A Beginner’s Guide to Therapy Types

Think of your mental health like a house full of locked rooms. One room holds your anxiety. Another, your childhood pain. A third is where your relationships live. Therapy gives you keys, but you need the right one for each door.

This guide explores the major therapy modalities, what they are best for, who they help, and who they are, if they were people you could meet. Get ready to visualize your next therapist as everything from a choreographer to a trauma-sensitive yoga instructor.

What If My Therapist Uses More Than One Approach?

 

Many therapists do not stick to just one modality – and that is often a good thing. Eclectic or integrative therapists draw from multiple approaches depending on your unique needs, goals, and stage of healing.

For example, your therapist might use:

  • CBT to help manage anxious thinking,
  • IFS to explore inner conflict, and
  • Narrative Therapy to reframe your sense of self.

This flexible approach means your therapy is custom-built; not one-size-fits-all. If you are not sure which modality is best, look for a therapist who adapts and integrates; someone who listens deeply, works collaboratively, and helps you build a therapy that fits you.

Why Therapist Fit and Cultural Humility Matter

 

Therapy works best when you feel seen, safe, and respected, which includes your cultural background, gender identity, sexuality, neurodiversity, faith, and lived experience.

A skilled therapist brings not just training, but cultural humility: A commitment to listen without assumptions, honour your story, and recognize the ways systems of power, privilege, and oppression affect mental health.

It is okay to ask your therapist about their approach to identity, inclusion, and bias. A good fit is not just about modality, it is also about trust, understanding, and mutual respect.

Match Your Needs to the Modality

 

Anxiety or depression CBT, ACT, MBCT, Psychodynamic, Schema, Attachment-Based, IFS
Trauma/PTSD EMDR, Somatic, Schema, Psychodynamic, IFS
Emotion regulation or self-harm DBT, Somatic, Schema, Psychodynamic, IFS
Identity or self-worth struggles Narrative, Schema, Psychodynamic, IFS, Attachment-Based
Relationship issues EFT, Gottman Method, Family Therapy, Attachment-Based, IFS
Ambivalence about change Motivational Interviewing, ACT, Narrative, IFS
Stress that lives in the body Somatic, MBCT, ACT, IFS
Existential distress or perfectionism ACT, Psychodynamic, Narrative, Schema, IFS

Final Thoughts: It is Okay to Try More Than One

 

Therapy is not one-size-fits-all. Some people find CBT helpful at first, then transition to deeper psychodynamic or schema work. Others might start with EMDR for trauma and then move into somatic therapy for body-based healing.

Finding the right therapist is like finding the right pair of shoes. It may take a few tries, but when the fit is right, it supports every step of your journey.