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How to Choose the Right Type of Therapy for You

  • Writer: Fika Mental Health
    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.


A woman sits on a gray sofa, appearing thoughtful, with a man in the foreground. The room is cozy with plants and bookshelves.

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.


 
 

Contact Us

For any questions you have, you can reach us here, or by calling us at 587-287-7995

Clean desk with coffee and notes in a therapy session.

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All bookings are in the Eastern timezone.

We are available to meet virtually with individuals in the province of Ontario, Saskatchewan, Nunavut, British Columbia, Manitoba and Alberta for counselling therapy at this time. Please note, this is clinician dependent.

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