The James-Lange Theory of Emotion

The James-Lange theory of emotion suggests that physical changes in the body happen before the experience of the associated emotion. Essentially, emotions stem from your interpretation of your physical sensations. For example, your heart beating wildly would lead you to realize that you are afraid.

The James-Lange theory of emotion is one of the earliest attempts to explain what causes emotions. Proposed independently by psychologist William James and physiologist Carl Lange, the James-Lange theory of emotion suggested that emotions occur as a result of physiological reactions to events.

In other words, James-Lange theory proposes that people have a physiological response to environmental stimuli and that their interpretation of that physical response is what leads to an emotional experience.

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How Does the James-Lange Theory Work?

According to this theory, witnessing an external stimulus leads to a physiological response. Your emotional reaction depends on how you interpret those physical reactions.

Example

Suppose you are walking in the woods, and you see a grizzly bear. You begin to tremble, and your heart begins to race. The James-Lange theory proposes that you will interpret your physical reactions and conclude that you are frightened (“I am trembling. Therefore I am afraid.”)

William James explained, “My thesis, on the contrary, is that the bodily changes follow directly the PERCEPTION of the exciting fact and that our feeling of the same changes as they occur IS the emotion.”

For another example, imagine that you are walking through a dark parking garage toward your car. You notice a dark figure trailing behind you and your heart begins to race. According to the James-Lange theory, you then interpret your physical reactions to the stimulus as fear. Therefore, you feel frightened and rush to your car as quickly as you can.

Both James and Lange believed that while it was possible to imagine experiencing an emotion such as fear or anger, your imagined version of the emotion would be a flat facsimile of the real feeling.

Why? Because they felt that without the actual physiological response that they believed precipitated the emotions, it would be impossible to experience these emotions “on demand.” In other words, the physical reaction needs to be present in order to actually experience real emotion.

Impact of the James-Lange Theory

Prior to the James-Lange theory, the standard line of thought was that people the first reaction to perception was cognitive. Physical responses then occurred as a reaction to that thought. The James-Lange approach instead suggested that these physiological responses occur first and that they play a major role in the experience of emotion.

While it might seem like a small distinction in the sequence of events, the theory had an important impact on psychology and the understanding of emotions.  While influential, however, not everyone agreed that physical responses were what led to emotions.

The German psychologist Wilhelm Wundt was one of the first to critique the theory. He instead suggested that emotions were a primal, hard-wired sensory response. It was not long before other researchers challenged this viewpoint and proposed their own theories to explain the emotional experience.

The Cannon-Bard theory of emotion, proposed in the 1920s by Walter Cannon and Philip Bard, directly challenged the James-Lange theory. Cannon and Bard’s theory instead suggests that our physiological reactions, such as crying and trembling, are caused by our emotions.

While modern researchers largely discount the James-Lange theory, there are some instances where physiological responses do lead to experiencing emotions. Developing a panic disorder and specific phobias are two examples.

For example, a person may experience a physiological reaction such as becoming ill in public, which then leads to an emotional response such as feeling anxious. If an association is formed between the situation and the emotional state, the individual might begin avoiding anything that might then trigger that particular emotion.

James-Lange Theory Criticisms

One major criticism of the theory was that neither James nor Lange based their ideas upon anything that remotely resembled controlled experiments. Instead, the theory was largely the result of introspection and correlational research.

Both James and Lange did present some clinical findings to support their theory. For example, Lange cited one physician’s observations that blood flow to the skull increased when a patient was angry, which he interpreted as supporting his idea that a physical response to a stimuli led to the experience of that emotion.

It was the later work of neuroscientists and experimental physiologists who demonstrated further flaws with the James-Lange theory of emotions. For example, researchers found that both animals and humans who had experienced major sensory losses were still capable of experiencing emotions.

According to both James and Lange, physiological responses should be necessary to truly experience emotion. However, researchers discovered that even those with muscle paralysis and lack of sensation were able to still feel emotions such as joy, fear, and anger.

Another issue with the theory is that when tested by applying electrical stimulation, applying stimulation to the same site does not lead to the same emotions every time. A person may have the exact same physiological response to a stimulus, yet experience an entirely different emotion.

Factors such as the individual’s existing mental state, cues in the environment, and the reactions of other people can all play a role in the resulting emotional response.

Support for the James-Lange Theory

While it seems as if the James-Lange theory should be nothing more than something you might study for its historical significance, it maintains its relevance today because researchers continue to find evidence that supports at least some parts of James’s and Lange’s original ideas.

The introduction of new technology allowed psychology to get a better understanding of how the brain and body respond during an emotional reaction.

One classic study published in 1990 provided some support for the James-Lange theory, finding that when people were asked to make facial expressions for different emotions, they also displayed slight differences in their psychological reactions such as heart rate and skin temperature.

Some other evidence in support of the theory includes brain scan studies that have revealed that basic emotions elicit distinct patterns of activity in neural networks in the brain.

Studies also suggest that the perception of internal physical states plays a role in how people experience emotions. One study, for example, found that participants who were more sensitive to their body’s physical signals also experienced more negative emotions such as anxiety.

Final Thoughts

Researchers have devoted a great deal of time and effort toward understanding emotional responses. The James-Lange theory of emotion represents one of the earliest theories.

Although the theory has been criticized and altered considerably over the years, it still exerts influence today. Competing theories of emotion such as Cannon-Bard theory of emotion and Schacter’s two-factor theory of emotion have also been introduced.

Today, many researchers would instead suggest that rather than our emotions being the result of physical reactions as James and Lange suggested, our emotional experiences are instead modified by both physiological reactions along with other information.

Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
  1. The Science Of Emotion: Exploring The Basics Of Emotional Psychology. Psychology and Counseling News. University of West Alabama.

  2. Barrett LF. Emotions are real. Emotion. 2012;12(3):413-29. doi:10.1037/a0027555

  3. Lindquist KA, Wager TD, Kober H, Bliss-moreau E, Barrett LF. The brain basis of emotion: a meta-analytic review. Behav Brain Sci. 2012;35(3):121-43. doi:10.1017/S0140525X11000446

  4. Cannon WB. The James-Lange theory of emotions: a critical examination and an alternative theoryThe American Journal of Psychology. 1927;39:106–124. doi:10.2307/1415404

  5. Cannon-Bard theory. APA Dictionary of Psychology.

  6. Cisler JM, Olatunji BO. Emotion regulation and anxiety disorders. Curr Psychiatry Rep. 2012;14(3):182-7. doi:10.1007/s11920-012-0262-2

  7. Söderkvist S, Ohlén K, Dimberg U. How the Experience of Emotion is Modulated by Facial Feedback. J Nonverbal Behav. 2018;42(1):129-151. doi:10.1007/s10919-017-0264-1

  8. Levenson RW, Ekman P, Friesen WV. Voluntary facial action generates emotion-specific autonomic nervous system activity. Psychophysiology. 1990;27(4):363-84. doi:10.1111/j.1469-8986.1990.tb02330.x

Additional Reading

  • Goldstein S. Encyclopedia Of Child Behavior And Development. Berlin: Springer US; 2012.

  • Hockenbury, DH & Hockenbury, SE. Discovering Psychology. New York: Worth Publishers; 2011.

  • Pastorino, EE & Doyle-Portillo, SM. What Is Psychology? Essentials. Belmont, CA: Wadworth Cengage Learning; 2013.

Kendra Cherry

By Kendra Cherry, MSEd

Kendra Cherry, MS, is a psychosocial rehabilitation specialist, psychology educator, and author of the “Everything Psychology Book.”


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Relationship OCD: Symptoms, Causes, and Coping


Key Takeaways

  • Relationship OCD involves intrusive thoughts and compulsive behaviors about your partner and relationship.

  • Psychotherapy and medication can help manage relationship OCD symptoms.

  • Open and honest communication with your partner is essential to building trust and managing OCD.

Relationship OCD (sometimes called R-OCD) is a form of obsessive-compulsive disorder in which people experience intrusive thoughts and compulsive behaviors related to their relationship with their romantic partner.

The condition can create repetitive thoughts that center on doubts or fears about the relationship. The person may experience uncertainty about whether their partner really loves them or whether the relationship will last. These thoughts can then lead to behaviors that are designed to gain reassurance. This pattern can create a great deal of stress for the person experiencing OCD symptoms, but it can also place a considerable amount of stress on the relationship itself.

If you have obsessive-compulsive disorder (OCD), you know that your symptoms can often get in the way of establishing and maintaining romantic relationships. Indeed, many individuals with OCD are single, and those who are in a relationship often report a significant amount of relationship stress.

This article discusses the symptoms, causes, and types of relationship OCD. It also covers some of the available treatments and things you can do to cope.

Symptoms

Some signs and symptoms of relationship OCD may include:

  • Intrusive thoughts about your relationship or your partner
  • Always worrying about whether your partner really loves you
  • Excessive concern about your partner’s happiness or well-being
  • Always thinking about your partner’s flaws
  • Thinking that you could have found a different, better partner
  • Constantly seeking reassurance from your partner
  • Feeling distracted and unable to focus due to intrusive thoughts about your relationship or partner

In order to be diagnosed with OCD, these obsessions and compulsions must interfere with your normal activities and ability to function. In order to diagnose the condition, your healthcare provider or therapist will also have to rule out related conditions that might be contributing to your symptoms including an anxiety disorder, depression, or obsessive-compulsive personality disorder.

What Triggers Relationship OCD?

The exact causes of relationship OCD are not entirely clear, although a number of factors may play a role. Factors that can increase a person’s risk of developing OCD include:

  • Changes in activity in certain areas of the brain
  • Difficulties in close relationships
  • A history of abuse
  • The loss of a loved one
  • Trauma
  • Sudden life changes such as moving or getting married
  • Changes in serotonin levels in the brain

Factors such as having an anxious attachment style, past negative experiences, and poor self-esteem may also contribute to anxiety related to relationships.

Most people experience varying levels of relationship anxiety from time to time. However, people with relationship OCD may experience it much more severely and frequently.

Types of Relationship OCD

There are two different types of relationship OCD. Some people may experience one or the other, while some may experience symptoms of both.

  • Relationship-focused: The symptoms of this type of relationship OCD are centered around the relationship itself. A person with this type may wonder, “Does my partner really love me?” or “Am I really in love with them?”
  • Partner-focused: The symptoms of this presentation of the condition are centered on the characteristics of the individual’s partner. A person with this type of relationship OCD may love their partner, but feel preoccupied with questions about their partner’s personality, intelligence, and other characteristics.

What Does Relationship OCD Feel Like?

Relationship OCD can manifest in many different ways. For example, you may have challenges maintaining your self-esteem and may struggle with feelings of shame around your symptoms, which can lead you to avoid contact with others.

Relationship OCD can also cause people to seek reassurance from their partner constantly. This behavior can lead to feelings of frustration and confusion when the partner doesn’t understand the source of the anxiety. They may perceive it as neediness or may feel as if their personal boundaries are always being disregarded.

In addition, you may feel that you have to conceal the nature of your obsessions and compulsions to avoid rejection. When your obsessions or compulsions revolve around your romantic partner as with R-OCD, it can be especially difficult to reveal the nature of your symptoms.

Secrecy stands in the way of an open, honest, and intimate relationship. Plus, symptoms of depression, which are common with OCD, can also make it difficult to establish and maintain intimate relationships.

OCD symptoms can also interfere with sexual intimacy. For example, people with OCD may experience obsessions related to contamination (like the cleanliness of their partner’s genitals) or disturbing sexual thoughts (such as sexual assault) that make it very difficult to engage in sexual activities with their partner. Not surprisingly, people with OCD are often sexually avoidant and sexually dissatisfied in their relationships.

How Do I Get Rid of ROCD?

While you may not permanently be able to “get rid of” relationship OCD as there is no cure for OCD, there are fortunately ways to manage and treat your symptoms. The severity of OCD symptoms is positively associated with the inability to establish and maintain a romantic relationship.

The treatment for relationship OCD may include psychotherapy, medication, or a combination of the two:

  • Psychotherapy: In addition to managing symptoms of OCD, psychotherapy can provide a useful framework for working on challenging areas, such as low self-esteem, difficulty being assertive, poor social skills, and a lack of self-confidence that could be impeding your ability to start or maintain a stable, long-term relationship.
  • Medication: Your doctor may also prescribe medications that can help reduce the symptoms of OCD. Selective serotonin reuptake inhibitors (SSRIs) are a type of antidepressant that may be prescribed. Research suggests that SSRIs are the most effective type of medication for the treatment of OCD.

Be sure to review your treatment plan with your doctor, psychologist, or other mental health professional to ensure it is best possible course of treatment for you.

How to Cope With Relationship OCD

Although OCD does pose many challenges to forming, maintaining, and enjoying a romantic relationship, there are ways to cope.

Get Your Partner Involved

If you’re already in a romantic relationship, it may be helpful for your partner to take a more active role in your treatment. The doctor or therapist’s office can be a safe and neutral venue to discuss the symptoms you’re experiencing, particularly those that might be embarrassing or standing in the way of establishing or building intimacy.

The more your partner understands your symptoms, the more you will be able to trust one another.

Maintain Open and Honest Communication

Whether you have relationship OCD or not, open and honest communication is the foundation of any romantic relationship. This is especially important when your symptoms are intensifying or have changed.

Your partner needs to know what you are experiencing. Not being aware of the challenges you’re facing could lead to misunderstandings (like “they don’t find me attractive anymore”) that get in the way of building intimacy and trust.

Join a Support Group

Community support groups for OCD can be excellent sources of social support that provide an opportunity to hear how others are dealing with feelings of isolation or embarrassment. Although it may be tempting to date someone you have met through a support group, proceed with caution.

Many support groups have rules in place to protect the confidentiality of attendees and may actively discourage relationships (even casual friendships) outside of the group setting. If you find the support group to be of value and the relationship ends, it may be difficult for one or both of you to return to the group.

Recap

Treating your OCD can help reduce its impact on your relationship, but there are also self-help strategies that you can use to cope. Talking honestly to your partner and joining a support group can be helpful.

Get Help Now

We’ve tried, tested, and written unbiased reviews of the best online therapy programs including Talkspace, BetterHelp, and ReGain. Find out which option is the best for you.

Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
  1. Cleveland Clinic. Obsessive-compulsive disorder.

  2. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 5th ed. Washington, DC; 2013.

  3. Doron G, Derby DS, Szepsenwol O. Relationship obsessive-compulsive disorder (R-OCD): A conceptual framework. Journal of Obsessive-Compulsive and Related Disorders. 2014;3(2):169-180. doi:10.1016/j.jocrd.2013.12.005

  4. Doron G, Szepsenwol O. Partner-focused obsessions and self-esteem: An experimental investigation. J Behav Ther Exp Psychiatry. 2015;49(Pt B):173-179. doi:10.1016/j.jbtep.2015.05.007

  5. Moore KA, Howell J. Yes: The symptoms of OCD and depression are discrete and not exclusively negative affectivity. Front Psychol. 2017;8:753. doi:10.3389/fpsyg.2017.00753

  6. Real E, Montejo Á, Alonso P, Menchón JM. Sexuality and obsessive-compulsive disorder: The hidden affair. Neuropsychiatry. 2013;3(1):23-31. doi:10.2217/NPY.12.72

  7. Foa EB. Cognitive behavioral therapy of obsessive-compulsive disorder. Dialogues Clin Neurosci. 2010;12(2):199-207.

  8. Del Casale A, Sorice S, Padovano A, et al. Psychopharmacological treatment of obsessive-compulsive disorder (OCD). Curr Neuropharmacol. 2019;17(8):710-736. doi:10.2174/1570159X16666180813155017

By Owen Kelly, PhD

Owen Kelly, PhD, is a clinical psychologist, professor, and author in Ontario, ON, who specializes in anxiety and mood disorders.


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An A to Z List of Your Options


Key Takeaways

  • There are many different types of therapy, and the best one for you depends on your symptoms and needs.

  • Cognitive Behavioral Therapy (CBT) is effective for treating many conditions like anxiety and depression.

  • Dialectical Behavior Therapy (DBT) helps people manage emotions and is useful for conditions such as borderline personality disorder.

Psychotherapy is not a one-size-fits-all approach to treating mental health conditions. If you’ve ever thought about trying therapy, you’ve probably noticed that there are many different therapy types available. 

The type of therapy that will work best for you depends on various factors, including your symptoms, needs, and goals, as well as your individual preferences.

Cognitive Behavioral Therapy

Cognitive behavioral therapy (CBT) is a type of therapy that helps people identify distorted, unhelpful thoughts that adversely affect emotions and behaviors. After identifying these patterns, people can challenge them and develop more adaptive ones.

How It Works

During CBT, people work with their therapist to figure out which types of distorted thoughts are contributing to their current problems. It is a guided self-discovery process that requires introspection and discussion. While it can be challenging and uncomfortable sometimes, it can also be a great way to gain personal insights that help fuel future growth.

Once such patterns have been explored, a therapist will then help the individual find better ways of approaching the problem. This involves actively disputing the negative thoughts that arise from the situation and replacing them with more realistic, helpful, or positive ones.

What It’s Good For

CBT is often described as the gold standard of psychotherapy given the amount of research support it has.

It has been shown to be effective for a variety of conditions, including:

In addition to its use in treating specific conditions, CBT can also help people who are coping with problems such as insomnia, poor self-esteem, stress, and relationship issues.

Dialectical Behavior Therapy

Dialectical behavior therapy (DBT) is a form of cognitive-behavioral therapy that incorporates acceptance, mindfulness, and emotional regulation strategies.

How It Works

DBT usually involves weekly sessions that last around an hour; however, it may also involve group sessions and contact with your therapist between sessions. DBT sessions are focused on balancing between acceptance and change. A therapist will help the individual practice strategies such as mindfulness to help people stay more focused on the present moment.  

DBT also utilizes distress tolerance techniques such as self-soothing or physical strategies to help people manage strong emotions. Other important parts of DBT focus on interpersonal effectiveness (making and maintaining relationships) and emotional regulation (not being overwhelmed by strong emotions in the face of triggers).

What It’s Good For

DBT was originally developed to treat borderline personality disorder (BPD). However, it can also be useful with a range of other conditions, particularly those that involve problems with emotional regulation.

The conditions DBT can treat include:

Acceptance and Commitment Therapy

Acceptance and commitment therapy (ACT) is a form of CBT that focuses on helping people learn to accept their thoughts and feelings and commit to goals that support their values in life.

How It Works

ACT utilizes six important processes to help people improve their psychological flexibility, including the way they react to problems and their own emotions. These involve:

  • Identifying your values – what are the values by which you want to live your life?
  • Committed action – actively pursue and embody those values
  • Self as context – observing your physical and emotional sensations in any situation
  • Cognitive diffusion – separating yourself from your thoughts and emotions
  • Allowing yourself to accept your thoughts and emotions without trying to change them
  • Connecting with the present moment to help stay engaged and aware

What It’s Good For

ACT can be effective in treating a variety of conditions, including:

  • Anxiety
  • Chronic pain
  • Depression
  • Eating disorders
  • Psychosis
  • Stress
  • Substance use disorders
  • Obsessive-compulsive disorder (OCD)

Psychodynamic Therapy

Psychodynamic therapy is a treatment approach focused on helping people gain insight into the roots of their emotional suffering. It is influenced by psychoanalytic theory, but in contrast to traditional psychoanalysis, it is less frequent and more focused on here-and-now conflicts and relationship dynamics. It not only works to alleviate symptoms but also to help people grow in their emotional health and capacities.

How It Works

Like psychoanalysis, psychodynamic therapy works to help people uncover how their unconscious emotions or memories might influence their behavior.

This involves using techniques that encourage self-reflection, often by using the relationship with the therapist to better understand relationship patterns that might create issues in a person’s life.

During psychodynamic therapy, a person will meet with their therapist one or more times per week to talk about what’s on their mind, memories they’ve been thinking about, or current problems they are facing.

What It’s Good For

Psychodynamic therapy can treat:

  • Anxiety disorders
  • Depressive disorders
  • Personality disorders
  • Post-traumatic stress disorder (PTSD)
  • Substance use disorders

It can also be helpful for people who are experiencing other emotional issues, such as challenges in work, relationships, and with self-esteem.

Family Therapy

Family therapy approaches are a type of therapy that can help individuals by improving communication, reducing conflict, and strengthening relationships between family members.

Home environments and relationships can have an important impact on mental health issues, so improving this aspect of a person’s life can have a significant effect on how a person feels, functions and copes.

How It Works

The specific techniques a therapist uses in family therapy can vary depending on the therapist and the issues the individual and family are experiencing. It may incorporate techniques from other types of therapy, including cognitive, behavioral, and psychodynamic approaches.

The focus of family therapy is to make changes to the family dynamic to ensure each person has the support they need. During these sessions, the family may focus on particular issues, talk about past problems, or practice coping skills that can promote healing and communication.

What It’s Good For

Family therapy can be effective in treating a number of conditions and issues that affect families, including:

  • Anxiety disorders
  • Substance use disorders
  • Depressive disorders
  • Chronic illness

It can also be effective for helping families deal with challenges they might face, such as death, divorce, conflict, parenting problems, trauma, or behavioral issues.

Other Types of Therapy to Consider A to Z

In addition to some of the best-known and most frequently used types of therapy, there are a wide variety of other approaches that are often used to treat certain conditions or mental health concerns.

A Through C

ABA therapy is a behavioral approach that relies on reinforcement to change problematic behaviors in children with autism spectrum disorders. Although there is data for its effectiveness, there is some current controversy in the autism community about whether there should be a greater emphasis on building skills rather than trying to make kids with autism fit neurotypical norms.

Accelerated experiential dynamic psychotherapy (AEDP) is a type of therapy designed to help people manage anxiety, depression, stress, and trauma. It focuses on framing challenges and problems as opportunities to grow and heal.

Adlerian therapy is a treatment approach based on the theories of psychiatrist Alfred Adler. It stresses understanding a person’s social environment and how belonging and social interaction can help promote well-being.

Anger management focuses on helping people learn to recognize and manage feelings of anger and rage. During treatment, people learn how to limit their exposure to anger-provoking situations, but they also explore healthy ways of expressing their feelings and controlling angry outbursts.

Art therapy utilizes creative expression to help improve mental well-being. Collage, painting, coloring, and photography are just a few techniques that may help people express their feelings and cope with distress. Research suggests it can be helpful for a range of psychological issues, including anxiety, post-traumatic stress disorder, and relationship problems.

Attachment therapy helps people understand how their earliest bonds with caregivers impact their relationships in adulthood. This approach can be helpful for people who experience abuse, neglect, trauma, or other difficult childhood experiences. The idea is to help adults get in touch with their inner child to heal wounds and hurts that continue to affect a person in the present.

Attachment therapy may help improve interpersonal relationships, emotional vulnerability, self-esteem, and communication in relationships.

Aversion therapy involves repeatedly pairing an unwanted behavior with an unpleasant stimulus, such as an electrical shock. It is a form of behavioral therapy that is sometimes used to create an association between a behavior and discomfort. However, this type of therapy can be controversial and harmful in some cases.

Behavioral therapy involves utilizing conditioning processes to help change behaviors. It is rooted in the principles of behaviorism and involves techniques like rewards, punishments, desensitization, and behavior modeling to shape behavior. It can be helpful when focusing on specific problems and may be used to treat conditions such as anxiety, depression, phobias, and substance use disorders.

Bereavement therapy, also known as grief counseling, is designed to help people who have experienced the death of a loved one. Grief can lead to a range of physical and psychological symptoms that make coping and functioning more difficult. Bereavement therapy can help people work through their challenging feelings related to a loss.

Bibliotherapy involves using books and literature to gain insight into problems that a person might be facing in their own life. After discussing thoughts, emotions, or problems with a mental health professional, a therapist might recommend specific books to help people learn more about their problems and find solutions that might help.

Bioenergetic therapy is an approach that focuses on how the mind, body, and spirit are connected. By releasing both physical and psychological tension, this approach strives to help improve problems with stress, anger, depression, and anxiety. Specific techniques that may be used to accomplish this include sensory awareness, grounding, body movement, and supportive contact.

Bowenian family therapy seeks to understand how patterns are passed down through families. It works to help families heal these destructive, toxic patterns by improving communication, increasing autonomy, and strengthening boundaries. Families are asked to help create genograms that provide rich details about families, histories, relationships, and patterns.

Brainspotting therapy is an emerging alternative treatment focused on helping people process difficult emotions and memories. It is an offshoot of eye movement desensitization and reprocessing therapy (EMDR).

Client-centered therapy, aka person-centered therapy, associated with humanist psychologist Carl Rogers, is a collaborative, non-directive, and non-judgmental therapy. The therapist takes a position of unconditional positive regard, helping clients adjust their self-concept.

Cognitive processing therapy (CPT) is a type of CBT therapy designed to treat post-traumatic stress disorder (PTSD). Through psychoeducation, belief change, and skill development, people can let go of thoughts that keep them stuck on a traumatic experience.

Compassion-focused therapy (CFT) is an approach that utilizes compassion training and psychotherapy. It is designed to foster self-compassion leading to a variety of emotional and interpersonal benefits.

Couples therapy is designed to help romantic and intimate partners repair or improve their relationship. It can improve communication and connection and help couples learn how to deal with outside stress more effectively.

D Through I

Dance therapy utilizes body movement to promote mental well-being. In addition to relieving stress and improving physical health, it can also help people who are coping with conditions such as anxiety and depression.

Drama therapy, also known as psychodrama, encourages people to express themselves through acting, theater, improvisation, and role-play. It is an active approach to creative therapy that can help people solve problems, improve relationships, boost self-esteem, and increase emotional expression.

Eclectic therapy describes an approach many therapists use that involves drawing on many different therapy approaches during treatment. For example, a therapist may draw on behavioral, cognitive, DBT, and psychodynamic approaches.

Eye movement desensitization and reprocessing (EMDR) therapy is a treatment that uses bilateral (left-right) eye movement stimulation to help people process and recover from the impact of traumatic memories. Research suggests that EMDR can help reduce the pain and emotional effects of those memories.

Emotionally focused therapy (EFT) focuses on helping adults improve their attachment bonds. It is a short-term therapy that follows three main stages: de-escalation, restructuring, and consolidating. It can help couples who are struggling with conflict, distress, and poor communication.

Exposure therapy is a behavioral approach that has people face their fears in order to gradually reduce feelings of anxiety. It can be an effective treatment for panic disorder, phobias, social anxiety, obsessive-compulsive disorder, and aspects of PTSD.

Expressive arts therapy utilizes a range of creative self-expression, such as visual art, dance, music, and writing, to help build self-awareness and cope with difficult emotions.

Feminist therapy is a type of therapy that focuses on helping women with the stress and bias they experience due to gender discrimination. It can help women practice speaking up when they face bias and examine the power structures that can harm mental health.

Gestalt therapy is centered on the here and now of a person’s life. It seeks to understand the context of a person’s present life and its impact on their current challenges.

Group therapy involves a therapist leading sessions with more than one client at the same time. It can be an effective way for people to share, practice skills, build connections, and learn from others.

Hakomi therapy is a somatic approach that utilizes supportive, consensual touch to help people gain comfort and awareness while processing difficult emotions and experiences.

Healing touch therapy is an alternative approach that uses energy work to support mental and spiritual well-being. It is based on ideas drawn from Eastern medicine that focus on creating harmonious energy balances to help people feel well.

Holistic therapy is an integrative, mind-body approach that incorporates techniques such as breathwork, hypnosis, guided imagery, mindfulness, and yoga alongside psychotherapy techniques such as CBT and psychodynamic therapy.

The goal of holistic therapy is to integrate traditional and non-traditional approaches to address the whole person, including physical, psychological, emotional, and spiritual factors that affect a person’s well-being.

Humanistic therapy is an approach that focuses on helping people achieve their goals and personal fulfillment. It incorporates strategies such as unconditional positive regard and reflective listening to help clients build self-awareness and a positive sense of self.

Imago therapy is an approach that can help people manage and resolve conflicts within a relationship. It can help reduce hurtful language that contributes to problems, provide a safe environment that fosters greater openness, and give each person the chance to communicate their needs and listen to their partner.

Integrative therapy, sometimes called multimodal therapy, involves drawing on various therapeutic approaches to treat each person’s unique problems. It involves combining many techniques and adapting them to suit the individual situation and problem.

Interpersonal and social rhythm therapy helps people improve interpersonal relationships and develop regular routines supporting mental health. By stabilizing these aspects of a person’s life, people can improve mood and develop stronger relationship skills.

Interpersonal therapy is an approach that helps people better understand how their thoughts and feelings can affect their relationships with other people. It is usually a short-term treatment and can help with problems such as depression, anxiety, and substance use problems.

J Through P

Jungian therapy is an approach based on the theories of psychiatrist Carl Jung. It focuses on helping people find their inner selves by exploring unconscious influences through art, imagination, dream analysis, and word association.

Logotherapy is an approach that works to help people build resilience by finding a sense of purpose in their lives. It utilizes techniques such as dereflection, paradoxical intention, and Socratic dialogue to aid in self-discovery.

Mindfulness-based cognitive therapy (MBCT) combines CBT with mindfulness to help people become more aware of their thoughts and feelings. This approach helps people become more self-aware, gain mental clarity, and let go of negative thoughts. 

Motivational enhancement therapy (MET) is a technique that can help people with substance use issues become more motivated to change. It focuses on helping people recognize the effects of their behavior while fostering a stronger belief in their ability to change these behaviors.

Music therapy utilizes music to help improve mental well-being. In addition to listening to music, it can also involve writing songs, dancing, or talking about music.

Narrative therapy focuses on helping people become experts in their own life stories while also helping them more effectively observe their own lives, behaviors, and problems. By becoming experts in their own stories, people can live in ways that reflect their values, beliefs, and goals.

Nature therapy utilizes nature to help promote healing and wellness. It involves spending time outdoors in green spaces. Types of nature therapy include wilderness therapy and adventure therapy.

Play therapy utilizes play, such as painting, dancing, or games, to help children cope with emotional or mental challenges. It is typically utilized with younger children between the ages of 3 and 12.

Primal therapy encourages people to express their deepest emotions through talking, crying, yelling, or shouting. The idea is that venting such emotions can lead to relief and help process and integrate past experiences with the present.

Problem-solving therapy teaches problem-solving skills so that people can better tackle life’s challenges. It can help with depression, anxiety, stress, substance use, and other problems that affect mental health.

Psychedelic therapy involves using psychedelic substances to aid in the psychotherapeutic process. Substances such as LSD, psilocybin, and MDMA are a few that are being explored for their potential therapeutic effects.

R Through Z

Rational emotive behavior therapy focuses on helping people recognize and overcome irrational beliefs that contribute to mental health problems. It emphasizes acceptance while working to help people actively dispute and replace negative beliefs.

Reality therapy is a controversial therapy that rejects the idea of mental health conditions and suggests that all behaviors are the result of choices. It encourages people to take control of their lives by being accountable for their actions.

Regression therapy is a controversial and debated form of therapy that involves hypnosis to regress to an earlier point in time to understand how past events influence current functioning. Critics suggest that it can lead to false memories.

Relational therapy emphasizes relationships and explores how these connections influence an individual’s well-being. It works to improve communication and connection to help people overcome unhealthy habits that might affect their relationships.

Reminiscence therapy focuses on recalling positive past events to help induce feelings of pleasure and well-being. It is often used to help comfort older people who may find it enjoyable and fulfilling to focus on fond memories of the past.

Sand tray therapy involves using a sand tray and small tools and figures as a way for people to express themselves. It is often used with kids but can also be helpful for adults as a way to deal with feelings of anxiety and trauma.

Schema-focused therapy is a treatment for borderline personality disorder (BPD) that helps people with the condition change unhelpful thinking that contributes to symptoms. The goal is to change unhelpful underlying schemas, or pervasive thought and behavior patterns, to be more helpful and adaptive.

Sex therapy helps couples understand and resolve issues that might be standing in the way of a healthy sexual relationship. It may focus on improving communication, managing stress, and building intimacy.

Sex addiction therapy combines psychotherapy and medication to treat sex addictions. It utilizes approaches such as CBT, exposure therapy, and couples therapy, along with medications such as SSRI antidepressants or naltrexone, to help people gain better control of their behavior.

Sleep therapy helps people improve their sleep. It can treat conditions such as insomnia, but it can also be helpful for other conditions that can be affected by poor sleep, such as anxiety and depression.

Solution-focused brief therapy focuses on finding solutions to a person’s current problems. It centers around helping people use their strengths and motivations to figure out how to handle different situations.

Somatic therapy is a body-centric approach to treating PTSD and other conditions. It incorporates breathwork, dance, meditation, mind-body exercises, and talk therapy.

Strengths-based therapy is an approach based on positive psychology that helps people recognize their strengths, build resilience, and enhance their sense of self-efficacy

Supportive-expressive therapy is a form of psychodynamic therapy that helps people improve their self-control when dealing with substance use issues. Research suggests that it can be effective in the treatment of substance use disorders when used alone or combined with other approaches.

Systemic therapy looks at the connections between the problems a person is facing, their behavior patterns, their relationships, and their life choices. Because all these areas are interconnected, changes in one area can also have resounding effects in other areas.

Transference-focused therapy is a treatment for borderline personality disorder that uses the relationship between a therapist and a client to help the client change how they relate to other people. Therapists work with clients to create healthier relationships that support better well-being.

Trauma therapy helps people who have had traumatic experiences deal with the emotional aftermath. It may involve writing about these experiences, talking about their effects, or using exposure techniques to confront trauma triggers.

Teletherapy, or online therapy, involves providing therapy online through video conferencing, online chat, internet phone, email, or text messaging. This approach has grown tremendously in recent years thanks to its convenience and effectiveness.

Yoga therapy is a mind-body approach that utilizes yoga movements, mindfulness, meditation, and breathing exercises to promote wellness and relaxation. While it uses yoga, it is much more than just a yoga class. Instead, it is a one-on-one session with a therapist that can help treat stress, anxiety, and other mental health conditions.


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