Which Type of Therapy Is Best to Treat Depression or Anxiety?

If you’re considering therapy to boost your mental health, the options can be overwhelming. Different approaches, different credentials, not to mention telehealth, texting and even therapy by robot! It’s scary spilling your problems to a stranger, but whether it’s your first time or you’ve done it before, Alok and Sheena have tips to help you get more out of therapy.

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Find our experts and hosts:
:: Dr. Alok Patel ::
Website: http://alokpatelmd.com/
Twitter: @AlokPatelMD
Instagram: @alokpatelmd

:: Sheena William, RN ::
Twitter: @Keepingitkinky1
Instagram: @keepingitkinky

:: Erlanger Turner, Ph.D ::
Pepperdine University faculty site: : https://gsep.pepperdine.edu/about/our-people/faculty/erlanger-turner/
personal website: http://www.drerlangerturner.com/
Therapy For Black Kids organization: https://www.therapyforblackkids.org/

:: In a criss? Get immediate help ::
Call 911
-or-
National Suicide Prevention Lifeline: 1-800-273-TALK (8255) for English, 1-888-628-9454 for Spanish, or Lifeline Crisis Chat
-or-
Crisis Text Line: Text SIGNS to 741741 for 24/7, anonymous, free crisis counseling

:: Resources to Find a Therapist ::
Psychology Today
https://www.psychologytoday.com/us/therapists

National Institute of Mental Health
https://www.nimh.nih.gov/health/topics/psychotherapies

BetterHelp
https://www.betterhelp.com/

Mental Health America
https://www.mhanational.org/finding-therapy

Recovery International (peer-led cognitive behavioral support):

Home

:: Sources Mentioned in the Episode ::
Recent Trends:
https://www.nature.com/articles/d41586-021-00175-z
https://www.nami.org/mhstats
https://www.apa.org/news/press/releases/2021/10/mental-health-treatment-demand

Approaches to Therapy:
https://www.apa.org/topics/psychotherapy/approaches
https://www.mayoclinic.org/tests-procedures/psychotherapy/about/pac-20384616

Kenneth Howard’s classic study:
https://i-cbt.org.ua/wp-content/uploads/2017/11/Howard-dose_effect-psychotherapy-1986.pdf

Meta of meta study:
https://pubmed.ncbi.nlm.nih.gov/28240781/

Medication or Therapy for Depression?:
https://www.health.harvard.edu/staying-healthy/medication-or-therapy-for-depression-or-both

Zoom Boom:
https://www.scientificamerican.com/article/the-pandemic-has-created-a-zoom-boom-in-remote-psychotherapy/

Telehealth Effectiveness:
https://www.tandfonline.com/doi/full/10.1080/16506073.2017.1401115
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(09)61257-5/fulltext

Therapy by text:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7291694/

Racial and Ethnic DIfferences in Accessing Care:
https://www.samhsa.gov/data/sites/default/files/MHServicesUseAmongAdults/MHServicesUseAmongAdults.pdf

First robot therapy session (1972):
https://datatracker.ietf.org/doc/html/rfc439

:: Other Resources ::
American Psychological Association
https://www.apa.org/

American Psychiatric Association
https://www.psychiatry.org/

Types of Credentials

Therapist Credentials: What do all those letters mean?

CDC: Prevalence of Mental Health Treatment in U.S.
https://www.cdc.gov/nchs/products/databriefs/db380.htm#:~:text=Interview%20Survey%2C%202019.-,Summary,from%20a%20mental%20health%20professional

APA: Understanding Psychotherapy and How it Works http://www.apa.org/helpcenter/understanding-psychotherapy.aspx

Is One Therapy Better Than Another?
https://www.psychotherapy.net/interview/bruce-wampold-psychotherapy-effectiveness

Talkspace: A Brief History of Therapy

A Brief History of Therapy

16 Comments

  1. Therapy is a crucial aspect of my ongoing healthcare. One thing not mentioned in the video that I have found to be helpful is that there are therapists who specialize in particular medical condition. A neck injury has lead to me experiencing high levels of chronic pain. Seeing a psychologist who specializes in pain management has really helped in managing my pain and related areas of mental health such as anxiety and depression. The pain psychologist isn't a fix-all, but combined with proper treatment (as needed) from a psychiatrist, pain medicine physician, and occupational and physical therapists, my life is drastically better than it would be otherwise.
    The only caveat is that due to the US not having public healthcare, health insurance is a major part of my life, especially in deciding on my career path and where exactly I want to work. Whenever I'm interviewing for a position, I always have to closely exam the healthcare benefits, in particular mental health, which may be outsourced to another insurance carrier.

  2. I think of it like an athlete and a coach. This is professional coaching to help with the mind rather than the body. Just like a coach they do not do your training for you. I'm not talking about a "life coach" however. I mean someone with education to help psychologically not guidance or a motivational coach, even though they can help those ways, but someone that has several years at a reputable educational institution that has taught them from the ground up on how humans work. I'd not want a coach, as a professional athlete, that has had no training. Same for someone that can handle a human mind, starting with anatomy and physiology on up to neurology then therapy methods.

  3. There's also a huge issue with therapy among the neurodiverse community. A lot of neurodiverse people (including me) struggle with therapy because we literally don't think and feel like others. Most therapists simply aren't training to work with us, and there's a lot of misinformation and misconceptions that are activity making it worse. I've personally really struggled finding a therapist I feel comfortable with and who truly understands me (and who's covered by my insurance)

  4. A good explanation of the rise of anxiety needing therapy is the fact that in the past several years DOCTORS REFUSE TO PRESCRIBE ATIVAN!

  5. I know this video is specifically about therapy, but going for a brisk walk or jog (elevating the heart rate) is also a great intervention for mild to moderate depression/anxiety. Of course, some may need medication and/or therapy too, but it's something we can do while waiting to get an appointment scheduled.

  6. I think that time and cost are a HUGE barrier for some folks to getting therapy. I have struggled with bipolar disorder for years, before i was diagnosed and traeted it interfered with my ability to finish school and to keep a job. As a result I worked mainly part time minimum wage jobs, jobs that don't offer health insurance, jobs with no sick leave, jobs with very inflexible schedules, and jobs that didn't even pay all my bills much less leave anything for "luxuries" like therapy. Eventually I was able to get help for my disorder but only when I was completely unemployed and on state assistance. I remember crying and telling a social worker I had trouble coping, that my depression at times waa so bad i couldnt function, and she told me about a place that accepted the state medical. The medical only paid for a specific number of therapy sessions but I was at least able to get medication.
    Most people I know, regardless of what insurance they have, have had trouble getting enough sessions approved to really make an impact, I think destigmatizing mental health care could go a long way, insurance companies treat it like it is non essential even though, in some cases, it literally saves lives.

  7. Hi, good video. I’m not really the intended audience. I was searching for something that perhaps isn’t very common and gets dealt with individually. I started therapy when the crises were frequent and there was a college clinic available. I had heard bad things about it from from my Dad. Silly things like “all psychiatrists are crazy”. It turns out my mh problems have been ongoing and I’m old now. I was searching to find out do I go to therapy forever? I kind of know the answer. Basically, I’ve been told until I lose cognitive ability, like with dementia. I just wish life could could be manageable without therapy before then, but every week, I need guidance. I just don’t need so much discovery in my retirement years.

  8. IT WON'T BE LONG TILL THE WHOLE AMERICAN POPULATION WILL BE DEEMED METALLY ILL , JUST BECAUSE YOU MAY GET A LITTLE DISTRESSED , ANXIOUS , DEPRESSED , AND ETC . OR GET ON CERTAIN MEDS .

  9. Keep doing the great content,
    Remembering one good thing each day
    Having things to look forward to
    Finding absorbing hobbies
    Thinking about your purpose in life
    Having a plan and tasks for each day
    Keeping a reflective journal

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