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The therapeutic relationship refers to the relationship between a healthcare professional and a client or patient. It is the means by which a therapist and a client hope to engage with each other and effect beneficial change in the client.
Evidence-based, trauma-focused psychotherapy is the first-line treatment for PTSD. [1] [2] [3] Psychotherapy is defined as a treatment where a therapist and patient build a therapeutic relationship and focus on the patient's thoughts, attitudes, affect, behavior, and social development to lessen the patient's psychopathologies and functional impairment.
Evidence-based, trauma-focused psychotherapy is the first-line treatment for PTSD. [8] [9] [6] Psychotherapy is defined as a treatment where a therapist and patient build a therapeutic relationship and focus on the patient's thoughts, attitudes, affect, behavior, and social development to lessen the patient's psychopathologies and functional impairment.
Timimi described the changes as still "light" on relational/collaborative therapy compared to the 'technical model' derived from 'eminence-based' NICE guidelines via inadequate diagnostic categories. [18] CYP-IAPT, an application of IAPT model for children and adolescents, was a government-supported initiative in the 2010s. [19]
A positive therapeutic relationship is essential to successful cognitive therapy. Cognitive therapy is based on a teacher-student relationship, where the therapist educates the client. Cognitive therapy uses Socratic questioning to challenge cognitive distortions. Homework is an essential aspect of cognitive therapy.
Attachment principles guide therapy in the following ways: forming the collaborative therapeutic relationship, shaping the overall goal for therapy to be that of "effective dependency" (following John Bowlby) upon one or two safe others, depathologizing emotion by normalizing separation distress responses, and shaping change processes. [65]
This therapeutic technique focuses on the patient's internal and external interpersonal relationships. DIT explores internal relationships, which is similar to Sigmund Freud's psychodynamic theory. Internalized relationships refer to unconscious patterns that an individual may be carrying from their previous relationships into their present ones.
The therapeutic relationship is central to integrative therapy, where the therapist and client work as partners in the healing process. Integrative therapy emphasizes mutual respect, empathy, and understanding, believing that meaningful change is more likely to occur within a trusting and collaborative environment.