is a process which helps clients understand and resolve their problems
by increasing the awareness of their inner world and its influence over
relationships, both past and present. It is a form of therapy which aims
to help people with serious psychological disorders to understand and
change complex, deep-seated and often unconsciously based emotional and
relationship problems; thereby reducing symptoms and alleviating
psychotherapy is an effective treatment for a range of psychological
disturbances. It is a process which seeks understanding and meaning in
symptoms, behaviour patterns, and psychological disorders. It is not
limited only to those with mental health problems. Many people who
experience a loss of meaning in their lives or who are seeking a greater
sense of fulfillment can be helped by psychoanalytic psychotherapy.
How Psychotherapy Can
can be helpful for those who:
- Have difficulty in their relationships
- Feel depressed
- Have anxiety and panic attacks
- Experience sexual problems
- Have difficulty in coping with bereavement and loss
- Have physical symptoms as a result of emotional stress
- Have difficulties in their working life
is concerned with the person as a whole: their life history, their past and
present relationships, and both their conscious & unconscious.
The relationship between the therapist
and the client facilitates self-discovery,
change and growth. It is a process which requires time and regular attendance
Forms of Psychotherapy
This is the principal form of therapy offered by the MindTherapy
Foundation. The duration of treatment could vary from a few sessions to an
open-ended contract. The frequency of sessions is decided upon
individually by the psychotherapist.
A group usually has a
maximum of twelve members and meets once or twice weekly. Group
members discuss about their difficulties, problems and feelings under the
guidance of a group psychotherapist. Interaction among each other is an integral part of the work of the group.
or Family Psychotherapy
Psychotherapy can take place
with couples or families who have problems in their relationships with
each other and wish to sort and solve these among themselves. Treatment
here could vary from
a few sessions to a longer period of time.
usually refers to a broad range of treatments that have in common the
use of psychological means to treat mental suffering and pain. In
this respect, psychotherapy differs from medication.
The Diagnostic and Statistical Manual of Mental Disorders (DSM), 4th Edition,
refers to such types of pain and suffering as mental disorders. Cited
from the manual, "In DSM IV, each of the mental disorders is
conceptualized as a clinically significant behavioral or psychological
distress (e.g., a painful symptom) or disability (e.g., impairment in
one or more important areas of functioning) or with a significantly
increased risk of suffering death, pain, disability, or an important
loss of freedom."
The broad range of psychotherapeutic treatments available today varies
on form (i.e., Personal/Marital, group, or Children/Family
settings), techniques (relaxation, drama, bilateral brain
stimulation, flooding, etc.), or underlying theoretical
conceptualization (psychoanalytical, Gestalt, behaviorism, cognitive
science, client centered, and more). The quality and success (or
failure) of a treatment also depends greatly on the qualities of the
therapist as a person, and on a successful match of qualities in both
therapist and client.
It is often highly beneficial to combine more than one psychotherapeutic
treatment that may also include medication, into a treatment program .
Psychotherapy is a profession, and as such requires from those who
conduct it a long and complex training, adherence to an ethical code,
and a membership in an organization of professionals where their
abilities, successes, and failure is monitored.
WHAT IS COUNSELLING?
Counselling is a term that sometimes overlap psychotherapy.
However, we tend to agree with the majority of professionals, that counselling
should be referred to as a tool besides psychotherapy,
• It is a type of troubleshooting. A counsellor facilitates a client
with a problem in person, over the phone, or through internet
• Debriefing may be another way to describe what counselling does. It
is actually about giving the client an opportunity to be listened to. It
is very often used during, and mainly after, crises, often as a stage
that precedes, or leads to, psychotherapy.
DO I KNOW IF I NEED HELP?
The following issues, mild or not, indicate whether a professional
is required to help resolve these. Third-party intervention generally does not necessarily mean an in depth
therapy. In some cases a simple consultation would be adequate. If you present
with one or more of the issues listed below, you may want to consider
visiting your general practitioner. That is, to
and become more
knowledgeable of the way medical issues could play a role in your
distress in one or more issues listed below, you could be prompted to
visit your General Practitioner. Together with this we recommend you to
see a mental health professional as well.
• If harmony in your family or in your relationship has been disturbed
(even in the case of one that does not exist).
• If you have been living devoid of happiness and contentment over a
• If you are feeling tired constantly or have difficulty in falling asleep (partly
due to medical issues, work related, or jet lag).
• If you have been feeling low or in a bad mood over a period of
• If you feel helpless or hopeless over a period of time, or if you
feel bad about yourself; hate, blame, or despise yourself; feeling that you
"want to put an end to all this".
• If you often experience anger, or hear people tell you that you are
angry very often .
• If you feel that you are losing control (shouting, or being
pre-occupied with what other people say or do or may be doing; or if
people accuse you of assuming too much control.
• If you behave in a manner that is not work
related or otherwise objectively necessary. Such behaviors may be
related to cleaning or eating; or thinking often about
one particular thing, such as eating, or the way you look - as examples.
• If people tell you that you have a drinking problem or if you feel
that you sometimes drink alcohol to get rid of a problem. The same is
true of other chemical substances.
• If you feel that sometimes you have a problem concentrating, keeping
track of your thoughts, or being productive, over a period of time.
• If you often experience internal tension, either psychological or
being on-guard, alert, or fearful/anxious) or in your body (muscle
tension, headache, butterflies in the stomach, difficulties in breathing,
tension in your chest, etc.), and the tension is not (only) due
to a well-defined issue such as heart disease.
• If you sometimes feel as if you are going mad; if you feel extreme fear related to a particular event or issue (even
when there is a
real danger involved).
• If you went through a traumatic or dramatic event (even a minor
• If the word "failure" seem to appear too often in your
life or thoughts.
• If you or someone very close to you behaves in a way that simply
• If you sometimes feel that your thoughts are running
"fantastically" and you feel exhausted but still your thoughts
continue to run. (This is NOT to say: if you are intelligent, then you
need help. Think about the exhaustion.)
DO I KNOW IF I COULD BENEFIT FROM THERAPY?
Most people can benefit from therapy, provided that they suffer from
one or more of the issues mentioned above (see How
Do I Know if I Need Help). A more useful question to ask is,
therefore, how do I know if the therapy will be conducted in a way that
would help me? To answer this, you may find it beneficial to talk to the
potential therapist, or even meet them in person. Look into What
Does Therapy Usually Look Like and compare it with what you hear. If
the approach to your problem feels serious, and if you feel that the
therapist is professional and empathic, then you have good reason to
expect to benefit from therapy.
CAN I EXPECT FROM THERAPY?
A well-conducted psychotherapy very often has two kinds of positive
outputs. One is, the reason for your initial visit has been resolved,
e.g., painful symptoms have substantially declined or diminished. The
other output is related to growth. A successful treatment has a huge
potential to install hope, to feel better about yourself and the world,
and to put past issues into the right perspective.
THERAPY MEAN LAYING DOWN ON A SOFA?
No it does not. Lying on the sofa is part of the psychoanalytic
legend. In most of the psychotherapeutic treatments currently in use,
the therapy settings consist of chairs (two or more), with some
exceptions as in the case of drama therapy or relaxation techniques.
DOES THERAPY GENERALLY APPEAR TO BE?
Most treatments have certain common elements with respect to their structure
and duration of time. Three or more phases are seen most often:
Phase I: Initial contact. At this stage you may be already aware of
the need to receive professional help. You contact a therapist and agree on
the date and time for an initial session.
Phase II: This phase usually takes place at the therapist's office and
lasts one or more sessions. The aim is to become knowledgeable about
your problem and to make a treatment plan. You and the therapist may
agree to refer you to another professional based on the specific issues
and on the therapist's expertise. Respectively, you may agree on a
combined treatment with another professional. At this stage you may
already have heard about the type of psychotherapy the therapist may
offer, and now feel well informed.
Phase III: From the second/third session of treatment onwards, very often
it is structured, perhaps one hour weekly, for a short-term
period of 15 weeks. Practically all of the therapeutic work takes place
at this phase. See also What
Can I Expect From Therapy.
Phase IV / V: The last phase or phases are usually less intensive (e.g.,
biweekly or monthly sessions) and are aimed to prevent the initial
problems returning, and to permit follow up.
At times there could be a need to enter in to a new treatment, several months or years after the
initial therapy. The reasons for this could vary; and it is good
to be aware of the possibility. if such a situation arises, it would not
mean that you are at fault.
psychiatric treatment often
overlaps with this picture. However, sometimes it may look different in
the following way - for example:
Standard course of psychiatric therapy:
Initial meeting is devoted to a comprehensive psychiatric
assessment, which usually lasts at least 1.5 hours. Detailed personal
history is taken and current and past mental illness issues are
explored. A diagnosis is established and discussed with the client.
Then, a treatment plan is offered. If applicable, appropriate medication
is prescribed and its function, its possible side effects and their
management are discussed. Range of alternative and non-pharmacological
therapies are also discussed and referrals to appropriate therapists
Follow-up meetings usually last up to one hour and their
length gradually shortens, depending on the improvement of symptoms,
ending with 15 minutes every 4 to 8 weeks, for short medication checks.
With regard to the nature of the problem presented, the treatment plan is
based on medication, or psychotherapy, or a combination.
Progress of therapy is continually discussed so that treatment can be
adjusted flexibly .
DOES ASSESSMENT DO?
Psychological assessment refers to the work
involved in gaining information about the client's behaviour, mental and
emotional state, personality, cognition, interpersonal qualities, and
current stress areas and psychosocial situation. The information may
further involve client history, family history, history of issues, and
client's plans for the future.
By offering assessment, the mental health
professional actually says: It is pretty difficult for one person to
really know another person, because psychological information is
naturally well concealed, nevertheless this knowledge is crucial for us
to manage the treatment and provide real help.
Assessment helps reveal psychological information,
and is using various methods to achieve this. See Children, Adults,
DO I MAKE AN APPOINTMENT?
To make an appointment there are several
options open to you.
• You can call us on +94-11-3172677 or
• Or you can Make
an Appointment using your e-mail. In your mail, please give one or
more possible times and dates. One of our coordinators will get back to
you within two days at the latest, and we will agree upon a time
for an initial session within one to four days, provided that you are
available to visit before 4pm, as the evening hours are heavily booked.
If possible, please indicate information about the issue of concern in
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