people (including me) struggle with therapy because we literally don't think and feel like others. Most therapists simply aren't training to work with us, and there's a lot of misinformation and misconceptions that are activity making it worse. I've personally really struggled finding a therapist I feel comfortable with and who truly understands me (and who's covered by my insurance)

[@pbsvitals]

Appreciate you bringing that up. It is definitely a huge issue. You say you've struggled - have you ultimately managed to find a better match?

[@JustinWarkentin]

I struggled for years with therapists that were all trying their own approaches with CBT. I still haven't found someone super great but the most success I've had has been with a counselor I see now. It's still frustrating though not feeling understood and often not receiving anything applicable because of that.

[@prettypic444]

@@pbsvitals not at the moment. I had a great therapist as a child (I believe he was ADHD, so he got it), but I haven't been able to find anyone as an adult

[@pbsvitals]

the right match is everything!

[@keepingitkinky1]

@@prettypic444 hmmm that's a great point. With children there is more resources as far as different specialist for different developmental issues but once people are grown, we forget that the same issues exist. thank you for sharing.

[@JustinWarkentin]

I definitely think everyone could benefit from therapy. It has changed my life!

[@keepingitkinky1]

Same. Once you find the right therapist, it can really be a game changer.

[@marykier]

Yes, a matter of finding the right one. Truly life changing. A self examined life!

[@ziziroberts8041]

Lots of people need therapy. Lots of people in the USA can't afford it.

[@pbsvitals]

That is very true - the "parity" laws are nowhere near perfect. Here are a couple of places to look, that might help. Mental Health America is an organization that includes a directory of more affordable options. This is their website: www.mhanational.org/finding-therapy. Recovery International is another organization that MIGHT be helpful - they try to connect people with non-professional but trained peer counselors. recoveryinternational.org/ But we're always on the lookout for good resources. If you or anyone else has a suggestion, please add them to the comments!

[@ziziroberts8041]

@@pbsvitals Great response. Thank you. 🌹

[@FOJO27]

Lots of people can't afford it here in Canada, either. Accessing affordable mental health care services is big a problem. (Finding a GOOD counsellor or type of therapy is sadly really difficult).

[@shirleymarie2288]

I think that time and cost are a HUGE barrier for some folks to getting therapy. I have struggled with bipolar disorder for years, before i was diagnosed and traeted it interfered with my ability to finish school and to keep a job. As a result I worked mainly part time minimum wage jobs, jobs that don't offer health insurance, jobs with no sick leave, jobs with very inflexible schedules, and jobs that didn't even pay all my bills much less leave anything for "luxuries" like therapy. Eventually I was able to get help for my disorder but only when I was completely unemployed and on state assistance. I remember crying and telling a social worker I had trouble coping, that my depression at times waa so bad i couldnt function, and she told me about a place that accepted the state medical. The medical only paid for a specific number of therapy sessions but I was at least able to get medication. Most people I know, regardless of what insurance they have, have had trouble getting enough sessions approved to really make an impact, I think destigmatizing mental health care could go a long way, insurance companies treat it like it is non essential even though, in some cases, it literally saves lives.

[@MNP208]

I know this video is specifically about therapy, but going for a brisk walk or jog (elevating the heart rate) is also a great intervention for mild to moderate depression/anxiety. Of course, some may need medication and/or therapy too, but it's something we can do while waiting to get an appointment scheduled.

[@skybluskyblueify]

I think of it like an athlete and a coach. This is professional coaching to help with the mind rather than the body. Just like a coach they do not do your training for you. I'm not talking about a "life coach" however. I mean someone with education to help psychologically not guidance or a motivational coach, even though they can help those ways, but someone that has several years at a reputable educational institution that has taught them from the ground up on how humans work. I'd not want a coach, as a professional athlete, that has had no training. Same for someone that can handle a human mind, starting with anatomy and physiology on up to neurology then therapy methods.

[@keepingitkinky1]

I agree. Life is a job and whether we like it or not, it takes work to get the most out of it. My therapist has really helped me focus on what matters and place things in their appropriate boxes in my head.

[@Lifecpsych]

Keep doing the great content, Remembering one good thing each day Having things to look forward to Finding absorbing hobbies Thinking about your purpose in life Having a plan and tasks for each day Keeping a reflective journal

[@wesleywhite8153]

This video came to me at a great time. Thank you!

[@pbsvitals]

So glad!

[@Sunset553]

Hi, good video. I’m not really the intended audience. I was searching for something that perhaps isn’t very common and gets dealt with individually. I started therapy when the crises were frequent and there was a college clinic available. I had heard bad things about it from from my Dad. Silly things like “all psychiatrists are crazy”. It turns out my mh problems have been ongoing and I’m old now. I was searching to find out do I go to therapy forever? I kind of know the answer. Basically, I’ve been told until I lose cognitive ability, like with dementia. I just wish life could could be manageable without therapy before then, but every week, I need guidance. I just don’t need so much discovery in my retirement years.

[@nobilismaximus]

This video is giving me more anxiety

[@pbsvitals]

noooooo! hang in there.

[@airplayn]

A good explanation of the rise of anxiety needing therapy is the fact that in the past several years DOCTORS REFUSE TO PRESCRIBE ATIVAN!

[@pbsvitals]

That's frustrating! Were you talking with a GP or a psychiatrist or someone else?

[@airplayn]

@@pbsvitals GP's are afraid to prescribe more than one (for an MRI etc) "I don't want to loose my license", but psychiatrists have either been thoroughly indoctrinated on the "drug problem" (Most deaths are Fentanyl), cowed into submission or have been told they work in a "Benzo free clinic". The VA's no better. The same happened with pain meds. The suicide rate of people in chronic pain has also risen and if I remember right, it's higher than the drug overdose deaths (many of those WERE suicides too) Once a VA "pain doctor" actually apologized to me because his hands were tied! If you're interested you can email me at my channel address, I've got a lot of documentation and I think this could be a good video subject, exposing the other side against gov't propaganda. I've found research articles to support this claim you might find valuable too! Too much media coverage about drug deaths but not suicides of people in chronic pain! You wouldn't believe some of the stories I have! (No I'm not a conspiracy nut, I was a toxicologist in a crime lab, too bad I can't attach my resume' LOL)

[@johnbasketball2012]

clicked on this because of the “CBT” in the thumbnail gotta say i’m disappointed

[@dresden]

Now can we talk about child therapy? That's what I do

[@pbsvitals]

This is a great suggestion. We'll look into it as a future topic!

[@chanansvarog1397]

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