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Psychotherapy
Psychological treatment that uses conversation, learning principles, and the therapist-client relationship to reduce distress, change unhelpful patterns, and improve functioning.
Cognitive-behavioral therapy (CBT)
Evidence-based therapy that targets emotions and behaviors by changing distorted thinking and practicing new behaviors/skills (often structured and includes between-session practice).
Cognitive restructuring
CBT method of identifying, evaluating, and modifying inaccurate or inflexible thoughts to create more accurate, useful interpretations (not just “positive thinking”).
Cognitive distortions
Systematic errors in thinking that can maintain distress (e.g., catastrophizing, all-or-nothing thinking, mind reading).
Behavioral activation
CBT technique (often for depression) that increases engagement in rewarding/mastery activities to improve mood and functioning.
Exposure therapy
Behavioral CBT technique that reduces fear/avoidance through gradual, repeated, planned contact with feared stimuli or situations.
Psychoanalysis
Freud-associated therapy aiming to bring unconscious conflicts/motivations into conscious awareness so insight can reduce symptoms.
Psychodynamic therapy
Broader, typically less intensive, therapy tradition emphasizing unconscious processes, early experiences, and relationship patterns.
Free association
Psychoanalytic technique where the client says whatever comes to mind without censoring, to reveal unconscious themes.
Transference
Psychodynamic concept where a client redirects feelings about important people (often parents) onto the therapist; explored to understand relationship patterns.
Resistance (analysis of resistance)
In psychodynamic therapy, avoidance of topics or therapy processes (e.g., changing subject, forgetting sessions) interpreted as anxiety about unconscious material.
Insight
In psychoanalytic/psychodynamic therapy, increased conscious understanding of underlying conflicts and patterns linked to symptoms.
Humanistic therapy
Therapy approach emphasizing personal growth, meaning, and self-understanding; assumes people can move toward health under the right conditions.
Client-centered therapy
Carl Rogers’ humanistic therapy that is non-directive and focuses on providing a supportive relationship to promote self-exploration and growth.
Incongruence
Humanistic idea that distress results from a mismatch between a person’s self-concept and their lived experiences (often shaped by conditional acceptance).
Unconditional positive regard
Rogers’ condition for growth: consistent acceptance and caring that is not dependent on performance or meeting conditions.
Empathy
Accurate, nonjudgmental understanding of the client’s experience, communicated back to them (understanding is not the same as agreement).
Reflective listening
Client-centered skill of paraphrasing/clarifying the client’s feelings and meanings to deepen understanding and self-exploration.
Biomedical therapies
Treatments that directly change brain functioning (e.g., medication, brain stimulation, rarely surgery) to reduce psychological symptoms.
Psychopharmacology
The study and use of medications that affect mood, thought, and behavior; typically manages symptoms rather than teaching coping skills.
Selective serotonin reuptake inhibitors (SSRIs)
Common antidepressants that increase serotonin availability at synapses by reducing reuptake; used for depression and some anxiety disorders.
Antipsychotic drugs
Medications used primarily for schizophrenia spectrum disorders/psychosis; many work by blocking dopamine receptors and can have significant side effects.
Mood stabilizers
Medications used in bipolar disorder to reduce mood swings and the intensity/frequency of manic and depressive episodes.
Electroconvulsive therapy (ECT)
Brain stimulation treatment that induces a brief controlled seizure under anesthesia; used especially for severe, treatment-resistant depression (and sometimes severe mania).
Randomized controlled trial (RCT)
Gold-standard study design where participants are randomly assigned to a treatment or control/comparison condition to test whether the treatment causes outcome differences.