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Therapy initials can feel like a test you must pass first. This guide explains CBT, DBT and ACT in everyday words and what to ask Christine at the Freshwater clinic.

A lot of letters to take in

Therapy abbreviations like CBT, DBT and ACT are handy shorthand for practitioners, yet they can leave everyone else feeling as though there is a test to pass before asking for help. There is not. You do not need to learn a new alphabet to start a conversation about how you are feeling. Dr Christine Shen, Acupuncturist, holds qualifications in psychotherapy and offers psychotherapy at the Freshwater clinic.

Begin with the difficulty, not the method

What matters first is the problem you would like to work on, whether that is worry, low mood, grief, relationship strain or the pressure of caring for someone. The approach can be discussed once that is clearer.

What the letters broadly stand for

• CBT (cognitive behavioural therapy) looks at links between thoughts, feelings and actions.
• DBT (dialectical behaviour therapy) includes skills for managing intense emotions and relationships.
• ACT (acceptance and commitment therapy) focuses on making room for difficult experiences while moving towards what you value.

These are brief descriptions only, and each approach is used differently depending on the person.

Questions about everyday sessions

You might ask Christine what a typical session would look like for you. Would you practise particular skills, reflect on past experiences, or try small activities between appointments? An explanation tied to your own goals is far more useful than picking a method because its initials sound familiar.

Suitability and referral

Not every approach suits every person or every concern. If Christine feels a different practitioner, a specialist service or input from your GP would be more appropriate, that will be discussed openly. Some needs call for more specialised support, and saying so is part of caring practice.

Starting therapy can feel daunting, especially if you have never tried it before. A first conversation in Freshwater can explain any approach in everyday words, and whether ongoing work is suitable is decided together after that initial discussion.