If this is your first time trying therapy, or you simply want to look into the different types of therapy to make a choice, you are at the right place.  

You may have noticed that there are several types of therapy available. Some approaches may work best for specific mental health issues, while others could help with multiple disorders at once.  

For example, dialectical behavioural therapy has been proven successful in treating specific conditions such as borderline personality disorder.  

CBT, in contrast, could help with multiple issues such as depression, social anxiety, low self-esteem etc.  

Here’s a look at the four most common types of therapy. The information provided about the approaches can help you make a choice that best fits your needs.  

Which Therapy Is Best for You?

Before we explore the types of therapy, you may want to note that both you and your Therapist will work together to choose an approach.  

During the initial sessions, you may talk about your problems, emotions, and approaches that you think will help you best.  

Once your Therapist receives an overall picture of your life, they may recommend a few therapeutic approaches.  

Depending on your issues and severity, you may work with one particular type or a combination of several types.  

Sometimes, what’s best for you may differ from what you have in mind. Hence, have an open conversation with your Therapist about your concerns before moving on! 

4 Types of Therapy

1. Psychodynamic Therapy

If you prefer talking about your feelings, you may benefit from psychodynamic therapy.  

The psychodynamic approach is a type of therapy that helps you understand how your past experiences may have influenced your current thoughts and behaviours.  

During sessions, you may talk and explore your feelings with a Malaysian Therapist. Your Therapist may ask you several questions to help you learn more about yourself.  

Psychodynamic therapy can help you with issues such as: 

  • Feeling sad for no reason 
  • Depression 
  • Anxiety 
  • Having relationship issues  
  • Suffering from disordered eating 
  • Chronic pain 

The psychodynamic approach aims to bring your unconscious/subconscious (ie thoughts hidden in your mind) feelings to the surface.  

For example, if you struggle with making new friends, a therapist may help you see that this could be due to a fear of intimacy that may have started in your childhood.  

Psychotherapy can take months or years, depending on your issues and therapy goals. Rather than focusing only on the problem, this approach may help you dig deep into the root causes of the issues and make big changes in how you function.  

Client lying on the couch and a Therapist conducting session on types of therapy to choose.

2. Cognitive Behavioural Therapy (CBT)

CBT is a type of therapy that helps you address two elements: cognition and behaviour.  

Your Therapist may help you replace unwanted or negative thoughts and actions with productive ones. In other words, your thoughts and behaviours are interconnected. 

For example, if a person believes they are not smart, they may avoid engaging in complex tasks – which may then reinforce the negative belief.  

However, a therapist may use skills like cognitive reframing to change the belief.  

What proof does the person have for believing they are not smart? Where can they look for the proof?  

The person may learn to break the negative cycle through introspective questions such as the above.  

CBT can help with issues such as: 

  • Lack of social skills 
  • Substance use disorder 
  • Caregiving stress 

During CBT therapy, your Therapist in Malaysia may work with you to build a positive therapeutic alliance.  

As you begin to open up and build a good rapport with the Therapist, you will also progress more actively outside sessions.  

CBT also teaches you life skills that may last long after your therapy ends.   

3. Dialectical Behaviour Therapy (DBT)

DBT is a type of therapy that can help you manage and control your emotions better.  

Scientists first developed DBT to specifically help with the symptoms of borderline personality disorder. However, the approach has evolved over time to address several other concerns with just as much effectiveness.  

DBT therapists may focus on helping you accept your feelings and learn coping skills to manage highly distressing situations.  

The term ‘dialectical’ means working with opposing forces. Hence, in addition to accepting yourself, you may also learn the power of changing negative qualities.  

Seeking DBT sessions consistently and having a good relationship with your Therapist is key to receiving the best support.  

DBT teaches you several key skills, such as:  

  • Handling intense emotions without losing control 
  • Accepting difficult situations without feeling the need to change them  
  • Becoming aware of the present moment (eg grounding techniques) 
  • Improving your relationships with others 
  • Learning communication and interpersonal skills 

People often choose DBT to receive support for: 

  • Depression 
  • Eating disorders 
  • Self-harm behaviours 
  • PTSD 
  • Binge eating disorder 

4. Humanistic Therapy

The humanistic approach is a type of therapy that helps you understand how your thinking affects your choices, especially when your decisions cause distress. 

Your Therapist will provide unconditional support and space for you to talk about your feelings. The expert will listen to you without clouding your speech with their opinions and help you feel good about yourself.  

You may be in charge of what you want to talk about during humanistic therapy. Your Therapist in Malaysia may ask questions to understand you better.  

There are several subtypes in humanistic therapy, including but not limited to: 

  • Existential therapy: Helps you think about your choices and freedom (ie free will) 
  • Person-centred therapy: The entire therapy may revolve around you and your issues 
  • Gestalt therapy: Helps you identify unresolved issues and how they may have affected you now 

Humanist therapy can help with issues such as: 

  • Long-term illness 
  • Trauma 
  • Depression 
  • Relationship issues 
  • Addiction 
  • Lack of clarity or purpose in life 
A couple attenting therapy session to understand the different types of therapy.

How to Make a Choice

Choosing the right type of therapy can be tricky as there are several options to choose from.  

Ask yourself some questions to reflect on what kind of therapy can help you best. For example: 

Do you think you are always at fault? Do you feel like you are not enough and want to change that?  

Firstly, try to think about what you need help with. For example, CBT can help if you want to change your thinking patterns or how you view the world.  

Psychodynamic therapy may be helpful if you want to understand your feelings better or explore deeper issues.  

Secondly, reflect on what makes you feel comfortable. Some people may prefer having clear steps to follow, which CBT offers.  

Others may prefer a flexible and exploratory approach, which humanistic or psychodynamic therapy could offer.  

Remember that your Therapist will work with you to decide on an approach. Hence, try to be open to suggestions! 

If you start with one Therapist or type of therapy and it does not feel right, it is okay to look for a different professional.  

Finding the right fit means finding someone who makes you feel safe and understood. 

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Does therapy work? Seeking help from a Therapist in Singapore is something many people consider, especially when:

Regardless of the reason, everyone can expect to gain something valuable from therapy.

This article is a comprehensive guide to getting started with therapy in Singapore

We also address questions such as “Does therapy work?” and “What’s the first step in looking for a therapist?”. 

What Is Therapy?

Therapy is a tool to help people who feel upset or have problems they find hard to handle alone. 

Seeking therapy is similar to having a guide or a life coach to manage your emotions and goals. 

People seek therapy for several reasons. Some may need help with specific issues, such as dealing with parents who frequently gaslight; some may want to overcome generalised anxiety disorder, while others may want to improve their overall quality of life. 

You can talk to a Singapore Therapist at TYHO, an expert in addressing a broad range of issues during therapy. 

TYHO Therapists are open-minded and will listen to you and help you understand why you feel the way you do. 

Many people ask, “Does therapy work?” The answer is yes. Therapy is not a quick fix, but over time, you will learn therapeutic skills that can be useful when you encounter a conflict in life or in your relationships. 

You May Like Reading: What is Wrong With Me? 10 Ways to Feel Better

Therapy is flexible and changes to fit how you are coping in life!

Does Therapy Work?

Does therapy work? Yes, it often does. 

However, how well the therapy works depends on a few things. 

Firstly, you may need to be ready to engage in therapy actively. Active engagement could mean asking questions, being honest, addressing all your issues, and developing a healthy relationship with your Singapore Therapist. 

Therapy is a great way to deal with several mental health problems. For example, research indicates that cognitive behavioural therapy (CBT) is a top recommended treatment option for generalised anxiety disorders. 

At TYHO, you will find several Therapists who are experts in therapeutic approaches such as CBT, DBT, and ACT. 

Moreover, recent research also says that starting therapy early can help people feel better, especially with issues such as grief. 

See: How Long Does Grief Last

Secondly, you may ask questions such as, “Does online therapy work?”. Studies from 2014 say yes. Online therapy in Singapore is just as effective as in-person therapy. 

The key to progress in therapy is to find the right Therapist in Singapore.

What’s the first step in looking for a therapist?

If you are looking to start therapy, the first step is to find someone who truly understands you. 

Start by asking yourself some questions, such as:

  • What am I looking for in a Therapist? ( eg Friendliness, cultural preferences, languages etc.)
  • Do I need to find someone who has the same ideologies as me? 
  • Do I prefer a particular gender? 
  • What issues do I need help with? 
  • What qualifications or experience am I looking for? 

Visit our Singapore Therapist page to look for our Therapist. 

You can also visit this link to get started!

What type of therapy is right for me?

Exploring the effectiveness and types of therapy often leads to the question: does therapy work? 

The answer lies in researching and identifying the best therapy approach for you. 

At TYHO, our Therapists are experts in several types of therapy, including but not limited to:

  • Cognitive behavioural therapy (CBT)
  • Psychodynamic therapy
  • Acceptance and commitment therapy (ACT)
  • Dialectical behavioural therapy (DBT)
  • The Gottman’s Couples therapy
  • Narrative therapy
  • Schema therapy

More importantly, regardless of the type of approach, the relationship you build with your Therapist will be the key to noticing positive changes. 

Also Read: Signs of a Bad Therapist

Note: Your Therapist may choose one or several therapeutic approaches based on their expertise, your preference, the intensity of issues, and what might work best for your needs.

A person thinking, “Does therapy work?”. The person is standing up and holding a finger to their forehead.

24-Hour Helplines for Crisis Support

This section offers various resources to reach out to if you are in a crisis or need someone to talk to immediately. 

  • If you or someone you know is in immediate harm, call emergency medical services at 995 or approach the A&E department of your nearest hospital.
  • Samaritans of Singapore (SOS): Call 1767 or WhatsApp 9151 1767 for support.
  • National Anti-Violence & Sexual Harassment (NAVH): 1800 777 0000.
  • Institute of Mental Health (IMH): 6389 2222.
  • Singapore Association for Mental Health: 1800 283 7019.
  • TOUCH Community Service (youth counselling services): 1800 377 2252.

How to Get Started With Therapy in Singapore?

To get started with therapy in Singapore, visit this link: https://app.talkyourheartout.com/

Here, you can browse the list of all TYHO Therapists and their profiles. 

In a Therapist’s full profile, you can review several details such as:

  • Qualifications
  • Therapeutic expertise
  • Therapeutic approaches they use
  • Issues they can help with
  • General background
  • Languages they can speak
  • Personal hobbies and interests

Furthermore, you can also watch each Therapist’s short video to judge if you like their style and personality. 

Make sure to write down your therapy goals before you begin your search. Referring to your goals can help you pick someone who suits your needs. 

You May Like Reading: Personal Development Through Therapy

Remember that finding a Therapist can take some time and effort. Try not to give up! It is a long process, but the results may also be vast and valuable. 

You can also change your Therapist if you are not as comfortable with them. 

If you have any questions, feel free to reach out to us at [email protected] or click the WhatsApp icon to chat with us! 

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Are you looking to focus on your personal development? 

Therapy for personal development improves several areas of your life, such as self-awareness, growth mindset, and confidence. 

Think of therapy as a guide on your journey to better understand yourself and handle issues effectively.

Therapy in Singapore also helps boost your self-confidence and shows you new ways to approach conflicts. 

At Talk Your Heart Out (TYHO), we believe that therapy for personal development is for everyone. 

After all, as Socrates said – “The unexamined life is not worth living.

This article will look into personal development, how therapy can help, and 3 proven self-reflection exercises!

What Is Personal Development?

At its core, personal development can help improve your capabilities, life skills, and overall quality of life. 

How do you handle a major conflict? What do you do when you fight with your partner? Or how do you handle parents who frequently gaslight you

When you start to focus more on personal development, you may acquire the skills to handle the above situations. 

Therapy for personal development can teach you how to navigate and overcome major or minor issues. 

Improving oneself is a long and ongoing process that involves setting and achieving specific and measurable goals.

Therapy for personal development is a structured approach that helps with self-growth and creating a positive change. 

Moreover, therapy in Singapore can also clarify what you want, help you gain motivation to move outside your comfort zone and learn about your strengths and weaknesses.

Therapy for Personal Development: How Can It Help?

Therapy for personal development may provide you with a safe environment to talk about your thoughts and feelings. 

During sessions, you may discuss why you face an issue, what you want to achieve after therapy sessions, and how you want to improve your life. 

Your Therapist in Singapore will help you identify and acknowledge the negative thought patterns that may prevent you from living a quality life.

A key benefit of therapy is managing emotions. Once you learn how to control and manage your fear, anger, and frustration, you will handle difficult situations more effectively. 

Also See: How to Control Anger in a Relationship

Through scientific skills like cognitive reframing (ie changing negative thoughts to practical ones), you will make better decisions, gain clarity on your values, and improve your communication skills

Your Therapist may use tools like narrative therapy to teach you how to:

Lastly, therapy can also help in improving your self-esteem and confidence. 

Through introspective exercises, you will work with your Therapist to identify negative thought patterns and develop a stronger sense of self. 

In the next section, let’s explore 3 proven skills for personal development.

A therapist taking notes while the client talks about personal development during a therapy session.

3 Self-Reflection Exercises for Personal Development

Below are three self-reflection exercises that can help improve your self-awareness. 

Each skill offers a unique perspective on personal development. 

The 3 skills are: Journalling, SWOT Analysis, and Core Values Exercise.

Journalling

We may all have journaled at some point in our lives. Maybe you’ve written down your thoughts before or have used bullet journal spread to identify your goals.

However, we hope to share a structured plan for journalling that can be more intentional and help you with personal development. 

Also See: How to Do 5 Self-Care Tips Better

Journalling specifically for personal development is about exploring your emotions, identifying your daily triggers, and creating an achievable plan.

  • To develop the habit of journalling, set aside some time every day. It could be just 1 minute or as long as you’d like. 
  • Use the time you allocate to reflect on your day, feelings, and reactions to various situations. 
  • Ask yourself questions that help you reflect on various aspects of your personality. For example, think about what makes you happy, what makes you feel stressed, and how you usually overcome your issues. 

Your journal is your ‘second brain’, and similar to how nobody else has access to your brain, your journal would also be private. Hence, try to be as honest as possible.

Some question prompts to begin journalling are as follows:

  • How do I define success?
  • What do I fear the most, and what do I fear all the time?
  • How do I respond to a conflict? 
  • How do I handle stress? 
  • How do I feel when I’m alone?
  • How do I feel when I’m with others? 
  • How do I handle feedback or criticism?
  • What do I hope to achieve in life? 
  • What gives me energy?
  • What drains my energy?

SWOT Analysis

SWOT = Strengths, Weaknesses, Opportunities, and Threats. 

An analysis is how we identify, analyse, and use the above four elements to improve ourselves. 

Your strengths are your personal assets – all the things and skills you are good at. Identifying your skills can help you use them more effectively. 

Ask yourself:

  • What type of tasks am I good at handling?
  • What personal resources and capabilities am I proud of? 
  • How do my loved ones describe my strengths? 

Your weaknesses are areas where you can improve. Try to identify them and acknowledge that working on your weaknesses is essential for growth. 

Ask yourself:

  • What tasks do I avoid? 
  • In what situations do I have low confidence? 
  • What feedback have I received so far? 

Opportunities are external factors that you can use for your benefit. 

Lastly, threats are external or internal challenges that you might face. Your challenges are outside your control, but you can learn how to manage them. 

Ask yourself:

  • What issues do I face?
  • How can I reduce or avoid the threat? 
  • How can I plan to overcome the threat? 

You may gain a deeper self-awareness by conducting a SWOT analysis. You can do this exercise as often as you want or stick to it once per month. 

Also See: Practising Self-Compassion

The more you reflect on these four ideas, the better you can understand yourself. 

A person hugging themselves, showing self-compassion and personal development.

Core Values Exercise ‍

Therapy for personal development can help you identify your core values and align your life with them. 

In this section, you will learn an easy way to perform this exercise. 

  • Write down 10-15 values you have.
  • Reflect on what each value means to you. 
  • Think about where you can or have applied these values in your life. For example, do you often express your feelings with your loved ones if you value honesty? 
  • Rank your values based on top priority and least priority. 
  • Narrow down your top five values. 

The top five values would be your core values. 

These are the values that you may want to implement in your life. 

As you grow and evolve, so might your values. Revisiting and reassessing your core values ensures they align with who you are and aspire to be. 

Visit our Singapore Therapist page to read about how our therapy for personal development can help you and the different kinds of services we offer.

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Improving relationships is not always easy, but couples therapy in Singapore can be a huge guidance. 

If things get complicated between you and your partner, you might need an expert to help you navigate the situation without further causing harm. 

Couples therapy is about improving communication in relationships and resolving conflicts before they worsen. 

See: Deep Questions to Ask to Truly Get to Know Someone

In this article, we explore the two proven therapy tools for improving relationships and share how therapy can help improve your communication.

Improving Relationships: 2 Proven Therapy Tools

Maintaining a healthy and loving relationship requires hard work from both partners. You may love each other and want to spend time together, but you may become confused when you have to solve a conflict. 

Also See: Realistic Couple Goals and Ways You Can Achieve Them

Hence, in this section, we share 2 main proven tips for improving relationships.

Understand Your Partner

Understanding your partner is the first step to improving your relationship. 

You may have to explore your partner’s thoughts and emotions without making assumptions or jumping to conclusions. 

For example, when we argue with our loved one, it can be quite easy to shift the blame on them. 

However, asking certain questions about their feelings helps make space for an honest conversation. In fact, understanding your partner can also avoid any future conflict. 

The shift of focus from blaming to seeking solutions together is important. 

During therapy in Singapore, you will learn to understand your partner better.

Understand Your Own Needs

Improving relationships also involves self-awareness. What are you feeling? What do you want to change? 

Identifying what you want and require as a partner can change how you interact with others. 

The more self-aware you are, the easier it is to express your needs, improve communication in relationships, and share your expectations. 

Similarly, try to reflect and identify your emotional triggers. When you identify your triggers and begin to avoid or overcome them – you may communicate more effectively.

A person sitting and journaling with a pen and notebook. The person is reflecting on their needs for improving relationships.

Therapy for Improving Communication in Relationships

Therapy in Singapore can help in improving communication in relationships. 

Through evidence-based tools like Gottman’s couples therapy and cognitive behavioural therapy (CBT), your Therapist will teach you how to improve your skills. 

For example, CBT helps identify negative thought patterns (eg blaming or shifting blame) and replaces them with more realistic ones. 

At TYHO, among other skills, our Singapore couples Therapist can help you with the following:

  • Become an active listener
  • Set healthy boundaries
  • Improve your emotional intelligence

Become an Active Listener

Therapy is a great resource that can help in improving relationships and active listening.

You may learn to listen actively during therapy sessions and improve your listening habits

Active listening is when you can wait for your turn to converse and truly hear what the other person is saying without overshadowing it with your thoughts. 

When you become an active listener, both you and your partner can feel important. However, remember that the effort should come from both sides. 

Hence, couples therapy in Singapore can help acknowledge the issues and make your relationship meaningful.

A person is talking to their partner and the partner is listening actively. Active listening can improve relationships.

Set Strong Boundaries

Another important key to improving relationships is learning how to set strong boundaries. 

An example of setting a boundary is learning to say ‘no’ without feeling bad, even if you’re saying no to your partner. 

During therapy sessions, your Therapist will teach you how to set boundaries while considering your and your partner’s needs. 

Remember that setting boundaries has more to do with what you can change about yourself than controlling or changing the other person. Boundaries are a way to ask people to treat you with respect. 

You also find that boundaries can change consistently. Sometimes, what worked before does not work, or your needs may change. That is okay. 

You may learn the flexibility of setting boundaries during therapy and not letting others take too much from you. 

The above point also applies to your romantic relationship. 

You May Like Reading: All You Need to Know About Ethical Non-Monogamy

You can improve communication in a relationship by setting clear boundaries about what you’d like to do, what you want to change, and your goals as a couple.

Build Emotional Intelligence

Therapy can be incredibly life-changing for couples looking to improve their relationship. 

If you and your partner have the same arguments frequently, you may hope to resolve conflicts before they blow up. 

Having emotional intelligence and identifying your and your partner’s emotions is a great way to avoid conflicts. 

During therapy, your Therapist in Singapore may teach you both to pause after an argument, understand your triggers, and express your feelings honestly. 

Therapy also helps you recognise what triggers the negative thoughts and feelings. As a couple, you may learn to understand your triggers as well as your partner’s. 

When you both work together to improve communication in the relationship, you can navigate difficult situations without hurting each other. 

Further, you and your partner can also get better at seeing things from each other’s perspective. 

You can improve your emotional intelligence and other skills such as:

  • Empathy 
  • Open communication
  • Honesty
  • Mutual respect

By learning to manage your emotions, you are not just increasing your social skills, but you may also work on improving relationships with your loved ones. 

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Finding the right Therapist in Singapore can be easy when you know what to look for and how to assess the fit. 

In this article, we divide the process into five actionable steps you can take to find the right Therapist. 

The five steps are: Identifying your goals, reviewing profiles, choosing therapy modality, interviewing the Therapist, and checking your intuition and comfort levels. 

Before we dive into the article, we leave you with the most important tip on finding the right Therapist: Therapeutic Alliance. 

The relationship you build with your Therapist will become the key factor contributing to positive therapy outcomes

Without further ado, let’s look into the 5 simple steps of finding the right Therapist in Singapore!

Identify Your Goals for Therapy

Before you start therapy, you may need to know why you want professional help and what you expect to gain from therapy. 

For the above reasons, you may need to identify your therapy goals. Are you looking to cope with daily challenges like work-related stress and burnout

Do you want to fix your relationship with parents who gaslight? Or would you like to develop effective self-care habits?

Each Therapist at TYHO has a unique set of skills and specialisations. Hence, we urge you to list your thoughts about therapy before jumping to the next step. 

For some people, therapy goals might be overcoming symptoms of generalised anxiety or depression. In contrast, others may wish to become more equipped to handle difficult situations. 

In your notebook, list out any daily challenges you are facing and if you suspect that you may have a mental health disorder. 

Next, note down the changes you wish to see in yourself during or after therapy. Having clear expectations can help you find the right Therapist in Singapore.

Remember that if you struggle to identify your goals, that’s okay. Therapy is a process of exploration, and you may eventually gain clarity about your objectives over time.

Review Therapists’ Profiles

While finding a Therapist, you may come across several profiles on our website. 

In this step, we share more information on how you can navigate and review Therapist profiles. 

The key lies in identifying what you specifically need from therapy. The previous step (ie identifying therapy goals) can be useful while reviewing profiles. 

You can visit each TYHO Therapist’s profile to review all their information, including the Therapist’s:

  • Academic background and qualifications
  • Therapeutic expertise 
  • Gender
  • Languages they speak
  • Cultural background
  • Certifications and awards
  • Personal hobbies
  • Therapy styles and approach

Further, you can also watch each Therapist’s short videos to get to know them better. Click on the video icon below the Therapist’s picture to access their video. 

Finding a Therapist in Singapore also involves looking into their therapeutic approaches. In each Therapist profile, you will see a section called ’Therapeutic Approaches’. Here, you can review the list of approaches the Therapist uses during sessions. 

However, note that your Therapist may choose an approach based on their expertise and what works best for your unique issues. 

Finally, you may want to read the Therapist’s description to understand their cultural background and personal interests.

Sometimes, gaining a holistic view of an expert can help you find the right Therapist for your needs.

A person researching therapist profiles on a laptop for choosing the right therapist in Singapore.

Choose Your Modality

Finding a Therapist also involves choosing the right therapy modality. 

It is important to consider how you want to attend your sessions: online or in person. Both types of modalities have their own advantages!

At TYHO, we have Therapists in Singapore who offer both online and in-person therapy sessions.

On one hand, online therapy in Singapore is effective as you can access it from anywhere in the world. Online therapy is especially helpful if you are busy, cannot travel, or live far away from the Therapist’s home or centre. 

On the other hand, meeting a Therapist face-to-face can help you feel comfortable and safer. Your Therapist may also find it easier to observe patterns in your body language. 

Therefore, when finding a Therapist, think about what makes you comfortable, what kind of help you need, and how you like to talk to people.

Interview the Therapist

After choosing your therapy modality, the key to finding a Therapist in Singapore is to interview them. 

Yes, you can and should ask your Therapist any questions you may have. TYHO Therapists are open-minded and will be happy to clarify your doubts. 

Asking questions can help you set your expectations and give you a glimpse into what your sessions might look like and how soon you can notice progress in your life. 

Below are some questions to consider asking your Therapist: 

  • How much experience do you have?
  • Have you helped others with issues similar to mine? 
  • What type of therapeutic approach do you use? 
  • How long will it take to notice changes?
  • What can I do if I don’t observe any progress in my life?
A client sitting on a sofa opposite to the therapist who is sitting in a chair. The client asks questions to determine the right Therapist for their needs.

Check Your Comfort Level With the Therapist

When looking for a Therapist in Singapore, you may want to check how comfortable you feel with them. 

You want to find a Therapist who listens to you actively, understands your issues, and avoids judging or overshadowing your opinions. 

To check your comfort levels, make sure you can talk about anything with your Therapist without feeling worried or awkward. Initially, it is common and normal to feel hesitant to open up. Hence, you may need to attend 3 to 4 sessions before you can gauge the fit. 

After each therapy session, try to reflect on your feelings. Do you feel relieved after opening up? Do you feel like your Therapist understands you? Do you feel validated? If you answer ‘yes’ to all the questions, you may have the right Therapist!

However, try not to worry too much about finding the perfect Therapist right away. It is okay to change your Therapist later if you’re not a great match. 

Visit our Singapore Therapist page to read more about our Therapist and our services. 

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From time to time, all of us feel mentally or emotionally burdened, be it from work, academic stresses, or relationships.

In recent times, many people have spoken out about mental health issues around the globe. This has fuelled an interest in personal therapy as an effective way to cope with the psychological and emotional issues that we face in our daily lives.

What is therapy? How can a Therapist in Singapore help? What are some types of therapy? These are some questions that we aim to answer in this article. 

Here’s more information for those unsure about what therapy is and if therapy is for them, as well as 7 different types of therapy used by mental health professionals.

What is Therapy?

What is therapy? There are countless types of therapy (see below).

The term ‘therapist’ is widely used. People wonder what occupational therapy, speech therapy, massage therapy, and physiotherapy is. The list goes on.

Therapy is also generally known as counselling or psychotherapy. In the context of emotional difficulties, therapy is a safe, confidential, and non-judgmental space.

Individuals may share their struggles and work towards a goal with a trained professional. This section introduces the types of trained professionals and what they do.

Psychiatrist. Diagnoses mental health conditions. Prescribes medication.

Clinical psychologist. Diagnoses mental health conditions. Manages more serious mental health disorders non-medicinally in the long term.

Professional counsellor. Uses integrative therapies to help people work through personal and emotional issues.

Social Worker: Works with and advocates for individuals and families. Liaises with various parties in the community on behalf of clients.

When looking for a therapist, you might find the terms ‘therapist’, ‘counsellor’, and ‘psychotherapist’ used interchangeably. What is most important is trust.

Look for a therapist you can trust. This is because your relationship with your therapist will be a key factor affecting the outcome of therapy.

Therapists help their clients develop emotional resilience and cognitive skills to alleviate distress and help them achieve their personal goals and potential.

They use different therapeutic modes to:

Therapy is for anyone

Therapy isn’t the only way to manage all mental health issues.

Different strategies work for people who want to maintain good mental health, including yoga, self-care, mindfulness and journaling.

However, if someone hasn’t felt like themselves for more than two weeks, a check-in with a therapist may be a suitable option.

For example, if they have been:

You may wish to learn more about the warning signs to look out for.

Therapy in Singapore is not only reserved for people who have been clinically diagnosed with mental illnesses or mental disorders.

It is common to think, “My situation is not bad enough to go for therapy,” or hear this from your loved ones.

This may be a good time to gently remind ourselves and those close to us that things don’t have to get worse before they get better.

Therapists don’t tell us what to do

It is not uncommon to find ourselves asking questions such as:

There must be a reason why we can’t help but feel anxious or depressed over a certain situation we are facing.

There must be a reason why we may feel continuously helpless or indulge in self-defeating and maladaptive behaviours.

Therapists are equipped with skills to help us gain a deeper understanding of ourselves and gain self-awareness. Good therapists don’t tell us what decisions we should make or how we should feel about situations.

Instead, they help us develop useful skills that we may not have had the fortune to inherit or stumble upon.

Therapy is more than just having a casual chat

We may go to counselling in Singapore and start by casually discussing how messy our lives are or ranting about our difficult experiences.

However, how a Therapist responds is different from how your friend would.

Psychotherapists in Singapore are professionally trained in different types of therapy to help you with any emotional or psychological difficulties you may be facing.

Therapists are also required to adhere to professional and ethical obligations, including that of confidentiality.

Your time spent with your therapist is focused on you – your hopes, desires and fears. It is not like a two-way conversation with a friend.

Singaporean Therapists are trained to help you through your personal issues without any bias, judgement or discomfort.

They are also objective – having no personal stake in your decisions, perspectives or values, they help to uncover your true self to yourself.

It can get uncomfortable during therapy because, for any therapy to work, we must trust our therapist and open up our deepest wounds to them.

Marriage counselling Singapore

Therapy is a mature way of fixing a personal problem

Struggling with a mental health issue, or indeed seeking therapy in Singapore, does not make one weak or ‘defective’ in any way.

What matters more is the maturity and resilience that one shows in dealing with the issue, like any other life challenge.

Maturity is when we are unafraid to accept our own trauma, grief and pain and actively seek help before it affects us further.

It requires a clear and honest analysis of ourselves, coupled with strength and courage, to be able to fight our battles head-on.

By employing professional help, we are not only acknowledging that an issue is weighing us down in some way, but we are also working on it to find appropriate solutions.

You May Like Reading: Do I Need Therapy?

The length and frequency of therapy can vary

There is no rule around how long therapy will take or how frequent it should be, as it would depend on the issues faced by the client, their personal goals and the improvements observed.

We provide some research-backed guidance below.

Length

Mental health research indicates that after an average of 8 sessions (Foundation Psychology; Saxon et al., 2016), individuals report the greatest decrease in psychological distress and are most likely to experience positive changes in their lives.

Time is needed for therapists to understand our personal story and history. It is also important to remember that progress looks different for each of us. We also need time for us to make changes in our lives and break unhelpful patterns. 

It may also be helpful to note that individuals who decide to withdraw within or just after 3 sessions are less likely to experience positive outcomes as things often start taking a turn for the better after the third session (Crago & Gardner, 2012).

Frequency

In terms of frequency, at the start, individuals can consider going for therapy once a week.

Research suggests that weekly sessions allow regularity, which is highly beneficial to clients, particularly at the beginning of the therapeutic journey.

Having regular weekly sessions develops one’s emotional safety (Cameron, 2018) and enables one to build trust and rapport with one’s therapist (Hall, 2020). 

This allows one to progress at a steady pace and ensures that during sessions, more time can be dedicated to working through one’s issues rather than filling the therapist in about the time that has elapsed.

Moreover, weekly check-ins reduce the possibility of slipping into bad habits or becoming overwhelmed by unwanted thoughts and feelings. Visit our obsessive-compulsive disorder page to read more. 

Nonetheless, committing to therapy in Singapore is an investment of both one’s time and financial resources. You may want to speak with your therapist and come up with a plan or schedule that works best for you.

Therapy doesn’t last forever

Therapists certainly do not encourage long-term dependence on them. It can be a lifelong effort on our part to work on the issues we face, but the work of a therapist ends when we have learned the necessary skills for doing so.

Depending on the type of therapy we receive as well as the complexity of the problems we face, the amount of time needed may vary from person to person, but there is an end to therapy.

Goals are always set so that we get a gauge of how far or how near we are from ‘the end’. These goals can be specific, like controlling anger in a relationship, or more broad-based goals, such as rediscovering joy and happiness, improving our relationships or better regulating our emotions.

Therapy generally ends when the client’s goals have been achieved.

Online therapy can be just as effective

For the vast majority of us, other than wondering what is therapy, we question if online therapy is the same as in-person. 

As long as we are able to find a comfortable and private environment, talk therapy is as effective, whether it is conducted online via video-conferencing, voice call, live texting, or in-person.

Indeed, the added convenience, anonymity and affordability when talking to the Singaporean Therapist online may even allow us to feel more at ease and thus improve the effectiveness of the therapy sessions.

Online counselling in Singapore can be more time efficient as well. Not only can we fit therapy sessions into our schedules more easily without having to take leave from work, but it also removes the need to travel.

Additionally, there will be no need to explain our stories again when changing therapists within the platform should we agree to allow our previous therapist to share session notes.

Read more about the benefits of online counselling.

Different Types of Therapy

Therapists use different types of therapy, or a mix of approaches. This section explains 7 commonly used therapeutic approaches.

Cognitive Behavioural Therapy (CBT)

Cognitive Behavioural Therapy (CBT) suggests that our thoughts, emotions, and behaviour all affect each other.

CBT is predicated on the idea that the challenges we face stem from our thoughts and beliefs. Thus, reframing our unhelpful thoughts reduces our difficulties (Dawson, Moghaddam & Przepiórka, 2015).

Individuals have different belief systems, which result in other emotions and actions even in similar situations.

For example, John was often criticized by his parents as a child. Thus, he internalised the core beliefs that he was ‘worthless’ and ‘useless’. When John failed exams, he thought it was because he was ‘inferior’.

He felt sad and frustrated. To feel better, John started to smoke and drink. The more he smoked and drank, the more ‘useless’ he felt. Hence, a vicious cycle followed.

To get rid of his negative emotions, he engaged in harmful behaviours. This reinforced his feelings of sadness and frustration. He then believed that he was ‘inferior’.

CBT identifies and reframes unhelpful thoughts and beliefs into healthier alternatives. This changes the resulting emotions and actions.

CBT has been recommended for treating anxiety disorders and low to moderate levels of depression (NICE, 2009). It is an evidence-based practice that is largely effective.

Visit our depression counselling and anxiety counselling page to learn more.

Mindfulness

Mindfulness has its roots in Buddhism (Guendelman, Medeiros, Rampes, 2017).

According to Davis and Hayes (2011), mindfulness is ‘a moment-to-moment awareness of one’s experience without judgment’. In other words, to be mindful is to be truly present in the moment and to be aware of what one is doing, thinking and feeling.

Some ways to practice mindfulness include taking a few minutes to breathe in and out deeply.

Truly focus on your thoughts and feelings. Let them come and go without judging or analysing them. Be aware of your senses. Listen to the sounds in your surroundings. Feel the connection of your feet to the ground.

Mindfulness allows individuals to better regulate and cope with their feelings (Guendelman et al., 2017) by mitigating strong negative emotions.

Being present in the moment helps to reduce automatic behaviours. If the driver in front of us brakes suddenly, we tend to react with anger automatically.

However, practising mindfulness allows us to choose how we wish to respond intentionally. Responding calmly rather than angrily may promote better mental well-being in the long run.

Mindfulness has been integrated into various therapies. Examples include Mindfulness-Based Stress Reduction (MBSR), Mindfulness-Based Cognitive Therapy (MBCT) and Acceptance and Commitment Therapy (ACT).

Although these therapies vary in technique and preferred outcomes, mindfulness is at the core of them all.

For example, MBCT integrates both mindfulness and CBT. It guides clients to identify and recognise negative thinking patterns, such as rumination (ie constant worrying thoughts) or thought suppression.

Clients are then taught skills to disengage from these automatic and dysfunctional patterns via meditation (Barnhofer et al., 2009).

Mindfulness is effective in decreasing the rate of relapse from depression (Williams et al, 2008). It is also useful for dealing with depression, stress and anxiety.

A person holds the Namaste pose and meditates, embodying the practice of what therapy is.

Psychodynamic Therapy

Psychodynamic therapy addresses unconscious conflicts that may have arisen during an individual’s early relationships and that are still impacting their current life (Lake & Whittington, 2015).

For example, it looks at how our relationships with our parents affect our current lives.

Children of neglectful parents tend to grow up being emotionally distant.

Hence, psychodynamic therapy aims to highlight unhelpful and internalized behaviours. This is done by bringing them to a client’s consciousness.

Clients are then guided to form new meanings and experiences (Lake & Whittington, 2015).

Principles of Inner Child Work

The concept of an ‘inner child’ looks at the child inside of us – the child we once were.

Although many of us might consider ourselves grown adults, our lives are constantly influenced unconsciously by our inner child (Diamond, 2008).

The pain, trauma and emotional burdens felt during childhood continue to impact us as adults. Inner child work hence ‘involves the patient using their adult self to re-parent their inner child’ (p.1) with the Singaporean therapist helping alongside (Mahadevan, 2012).

It is thus important to first recognize the needs of the inner child. One can then work towards reconciliation between the two selves (Diamond, 2008).

This allows the person to grow and truly heal. Mahadevan (2012) suggested that it was crucial for his participant to ‘connect with her inner child” and to “feel her feelings which she had suppressed for a long time as a child’.

Solution Focused Brief Therapy (SFBT)

Solution Focused Brief Therapy, as the name suggests, focuses on the possible solutions a client may choose.

The problem thus lies not in the client but in the solution. Effective solutions should achieve positive results. If not, they should be changed.

Hence, unlike traditional models exploring problems’ origin and maintenance, SFBT looks at what clients can do to achieve desired outcomes.

In SFBT, the therapist asks questions that help clients identify their strengths and resources. An example is, “You were able to abstain from alcohol at home; what’s different here?”.

The following section covers SFBT techniques adapted from de Shazer and Berg (1997) and Kim and Franklin (2009).

SFBT Techniques

The miracle question: Clients are asked to think about how different their lives would be if the problem did not exist. This helps them form a clear and realistic goal to achieve their desired outcome (Hopson & Kim, 2004).

Scaling questions: Clients are asked to rate their progress (e.g., on a scale of 1 to 10). This allows them to track their efforts. Scaling questions uncover possible solutions (Hopson & Kim, 2004) by revealing what does and does not work.

Evaluation and giving compliments: Clients are praised for their strengths. This empowers them. It also highlights their resources (Hopson & Kim, 2004).

Giving homework: The therapist in Singapore assigns an activity for the client to try. This is based on what the client decides is beneficial or not in seeking effective solutions (Hopson & Kim, 2004).

Setting targets: Goals must be practical and realistic. They must also come from what clients believe will work. This increases clients’ motivation and involvement (Hopson & Kim, 2004).

Questioning about exceptions: The therapist examines when the problem is absent and how this absence occurred. This helps clients realise that they already have resources to address the problem (Hopson & Kim, 2004).

See: Realistic Couple Goals and Ways You Can Achieve Them

Once the client is aware of and cherishes minor improvements, more changes will occur, creating a ripple effect (Bannink, 2007).

Bannink (2007) also emphasises the client as the driver of effective solutions. In other words, “the client is the expert” (p. 88). Also, the client “defines the goal for treatment” (p. 88).

SBFT is useful and effective for “drug dependence, alcohol addiction, depression, relationship problems, relationship breakdown, eating disorders, crisis and anger management” (Arslan and Ulus, 2020, pp. 3).

Person Centred Approach

Person-centred therapy, developed by Carl Rogers, emphasises the client taking the lead while the therapist follows, helping clients find their own answers (Joseph, 2015).

Rogers proposes that an individual has their own subjective reality, which can only be understood from their own conscious experience (Funder, 2015).

He also suggests that a person’s main purpose is to fulfil one’s true potential — or to “actualise” one’s life (Funder, 2015).

One way to practice this approach is Socratic questioning. This allows one to uncover useful answers (Padesky, 1993).

New information surfaces when questioning the validity of and assumptions behind clients’ beliefs.

Padesky (1993) explains that this is not to “change the client’s mind” (pp. 3). Instead, it is to “understand the client’s view of things” (pp. 3). This results in a collaborative effort to make changes.

Eye Movement Desensitization and Reprocessing (EMDR)

EMDR is based on the Adaptive Information Processing Model. The model argues that previously stored repressed emotions, sensations or beliefs may have memory links to current experiences, which distort the current reality (Shapiro, 2014).

EMDR processes these repressed memories via ‘bilateral stimulation’. The client recounts traumatic experiences while following the therapist’s hand movements or listening to bilateral sounds (Crowley and Santos, 2015).

This desensitises clients to their negative emotions. It also allows clients to reprocess and create new links for their memories.

Research has demonstrated EMDR’s effectiveness for psychological trauma (eg post-traumatic stress Disorder) or negative life experiences by treating repressed memories (Shapiro, 2014).

Systemic Therapy

Systemic therapy considers the system an individual is in. This is in contrast to focusing solely on the individual. Systems include relationships, family, and organisations.

Systemic therapy examines how the system, or the relationships in the system, might perpetuate the problems faced.

Treatment focuses on working with the system to bring about changes (Lake & Whittington, 2015). For example, parents who argue often might add to their children’s anxiety. Check our Singapore child psychologists page for more.

Systemic therapy would then involve helping the parents to respond appropriately to their children’s behaviours. It would also help the parents manage their own emotional difficulties better.

Also See: Why Does My Mom Hate Me? Reasons You May Feel This Way

A family of four smiles and interacts with a therapist, capturing a moment in a therapy session, reflecting an aspect of what therapy is.

Frequently Asked Questions

Why is mental health important?

Our mental health is important as it influences and determines how we think, feel, and behave.

Prioritising our mental health positively impacts several aspects of our lives. Having good mental health boosts our productivity, helps us foster healthy relationships, and allows us to stay resilient amidst life’s challenges.

Read: Why You Procrastinate and How to Stop

Conversely, having poor mental health lowers our focus and motivation and impedes our ability to tackle our daily stressors.

In the long term, it can lead to severe emotional and physical health complications.

One may engage in self-defeating behaviours (eg physical neglect, excessive self-criticism) or even resort to unhealthy coping mechanisms (eg alcohol, drug use) to manage difficult emotions.

How do I get a mental health diagnosis?

Online mental health self-assessments are a quick and convenient way to find out if you are experiencing symptoms of a mental health issue. However, they do not provide you with an actual diagnosis.

You may wish to visit a psychologist in Singapore or a psychiatrist for a mental health diagnosis. They are mental health professionals best placed to assess both your feelings and behaviours and determine the state of your mental health.

As mental health is complex and symptoms of mental health disorders often differ between individuals, it may take several assessments before you receive your complete diagnosis.

Even then, your diagnosis is still subject to change, particularly if new symptoms show up over time.

At times, you may also be required to undergo a physical check-up to draw out physical ailments contributing to your symptoms, if any.

The process of getting a diagnosis can be arduous. Many a time, you will be asked to share your innermost struggles and confront difficult experiences.

Being diagnosed with a mental disorder may also leave you feeling lost and confused or even ashamed. However, always remember that you are not your mental disorder.

You are simply an individual with a mental disorder, and a courageous one at that, for seeking support. 

What does a mental health counsellor do?

A mental health counsellor is a trained professional who works with individuals experiencing various personal and emotional issues (eg feeling emotional all the time).

Beyond providing a listening ear, they draw from several integrative therapies to help you see things from different perspectives and gain deeper self-awareness.

A counsellor also gives you mental health tips and guides you along as you set goals and action plans to enhance your overall well-being.

Nonetheless, a counsellor does not tell you what to do or how you should feel. Rather, they offer a safe and non-judgmental space fo share your emotions and experiences honestly.

Over time, your therapeutic journey is meant to help you build internal resources and develop skills to manage the challenges you are faced with.

How to prepare for therapy sessions?

Anticipating your first therapy session in Singapore can fill you with nervousness and apprehension.

Experiencing such feelings is completely normal, particularly if you are unsure of what to expect.

That said, there are still steps you can take to prepare better prepare yourself and make the most out of your session.

Some tips include:

  • Envision your goals: Think about what you hope to get from therapy. It is natural for your thoughts to be all over the place before your first session. You may even wonder if it’s too early to start envisioning goals. Nonetheless, envisaging an outcome prepares you for your first conversation with your therapist. With knowledge of your purpose for seeking therapy, they can also better devise a therapeutic plan for you.
  • Keep an open mind: Counselling sessions often reveal insights about ourselves in ways that we may not have expected. Be honest with yourself. Keeping an open mind invites new ideas, possibilities and experiences, which help to foster self-growth. Your Therapist in Singapore may also ask you more questions during your first session to better assess and understand your situation.
  • Ask questions: Don’t be afraid to ask questions. Clarifying your doubts during the session, whether about therapy itself, appointment frequency, or payment, relieves you a great deal of uncertainty after the session. What’s more, receiving clear answers from your therapist allows you to plan your subsequent sessions more swiftly.

If you are keen to learn more about how to prepare for different types of counselling sessions (eg individual counselling, couples counselling), further information can be found here.

How long are therapy sessions?

Most individual therapy sessions run for 50 to 60 minutes. Couples or family counselling sessions, however, may run longer (eg 90 mins).

All sessions at Talk Your Heart Out (TYHO) are an hour long. 

There are a few reasons for keeping to hour-long sessions. Some clients may feel overwhelmed when they are made to discuss deeply personal and emotional issues, often including traumatic experiences, for more than an hour.

Limiting sessions to an hour allows them to discuss, feel, and contain their emotions with a clear endpoint in mind, such that resuming daily activities after would be less tedious.

Adhering to such session length also encourages clients to dive more directly into their issues, which in turn helps therapists to absorb what they have shared and offer insights with greater ease.

Altogether, it ensures that both clients and Therapists stay focused across the hour and reduces the chances of an information overload.

How much do therapy sessions cost?

On average, an hour-long therapy session is priced between $100-$300 for individual counselling and $180-$400 for couples counselling.

Some counselling centres utilise a sliding scale structure, where fees are often adjusted according to a client’s income.

When in doubt, seek clarification from the respective service teams.

At TYHO, the fees for our individual counselling sessions start from S$ 130.80 (w/GST) and for our couples counselling sessions from S$ 152.60 (w/GST).

Package pricing is also available for both session types. For more pricing-related information, please click here.

When is mental health awareness month?

In the United States, Mental Health Awareness Month is celebrated in May.

Events and activities to raise mental health awareness are usually planned during this time of the year.

Collectively, they aim to show support for individuals with mental health issues, normalise conversations around mental health and wellbeing, and reduce the stigma surrounding seeking professional help.

Across many parts of the world, as well as in Singapore, World Mental Health Day is also celebrated on 10 October each year.

Mental Health Awareness Month and World Mental Health Day are important initiatives.

While mental health should always be a priority, many often feel afraid to admit their vulnerabilities and tend to trivialise their emotions. Some may even find the topic taboo or foreign.

Such observances thus establish the universal significance of mental health, provide a platform to mobilise wellbeing efforts and encourage more workplaces and individuals to commit to self-care.

Visit our Singapore Therapist page to read about the different types of services we offer. 

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Do I need therapy? Will therapy help me? What will I talk to my therapist about?

Have these questions crossed your mind before?

People often dismiss their issues or worry that their problems aren’t “bad enough” to sign up for therapy. For example, a common thought pattern is, “I have a roof over my head and a job in the midst of a global pandemic, I shouldn’t complain about how my boss is making my life miserable”. It may be true that there are others whom you may consider “worse off” in life. That doesn’t mean, however, that your difficulties are any less real or valid.

Each person’s life experiences are unique. If something bothers you, it bothers you. Nothing is “too minor”. There are different issues you can seek therapy for. A useful gauge to determine when you should seek therapy is asking yourself how much the issue affects you. How disruptive is it to your life?

A therapist will hear you out to learn more about what is bothering you. Subsequently, the therapist may discuss with you how you prefer to navigate the situation. Some examples include removing yourself from the stressful situation where possible, recognising the signs of anger, and challenging negative thoughts. 

You may also learn coping strategies or emotional regulation skills. Some people learn to communicate better and explore ways to seek the support of people around them. There are endless possibilities, depending on what you wish to gain.

This article covers how to know when to go for therapy, and some common issues people seek therapy for.

How to Know When to Go for Therapy

The next time you find yourself asking “Do I need therapy?” and still feel uncertain, look out for these signs. If you resonate closely with them, it may be time to seek professional support.

You experience persistently low or intense moods. 

Nobody is expected to be in control of our emotions all the time. Feeling sad, distressed, or angry from time to time is only human. However, if you have been feeling persistently overwhelmed by negative emotions and find it hard to manage them, it may be a sign to seek professional help. 

Grappling with intense emotions for an extended period of time often has adverse impacts on many other aspects of your life. For instance, you may let your anger get the better of you and exhibit hostility towards your loved ones. In such cases, going for therapy would be beneficial as a therapist is equipped with the skills and resources to help you work through your emotions and cope with them. 

You find it increasingly difficult to build or keep up with social relationships.

Social relationships are important for our overall wellbeing. Of course, this does not mean that you need to have a huge social circle. Having a few close friends or family that you can turn to when you are down can be helpful too. 

If you are consistently facing issues communicating with your loved ones, are often misunderstood, or find yourself isolated from others, considering therapy is a good move. Therapists can sieve out the underlying issues plaguing you from forging meaningful relationships and help you better understand your current situation. As an added benefit, you also learn to develop stronger interpersonal and communication skills.  

You feel like you have exhausted all your resources.

At times, your problems may aggravate and become too complex for you to resolve alone. On one hand, you feel that there is too much going on and you lack the mental capacity or energy to deal with the issues by yourself. On the other hand, you find it hard to confide in your family or friends or feel uncomfortable doing so.

Speaking with a therapist in such cases is wise as they can provide you with a non-judgemental, neutral listening ear and advice. Your therapist is invested in your mental health, and does not have a vested interest in the outcome of your decisions, actions or behaviour. Moreover, as what you share during sessions is confidential, you are free to speak your mind.

You have been distressed by the same issues for a long time.

When deep-seated psychological issues are left unresolved, they may fester and continuously surface in our daily lives. These issues often cause mental strain and exhaustion, and hinder your focus and mood. You may be at work or a gathering with friends, but you are not fully present as your mind is constantly worrying about something else.

The question “Do I need therapy?” is not always an easy one to answer. However, if you notice that the same few issues have been recurring and affecting how you feel or behave, it is sensible to set time aside for therapy. A therapist can guide you along in assessing your emotions and offer you new ways to think about your issues. While it is not always possible to overcome some issues immediately, you will learn how to stop letting them impact you as much.

You wish to change your unhelpful thoughts but are unsure of how to do so.

You have decided that you no longer want your intrusive or negative self-talk to impair your daily functioning. Nevertheless, you are uncertain of how or where to start. Here, going for therapy is a good call as your therapist can help you set goals for yourself and find a clearer direction moving forward.

At the beginning, you may be filled with apprehension and doubts especially if therapy is new to you. A therapist is best placed to explain how it all works, answer your questions, and provide you with support on this self-improvement journey.

There are many issues you can seek therapy for.

Issues People Seek Therapy For

This section covers some common issues people seek therapy for. While these reasons may be listed separately, in reality, many of them overlap with each other and are closely related.

At times, individuals come into therapy without a clear reason; all they know is that they are feeling overwhelmed and need to talk to someone. Conversely, others come in with one specific issue in mind, only to realise that as therapy progresses, new insights about themselves and other areas of focus come into view. 

There are even some who enter their first session having second thoughts about their decision to seek help: “Do I need therapy, or am I overreacting?”. These different scenarios are all plausible at the beginning of one’s therapeutic journey. Nonetheless, entering therapy with an open mind helps you explore new ideas, possibilities, and areas for self-growth.

In no particular order, here are some examples of issues people seek therapy for:

Stress

All of us have experienced stress at some point. There is eustress, or “good stress”, that helps us perform well. On the other hand, distress, or “bad stress”, can be overwhelming. It prevents us from functioning at our full potential. Different people will find different things stressful, to varying degrees. Common experiences include work related stress and stress from interpersonal conflict at home, work, or school.

Decision making

Making an important decision? Examples include career decisions, whether to stay in or leave a relationship, whether to relocate, and so on. Times like these can be confusing, with pressure from family and friends. Each of them has an opinion of their own. It can be helpful to discuss your thoughts with a neutral, objective therapist, who may help you identify what’s most important to you in the decision making process.

Coping with transitions in life

Most of us like staying in our comfort zones. When changes happen, whether by choice or not, adapting can be a challenge. For instance, a newly married individual might experience several changes simultaneously, such as moving into a new home, having to communicate with their partner, navigating relationships with the in-laws, and entering parenthood. Other examples of life transitions include having a pet for the first time, entering the workforce upon graduation, changing jobs or schools, relocating, retiring, and so on.

Grief and loss 

Mention this, and most of us think of someone losing a loved one. While most societies readily recognise the gravity of losing a loved one, we can grieve over many other losses as well. This is so even if they are unaware that what they are experiencing is essentially the grieving process. 

According to the Kübler-Ross model, the five stages of grief include denial, anger, bargaining, depression, and acceptance. Examples of other losses include the loss of one’s childhood home, the loss of a beloved pet, the loss of a romantic relationship or marriage, the loss of a previous lifestyle, the loss of a job, and the loss of good health.

Difficulty regulating one’s emotions

While we may not be able to control our emotions per se, changing how we respond to them can help us cope with life better. For example, an individual may feel angry during a heated disagreement with their partner. The anger itself is understandable, and normal. However, learning to regulate their emotions can make the difference between a healthy response (eg walking away calmly) and an unhealthy manner (eg yelling at their partner).

In addition, some may also think to themselves, “Do I need therapy if I am already on medication (eg antidepressants)?” The answer is simple: talk therapy and medication need not be mutually exclusive. In fact, a combination of both can possibly help you reconnect with yourself at a deeper level. While medication works to improve your mood and sleep cycles, therapy allows you to explore your thoughts and experiences more extensively.

Intrusive thoughts or overthinking 

It can be hard to fall asleep if your mind is busy running through the 1001 different possibilities of what your boss had in mind when they said, “That’s a lot of information you provided”. Was it a compliment? What if it meant that you’re a hardworking employee? Or could it mean that you were not concise enough? Worse still, perhaps that was a veiled way of insinuating that you’re not good enough. The horror! 

Reflecting about things that occurred over the course of the day is normal. However, you may want to see a therapist if you’re starting to lose sleep, your appetite changes, or the thoughts interfere with your relationships or daily tasks.

Communication difficulties 

This is a common reason people enter couples therapy. People often unknowingly get caught up in unhelpful patterns of communication which cause much difficulty in getting one’s point across, and in turn feeling misunderstood. A therapist helps to bring forth and highlight these communication patterns to individuals and couples and guide them to healthier ways of interacting with each other. Struggling with communication is also common among family members.

Addiction

People may seek therapy for addiction to smoking, drugs, sex, eating, or even coffee. Overcoming an addiction alone can be very challenging. In fact, it often takes some time before an individual recognises and acknowledges the addiction in the first place. Therapists who work with individuals experiencing addiction often receive additional training specific to addiction. If you are seeking professional help for an addiction, look for a professional therapist or psychologist who has sufficient training and experience in working with people struggling with addiction.

Self-improvement

There doesn’t always have to be a “problem” for someone to enter therapy. People also seek therapy to improve themselves, or to take preventive measures before things get worse. For instance, busy professionals may wish to find ways to incorporate self-care and coping strategies into their daily routine to prevent a build-up of stress. Others may wish to increase their assertiveness or boost their confidence in different aspects of life such as at work or home. 

Pretty similar to why people frequent the gym, isn’t it?

While the issues above provide a glimpse into what therapy is, it is equally important to take note of what therapy is not. Contrary to popular belief, therapy is not about a therapist giving advice to a client, a therapist making judgmental statements about what the client is doing that is “right” or “wrong”, or a therapist telling a client how to resolve their issues. 

In fact, most of the hard work that leads to progress is undertaken by the client, not the therapist. To find out more, read Signs of a Bad Therapist.

 

Do I need Therapy

Keep in mind that both lists above are nowhere near exhaustive. There are other signs that may suggest it’s time to seek support as well as alternative reasons for considering therapy. If you are struggling with any of the issues mentioned above, or any other issue that was not included here, talk to one of the Professional Therapists at Talk Your Heart Out (TYHO)

If the Professional Therapist feels that you may benefit from a different professional, such as a psychiatrist, or social worker, they will let you know, or make a referral. Ultimately, when faced with the question, “Do I need therapy?”, you hold the power to decide on the next course of action. 

The bottom line is, you don’t have to struggle alone.

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Tags: Bad therapist signs; what to look out for in a Therapist

Signs of a bad therapist (ie a professional counsellor or psychologist) may not be immediately noticeable. The unpleasant experience may start off as a slight feeling of discomfort. Perhaps you’ve got a nagging suspicion that something is a little “off” in your therapy sessions, but are unable to pinpoint exactly what it is. Others may be very clear about the cause of their discomfort, but wonder if it is a normal experience in therapy that they just aren’t used to.

Maybe you’re curious about what the signs of a bad therapist are, because of all the bad therapist stories you’ve heard from family, friends, or colleagues. Given that the experience in a counselling session differs from individual to individual, coupled with the confidential nature of therapy sessions, it can be hard to compare across different therapists.

There are, however, some basic do’s and don’ts in therapy that are set out by ethical guidelines and formal training programmes. These are foundational competencies that all (good) therapists are aware of and adhere to. This article highlights several red flags regarding how to spot a bad therapist, some more serious than others. Should you experience any of these in therapy, you may consider discussing it with your therapist. Alternatively, you may raise the issue to the organisation or the relevant licensing board in your country.

How to Spot Signs of a Bad Therapist

Here are some ways to spot signs of a bad therapist:

A bad therapist dismisses your experiences. 

Your therapist should not be making statements like “you should not be complaining about that”, “it’s not a big deal” or “there are others going through much worse than you”. Therapy is about your experiences, not the experiences of others elsewhere. Even if others are going through “worse”, your experiences and feelings are absolutely valid. If you feel angry, you feel angry. A good therapist will acknowledge your unique experience and feelings.

A bad therapist tells you what to do, by prescribing unsolicited advice or solutions. 

Contrary to popular belief, therapists do not provide advice or solutions. Rather, a therapist hears you out and works with you to identify insights and possibilities that you deem best for you given your situation. A therapist should also help you identify your strengths that could be helpful in arriving at your own resolution. You should not be hearing your therapist say, “Quit your job if it’s making you unhappy”, “Just move if you don’t like your neighbours”, or “You should try golf. If it worked for me, it will work for you”. Every situation elicits different considerations for each individual. Providing unsolicited advice or solutions not just disempowers clients and dismisses each client’s unique experience; it presumes that the therapist knows a client’s life better than the client themselves.

A bad therapist is distracted and does not listen to you. 

Your therapist should be solely focused on you, and genuinely interested in what you have to say. This is different from having a chat with a friend in a café, where multiple distractions are to be expected. Therapists using the video chat function for online counselling have a duty to ensure that they conduct the session from a location that is private and free from distractions. Your therapist should also not be texting, picking up calls, or multitasking on their laptop as you are speaking. Feeling listened to is a core foundation of therapy.

A bad therapist during an online counselling session

A bad therapist judges you by their own personal religious, spiritual, political, or cultural beliefs. 

Therapy is about you, and how you are coping in relation to your own values and beliefs. A therapist should not impose their own beliefs on you. Doing so insinuates that the therapist’s values and beliefs are superior to yours in some way. Take for instance, a therapist whose religious values state that divorce is wrong. If a client is contemplating divorce, the therapist should find out more about the client’s situation and their thoughts and beliefs regarding divorce. What a therapist should not be saying is, “Of course you shouldn’t get a divorce. Divorce is wrong!”. Neither should the therapist imply this during the counselling session.

A bad therapist breaks confidentiality without a valid reason. 

A therapist may sometimes be obligated to break confidentiality when there is risk of harm to yourself or to someone else. In some instances, certain information from counselling sessions is required for legal purposes, such as in the case of court-mandated counselling. However, a therapist should not be chatting with their friends about you over dinner, or posting about your session on social media. A red flag to watch out for is if a therapist shares personal information about other clients with you. Such information could include their names, background information, and their experiences in therapy. If your therapist does this, how can you be assured that your personal information is not being shared with other clients? 

A bad therapist demands that you book many sessions. 

A therapist’s goal is to stop seeing you eventually. While one session is often insufficient for long-term change, a therapist should not demand that you book multiple sessions with them. Even if you wish to continue with therapy, it should be a decision you arrive at on your own. Keep in mind that you always have the choice to switch therapists, or to pause therapy when you need to. You should not feel obligated to agree with what your therapist is insisting on.

A bad therapist explains concepts in an overly complicated manner. 

Therapists would have had extensive training and exposure to various therapeutic concepts and approaches. That doesn’t mean, however, that they should show off their knowledge using jargon and academic terms. The point of therapy is to help you. Any concepts that are explained by the therapist should thus be expressed in simple everyday language that is comprehensible to clients. If a therapist believes that explaining a particular concept would be beneficial for the client, it is the therapist’s duty to also check in with the client after introducing the concept, to see if they have understood it.

A bad therapist spends most of the time in a session talking about their own issues. 

While it may be beneficial for the therapist to share a little about themselves in order to genuinely build the therapeutic relationship, the bulk of the time in therapy should be about you. After all, that is why you signed up for therapy in the first place.

A bad therapist attempts to engage in a romantic or sexual relationship with you. 

This is a serious violation of ethical codes, and should be reported to the relevant licensing board or organisation. Therapists are trained to adhere to professional boundaries, so as to remain objective when working with you.

A bad therapist tries to be friends with you.

Once again, therapists have an ethical responsibility to maintain professional boundaries with clients. A therapist should not be inviting you to play golf together for leisure, joining your family for a meal, or requesting favours unrelated to therapy. Doing so would constitute a dual relationship which impacts the therapist’s ability to remain neutral during a counselling session. This is the same reason why therapists are unable to provide therapy to their family members, friends, or anyone else within their own social circle. Imagine this: a client says, “I’m really annoyed with my sibling right now”, to which the counsellor, who has met the client’s sibling in an informal setting, responds with, “No way! Your sibling is such an amazing person!”.

A bad therapist is not open to feedback. 

Therapists should make you feel comfortable enough to raise any feedback you may have, at any point in therapy. They should also be secure enough not to take things personally. Feedback is a normal part of any healthy therapeutic relationship.

A bad therapist ends the counselling session prematurely. 

If the session is scheduled for an hour, the session should last no less than an hour. Occasionally, sessions may start late when therapists are held up by crises or other sessions that run over the scheduled time. However, if your therapist is habitually late, or frequently cancels or misses appointments without a valid reason, it might be time to start looking for a new therapist.

Signs of a Bad Therapist

Before jumping to conclusions and labelling someone a bad therapist, consider this: therapists are human. Like all other human beings, therapists have emotions too and do make mistakes from time to time. Think about the difference between a therapist who yawned twice in a session due to a family emergency the day before, and a therapist who initiates a sexual relationship with a vulnerable client. It may be helpful to ask yourself what you can and cannot tolerate in a therapy session. This could even be a topic to discuss with your therapist. However, assessing the severity of any ethical violation is important. Where serious harm has been done, appropriate measures should be taken. This protects not just the client reporting the wrongdoing, but also other clients who may not have come forward for any reason. Choose a qualified professional therapist you can trust. 

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We were just signing off from our session, confirming the date and time for the next one when my client, CC,  made an offhand remark – “Wow – I never knew that what I had was trauma”.  

Trauma as a Lived Reality

CC came to counselling because she was unable to feel joy, and thus, when faced with having to make significant life choices and decisions, she was often unmotivated to take control.

CC hails from a loving, tight-knit and financially comfortable Asian family. She does not fit into the typical profile of someone who has experienced trauma in her developmental years.  Yet, her lack of motivation for joy or action suggested that she had experienced unresolved small “t”s – small traumas in her life that had caused a cumulative effect of helplessness, which she emotionally felt as apathy and joylessness.

Freezing as a Coping Mechanism

When CC presented her issues to me, the first thing that popped into my head in terms of her psycho-neurological state was that “she’s frozen”. Her autonomic nervous system had suffered a shock somewhere along her life story and her “fight/flight/freeze” mode was activated to the “freeze” mode.

It suggested to me that her default way of coping with negative emotions was to suppress them or to rationalise them away. For CC, her emotional brain remembered the effects of the small traumas but had no way of making meaning out of them. Therefore, whenever she felt triggered, her emotional brain switched to the survival mode of freezing, without learning to effectively process, adapt and master the negative emotions. 

CC is not alone.  So many of us carry the unacknowledged, but felt, negative emotions of small traumas. These accumulated emotional stress are sometimes manifested in our physiological systems as gastrointestinal distress, headaches, migraines, body aches and other autoimmune dysfunction.  Emotionally, we find ourselves easily triggered without an understanding of why and in hindsight, these events did not seem to merit such a reaction.

Big Ts and Small Ts - Big Traumas, Small Traumas

While I was training to be an Eye Movement Desensitization and Reprocessing (EMDR) practitioner, our supervisor, Dr Laurel Parnell presented to us the differences between Big Traumas and Small Traumas.

One of the best explanations of Small “Ts” and Big “Ts” can be found on Psychology Today’s website

I’ll quote the salient points from the article here:

Small ‘t’ traumas are events that exceed our capacity to cope and cause a disruption in emotional functioning. Small ‘t’ traumas tend to be overlooked by the individual who has experienced the difficulty…

This is sometimes due to the tendency to rationalize the experience as common and therefore cognitively shame oneself for any reaction that could be construed as an overreaction or being “dramatic…

…One of the most overlooked aspects of small ‘t’ traumas is their accumulated effect. While one small ‘t’ trauma may not lead to significant distress, multiple compounded small ‘t’ traumas, particularly in a short span of time, are more likely to lead to an increase in distress and trouble with emotional functioning. 

 Large-T trauma is distinguished as an extraordinary and significant event that leaves the individual feeling powerless and possessing little control in their environment…Large ‘T’ traumas are more readily identified by the experiencer, as well as those who have any familiarity with their plight.”

The good news I have found for myself and my clients is that when we engage in creating and devoting space to our bio-psychological health, we empower ourselves with self-knowledge and self-agency.

My clients inspire hope and respect in me.  It takes courage to go on this journey of self-discovery.  The Latin root for “Courage” is “Cor” which means “heart”.  I would like to think that my clients can find in our time together a safe therapeutic space, to tell their stories with all of their hearts – and in so doing – honour their strengths and offer compassion to their weaknesses.

I’ll end with a quote from Brene Brown:

Courage starts with showing up and letting ourselves be seen…Because true belonging only happens when we present our authentic, imperfect selves to the world, our sense of belonging can never be greater than our level of self-acceptance.”

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A recent survey by the Institute of Mental Health (IMH), revealed that “one in seven people in Singapore has experienced a mood, anxiety or alcohol use disorder in their lifetime”. 

The study further highlights the existing problem of a “treatment gap”, in which the majority of people suffering from such mental health issues did not seek professional treatment. According to the study, this could be due to two reasons.  First, the failure to recognise the symptoms and second, the stigma around mental health issues.                                                     

The results suggest that although having a mental health condition is not uncommon in Singapore, it unfortunately remains a misunderstood and taboo subject.

Stigma Around Mental Health Issues​

It’s All Your Fault

Stigma can take many forms. How many of us have heard dismissive statements in response to being open with our feelings? These include statements such as “you’re always so negative”, “Don’t be such an attention-seeker” or “you wouldn’t be in this situation if you [had or hadn’t done something]”? 

Such statements unwittingly place the blame for a mental health issue on the person experiencing it. They do not acknowledge the various biological, social and economic factors that influence mental health.

In fact, the 2017 Attitude Survey conducted by the National Council of Social Services (NCSS) showed that “six in ten believe that mental health conditions are caused by a lack of self-discipline and willpower”.

Indeed, stigma around mental health issues often stems from a lack of awareness on how they come about.

The Truth About Mental Health

Mental health issues are rarely due to the “lack of self-discipline” or because those individuals are “weak” as commonly believed (Institute of Mental Health, 2015). At the same time, the fear of being judged and being discriminated against can obstruct one’s road to recovery (Yang, 2007).

Often stigma results in someone refusing or delaying treatment. Things that could have been resolved easily and quickly with early interventions often become buried deep in inner vaults guarded by shame and guilt.

What We Can Do About It​

Choose Your Words Wisely

As with most things, it begins with small steps. These can include being mindful of  things we say casually.

The constant description of others as “crazy”, “gila”, “siao” or “psychotic” tend to imbue these words with negative stereotyping and often result in social distancing. A study published in 2017 revealed that among Singaporean youth, 44.5% of the respondents associated pejorative words and phrases with mental illness (Pang et. al, 2017).

Another example is making statements such as “I was so embarrassed, I wanted to kill myself” which could be triggering for those battling with depression if overheard unintentionally.

Avoid Defining People by Their Experiences

Language plays an important part in both stigmatising and destigmatising mental illness. Next time, instead of saying “she’s depressed”, try “she felt down” or “she had a depressive episode”. 

This separates the illness from the individual, reminding them that they are bigger than their emotions or mental state.

Be More Accepting

Acceptance also plays a huge role in removing prejudices. One way to show acceptance is to emotionally validate our peers or loved ones when they come to us with problems. 

Invalidation occurs when we tell other people to “not think about it anymore” or to “not be sad”.

By normalising sadness and anxiety, people will feel more understood and accepted. For example, instead of saying “don’t think about it”, try saying “it’s normal to feel anxious about having to present!” 

This would encourage them to talk about their feelings, which would lead to improved mental well-being as they are better able to cope.

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References

Institute of Mental Health. (2015, Oct 6). IMH’s National Mental Health Literacy Study Shows Dementia, Alcohol Abuse and Depression are the Most Recognisable Among Common Mental Disorders. [Press Release]. Retrieved from https://www.imh.com.sg

National Council of Social Services. (2018, October 30). NCSS Study Reveals That Workplace Adjustments In Companies Will Address Barriers to Hiring Mental Health Conditions [Press Release]. Retrieved from https://www.ncss.gov.sg/Press-Room/National-Council-of-Social-Service/Press-Releases/Detail-Page?id=NCSS-Launches-First-Nation-Wide-Campaign-to-Fight

Teater, B. (2013). Cognitive Behavioural Therapy. In The Blackwell Companion to Social Work, 4th Edition. Wiley-Blackwell

Yang, L.H. (2007). Application of mental illness stigma theory to Chinese societies: synthesis and new directions. Singapore Medical Journal, 48(11), pp. 977-985. http://www.smj.org.sg/article/application-mental-illness-stigma-theory-chinese-societies-synthesis-and-new-direction 

Pang, S. Liu J., Mahesh M., et. al (2017).  Stigma among Singaporean youth: a cross-sectional study on adolescent attitudes towards serious mental illness and social tolerance in a multiethnic population. BMJ Open, 7(10). DOI: 10.1136/bmjopen-2017-016432