Therapy Modalities Used in Psychotherapy
- Karen MacKeigan
- Oct 4
- 4 min read
Updated: Oct 6

Therapy Modalities Used in Psychotherapy: Which Is Right for You?
Starting therapy is an important step toward healing and growth. One of the most common questions people ask is: What type of therapy is right for me? The truth is, psychotherapy is not one-size-fits-all. Different approaches, called therapy modalities, are designed to address unique concerns, life experiences, and ways of processing emotions.
In this article, we’ll explore some of the most widely used psychotherapy types, including Cognitive Behavioural Therapy (CBT) and Eye Movement Desensitization and Reprocessing (EMDR), and help you better understand how to choose the approach that feels right for you.
What Are Therapy Modalities?
A therapy modality is simply the method or framework a therapist uses to guide sessions. Each modality comes with its own techniques, goals, and theories about how people heal. While some are structured and skills-based, others are more exploratory and relational.
The important thing to remember is that therapy is flexible. Many therapists integrate elements of different modalities to create a personalized approach. What matters most is finding the method, and therapist that feels supportive and effective for you.
Cognitive Behavioural Therapy (CBT)
CBT is one of the most researched and widely practiced forms of therapy. It focuses on the connection between thoughts, feelings, and behaviours.
· How it works: You learn to identify unhelpful thought patterns (such as “I always fail” or “Nothing will ever change”) and replace them with healthier, more balanced perspectives.
· What it helps with: Anxiety, depression, phobias, stress management, and everyday challenges.
· What to expect: CBT is usually structured and goal-oriented. You may receive “homework” between sessions to practice new skills.
Many people appreciate CBT because it provides practical tools they can apply immediately in daily life.
Eye Movement Desensitization and Reprocessing (EMDR)
EMDR is best known as a treatment for trauma and post-traumatic stress disorder (PTSD). Unlike traditional talk therapy, EMDR uses a structured process that involves recalling distressing memories while engaging in bilateral stimulation (such as guided eye movements or tapping).
· How it works: This process helps the brain reprocess traumatic experiences, reducing their emotional intensity.
· What it helps with: PTSD, trauma, anxiety, phobias, and negative self-beliefs.
· What to expect: Sessions are guided and can feel different from other therapies, but many clients report significant relief from long-standing distress.
Other Common Psychotherapy Types
In addition to CBT and EMDR, you may also encounter other approaches:
· Psychodynamic Therapy – Explores how past experiences and unconscious patterns influence present behaviour.
· Humanistic Therapy – Focuses on personal growth, self-acceptance, and building a strong sense of self.
· Mindfulness-Based Therapy – Incorporates meditation and present-moment awareness to reduce stress and improve emotional regulation.
· Integrative Therapy – Combines elements of different modalities to create a tailored approach for each client.
How Do You Choose the Right Modality?
Choosing a therapy type can feel overwhelming, but you don’t have to figure it out alone. Some tips to guide your decision:
· Identify your goals – Do you want coping tools for anxiety? To process trauma? To explore patterns in relationships?
· Ask about your therapist’s approach – Most therapists will explain the modalities they use and how they might support you.
· Try it out – The best way to know if a modality fits is to experience it. Therapy is collaborative, and you can always revisit your needs.
Our Supportive Approach
Every client’s journey is unique. That’s why we emphasize a flexible and supportive approach that adapts to your needs. Whether CBT, EMDR, or a blended model is right for you, we’ll work together to create a plan that feels comfortable and sustainable.
If you’re ready to take the next step, explore our psychotherapy services page to learn more about how we can support you on your path to healing.
Final Thoughts
Therapy modalities are not about choosing the “best” one; they’re about finding the approach that meets you where you are. With guidance from a supportive therapist, you can explore different methods and discover what works for you. Healing is possible, and the right approach is out there.
Therapy Modality FAQ
What is CBT in psychotherapy? CBT (Cognitive Behavioural Therapy) is a structured, goal-oriented approach that helps you identify and shift unhelpful thought patterns to improve mood and behaviour.
What is EMDR used for? EMDR (Eye Movement Desensitization and Reprocessing) is often used to treat trauma and PTSD by helping the brain reprocess distressing memories in a safe way.
How do I know which therapy modality is right for me? The best way is to discuss your goals with a therapist. Many therapists integrate different modalities, so you don’t have to choose just one.
Can therapy types be combined? Yes. Many therapists use an integrative approach, blending modalities like CBT, EMDR, and mindfulness techniques to fit each client’s unique needs.
About the Author Karen MacKeigan, RP (Qualifying), RSSW, is a trauma-informed Registered Psychotherapist (Qualifying) and Registered Social Service Worker based in Toronto. With over five years of experience supporting adult survivors of childhood sexual abuse through her work at The Gatehouse, Karen brings an empathetic, client-centered approach to psychotherapy. She draws from a variety of therapeutic modalities to create a warm, safe, and collaborative space where clients feel heard and supported. Karen holds a BA in Psychology, an MA in Counselling Psychology, and diplomas in both Early Childhood Education and Addiction and Mental Health.
Learn more about Karen
Comments