The Ellie Blog

Mental health tips and insights

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Finding the Right Therapy Modality: A Guide to EMDR, DBT, CBT, and More

When it comes to mental health, one size definitely doesn’t fit all. Choosing the right type of therapy can make a huge difference in how effective your treatment is and how you feel along the way. Just like people are unique, therapy styles are, too. Finding a method that fits your needs, your personality, and your goals can be the key to real, lasting change.

Different therapy approaches are designed to help with different challenges. For example, Cognitive Behavioral Therapy (CBT) is great for managing anxiety or depression by helping you recognize and change unhelpful thought patterns. On the other hand, if you’ve experienced trauma, something like EMDR (Eye Movement Desensitization and Reprocessing) might be more effective. Matching the therapy to your specific issues means you’re more likely to see real progress, faster.

It’s not just about the method though, it’s also about how you connect with it. Some people prefer a structured, goal-focused approach, while others do better with a more open-ended, reflective style. When therapy feels right, you’re more likely to stay motivated, open up, and build a strong, trusting relationship with your therapist. And that connection is one of the biggest factors in successful outcomes.

The right therapy also takes into account your background, culture, and personal values. Feeling seen and understood in the process can make all the difference, especially when dealing with deeply personal issues. Ultimately, being in the right kind of therapy isn’t just helpful, it’s essential. It’s what turns a good experience into a life-changing one.

An Overview of Common Therapy Modalities

If you’re wondering where to start, here’s a quick guide to some of the most widely used and effective types of therapy:

Cognitive Behavioral Therapy (CBT)

CBT is a practical, goal-oriented form of therapy that focuses on identifying and changing unhelpful thought patterns and behaviors. It’s based on the idea that our thoughts, feelings, and actions are interconnected; so, by challenging negative thinking and developing healthier coping strategies, people can improve their emotional well-being. CBT is widely used to treat anxiety, depression, stress, and many other mental health concerns.

Dialectical Behavior Therapy (DBT)

DBT is a type of cognitive-behavioral therapy designed to help clients manage intense emotions, improve relationships, and build coping skills. It combines strategies for acceptance and change, teaching skills in four key areas: mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness. Originally developed for individuals with borderline personality disorder, DBT is now used to treat a wide range of mental health issues, including anxiety, depression, and self-harming behaviors.

Eye Movement Desensitization and Reprocessing (EMDR)

EMDR therapy is a structured approach designed to help people process and heal from traumatic memories and distressing experiences. It uses bilateral stimulation, such as guided eye movements or tapping, while the client recalls a traumatic event, helping the brain reprocess the memory and reduce its emotional impact. EMDR is widely used for PTSD, anxiety, and other trauma-related conditions, and is known for producing rapid and lasting results.

Brainspotting

Many therapy modalities were actually born out of others—and brainspotting is a great example of this. In 2003, Dr. David Grand was using EMDR with one of his clients. During an EMDR session, he noticed that when the client held her gaze in one spot for a period of time (instead of moving her eyes back and forth), she was able to resolve some of her deeply held somatic and emotional trauma. The therapist guides the client’s gaze to a “brainspot” and this focused mindfulness and processing allows the brain to heal and regulate.

Acceptance and Commitment Therapy

Another example of a “second generation modality” is Acceptance and Commitment Therapy (ACT). ACT was born out of and adds to CBT. It combines mindfulness skills and CBT strategies to help people live a more value-driven life. The goal is ACT is to build psychological flexibility.

Psychodynamic Therapy

Psychodynamic therapy is a deep, insight-oriented approach to psychotherapy that explores how unconscious thoughts, past experiences, and early relationships influence current behavior and emotions. Rooted in Freudian theory, psychodynamic aims to bring hidden patterns to the surface to promote self-awareness and emotional growth. Through open-ended conversation and reflection, clients gain a better understanding of themselves and the underlying causes of their struggles, leading to lasting change.

Humanistic Therapy

Focused on personal growth and self-discovery, humanistic therapy emphasizes empathy, authenticity, and self-acceptance. Rooted in the belief that everyone has the potential for self-actualization, this form of counseling encourages people to explore their true selves in a supportive, non-judgmental space. Rather than diagnosing or fixing, humanistic therapy supports people in exploring their feelings, finding meaning, and becoming their most authentic selves.

The Value of Being Open to Change

As important as it is to start with the right therapy, it’s just as crucial to check in along the way. Therapy progress evaluation helps ensure that the approach you’re using is actually working for you. Regularly monitoring therapy effectiveness with your therapist can help identify what’s helping and what might need to change. Sometimes, adapting therapy methods or even switching modalities can lead to better outcomes. Being open and willing to make adjustments shows strength, not failure. That kind of flexibility in therapy can lead to deeper insight, more progress, and a more personalized path to healing.

Final Thoughts

Exploring different types of therapy may feel overwhelming at first, but it’s worth taking the time to find the right fit. Whether you’re drawn to CBT therapy, curious about EMDR therapy, or looking to better understand yourself through psychodynamic therapy, there’s a path that’s right for you. Therapy isn’t just about feeling better in the short term, it’s about building a stronger, healthier relationship with yourself for the long haul.

If you’re not sure where to begin, consider finding a location and talking with one of our therapists about your goals and preferences. Together, you can find a therapeutic approach that feels like the right match, and that’s where real healing begins.

About the author

Hannah Gundlach headshot

Hannah Gundlach, LMHCA

Outpatient Therapist

Hannah graduated with a Bachelor's degree in Psychology from Purdue University Indianapolis and a Master’s degree in Mental Health Counseling from the University of Indianapolis. She has worked in community mental health for the last year, where she worked with adolescents, individuals, groups, and families. Hannah strives to… Read more