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Psychotherapy also psychological therapy or talking therapy is the use of psychological methods, particularly when based on regular personal interaction with adults, to help a person change behavior and overcome problems in desired ways. Psychotherapy aims to improve an individual's well-being and mental health, to resolve or mitigate troublesome behaviors, beliefs, compulsions, thoughts, or emotions, and to improve relationships and social skills. There are also numerous types of psychotherapy designed for children and adolescents, such as play therapy Certain psychotherapies.
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There are hundreds of psychotherapy techniques, some being minor variations, while others are based on very different conceptions of psychology Most involve one-to-one sessions, between the client and therapist, but some are conducted with groups.
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Psychotherapists may be mental health professionals such as psychiatrists, psychologists, mental health nurses, clinical social workers, marriage and family therapists, or professional counselors. Psychotherapists may also come from a variety of other backgrounds, and depending on the jurisdiction may be legally regulated, voluntarily regulated or unregulated and the term itself.
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The American Psychological Association adopted a resolution on the effectiveness of psychotherapy in 2012 based on a definition developed by John C. Norcross: "Psychotherapy is the informed and intentional application of clinical methods and interpersonal stances derived from established psychological principles for the purpose of assisting people to modify their behaviors, cognitions, emotions, and or other personal characteristics in directions that the participants deem desirable" Influential editions of a work by psychiatrist Jerome Frank defined psychotherapy.
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Some definitions of counseling overlap with psychotherapy particularly in non-directive client-centered approaches, or counseling may refer to guidance for everyday problems in specific areas, typically for shorter durations with a less medical or 'professional' focus Somatotherapy refers to the use of physical changes as injuries and illnesses, and sociotherapy to the use of a person's social environment to effect therapeutic change Psychotherapy may address spirituality.
Psychotherapy is often dubbed as a "talking therapy", particularly for a general audience though not all forms of psychotherapy rely on verbal communication Children or adults who do not engage in verbal communication or not in the usual way are not excluded.
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Psychotherapists traditionally may be: mental health professionals like psychologists and psychiatrists; professionals from other backgrounds family therapists, social workers, nurses, etc who have trained in a specific psychotherapy; or academic or scientifically-trained professionals. Psychiatrists are trained first as physicians, and—as such—they may prescribe prescription medication; and specialist psychiatric training begins after medical school in psychiatric residencies.
As sensitive and deeply personal topics are often discussed during psychotherapy, therapists are expected, and usually legally bound, to respect client or patient confidentiality. The critical importance of client confidentiality—and the limited circumstances in which it may need to be broken for the protection of clients or others—is enshrined in the regulatory psychotherapeutic organizations' codes of ethical practice Examples of when it is typically accepted to break confidentiality include when the therapist has knowledge that a child or elder is being physically abused.
