How to Choose the Right Type of Therapy for You
- Fika Mental Health

- Oct 23, 2022
- 4 min read
If you have ever looked into therapy, you have probably run into a wall of different approaches.
CBT.
EMDR.
Somatic therapy.
Psychodynamic.
Attachment based.
It can quickly start to feel like you need to research everything before you are “allowed” to begin.
Most people do not actually choose therapy that way.
They end up feeling overwhelmed, second guessing themselves, or putting it off entirely.
Here is the part that often gets missed.
You do not need to get it exactly right before you start.
You just need a direction that feels like a good enough fit for you right now.

Why There Are So Many Types of Therapy
Different therapy approaches exist because people are different.
Some people want practical tools they can use right away.
Some want to understand deeper patterns and past experiences.
Some need support that includes the body, not just thoughts.
There is no single “best” therapy.
There is only what works best for you.
Start With What You Are Hoping Will Feel Different
Before getting into therapy types, it can help to ask:
“What do I want more of in my day to day life?”
“What feels hardest right now?”
For example:
If your thoughts feel overwhelming, you might want support with managing them
If you feel stuck in patterns, you might want to understand why
If your body feels constantly on edge or shut down, you might want to feel more regulated
You do not need perfect clarity. Even a general sense can guide you.
Common Types of Therapy Explained Simply
You do not need to memorize these. Think of this as a gentle overview.
Cognitive Behavioural Therapy (CBT)
Focuses on the connection between thoughts, feelings, and behaviours.
Helpful if you want:
Practical tools
Ways to challenge unhelpful thought patterns
More structure in sessions
Some people find it very effective. Others feel it can be too focused on changing thoughts without exploring deeper context.
Psychodynamic or Insight Based Therapy
Focuses on understanding how past experiences shape present patterns.
Helpful if you want:
Deeper self understanding
Space to explore relationships and history
A more reflective process
This approach tends to be less structured and more exploratory.
Somatic Therapy
Focuses on how experiences live in the body, not just the mind.
Helpful if you notice:
Tension, shutdown, or restlessness in your body
Strong physical responses to stress
Difficulty putting feelings into words
This approach includes gentle awareness of physical sensations and nervous system regulation.
EMDR (Eye Movement Desensitization and Reprocessing)
Often used for trauma.
It helps the brain process experiences that feel “stuck.”
Helpful if:
Certain memories feel very present or triggering
You feel like you have tried to “think through” things but it has not shifted
EMDR is structured but still paced carefully.
Neuroaffirming and Trauma Informed Therapy
This is less about a single technique and more about how therapy is done.
It focuses on:
Understanding your nervous system
Respecting your pace and boundaries
Working with your brain, not trying to fix it
Seeing your responses as adaptive, not broken
For many people, especially those who have felt misunderstood before, this foundation matters more than the specific modality.
The Most Important Factor Is Not the Modality
This might be surprising.
Research consistently shows that the relationship between you and your therapist is one of the biggest predictors of whether therapy helps.
You can have the “right” type of therapy on paper, but if you do not feel safe or understood, it will be hard to engage.
On the other hand, a therapist who feels attuned, flexible, and collaborative can often adapt their approach to fit you.
What If You Choose the “Wrong” Type?
You are not locked in.
Therapy is allowed to evolve.
You can:
Ask your therapist to adjust the approach
Share what is or is not helping
Try a different modality later
Starting somewhere is more important than finding the perfect option right away.
If You Are Neurodivergent or Have Had Therapy Before
This matters.
Some approaches can feel too rigid, too focused on compliance, or not aligned with how your brain processes information.
A neuroaffirming approach prioritizes:
Flexibility
Collaboration
Respect for your sensory and emotional needs
If therapy has not worked for you in the past, it does not mean you failed therapy. It may mean the fit or approach was not right.
Therapy Is One Part of the Picture
Sometimes what you are experiencing is also connected to sleep, nutrition, or physical health.
If that is part of your experience, our dietitian or nurse practitioner can support those areas alongside therapy, so everything works together.
A Simpler Way to Choose
Instead of asking:
“What is the best type of therapy?”
Try asking:
“Do I feel understood by this person?”
“Does their approach feel flexible enough for me?”
“Can I imagine being honest here over time?”
That will take you further than any list of techniques.
You Can Start Without Having It All Figured Out
You do not need to research every modality or make a perfect decision.
If you are feeling unsure but curious, that is enough.
You are welcome to book a free 15-minute consultation. It is a chance to talk through what you are looking for, ask questions, and find an approach that feels like a good fit for you.



