On modalities and why they matter >>

Modalities are schools of psychotherapy that follow specific protocols. For example, in SFBT (solution focused brief therapy), clients identify a goal and explore barriers that hold back from and levers that lead toward that goal. In narrative therapy, clients look at the story of themselves and work to develop identity and meaning. These different types of therapies are evidence based, which means proven by scientific method. Therapists are trained in multiple modalities and will choose one or more to apply in the course of treatment.

The diagnosis factors into which modality is the best fit for a client. For example, Acceptance and Commitment Therapy (ACT) addresses chronic pain or anxiety. Dialectical Behavioral Therapy (DBT) is recommended for intense mood distress and troubled relationship patterns. Eye movement desensitization and reprocessing (EMDR) targets PTSD symptoms.

For most modalities, workbooks are available to practice the skills and that review the basics of the approach. Talk to your therapist about what modalities are being used and ask for homework to make your hourly sessions more productive.