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Modalities
styles of counselling

Evidence Based Practice (EBP) and Practice Based Evidence (PBE) .

 

In our practice, our clinicians typically utilize eclectic approaches guided by concepts of EBP and PBE. These are complementary approaches that offers a more holistic framework for clinical decision-making in psychology. 

 

What is Evidence Based Practice (EBP)?

  • Definition: In clinical psychology, EBP is an approach that involves integrating the best available research with clinical expertise in the context of clients characteristics, culture, and preferences.

  • Key Components: It combines (a) empirical research, (b) clinical expertise, and (c) clients values and preferences.

  • Purpose: The primary goal of EBP is to optimize clinical outcomes and ensure that treatments are grounded in scientifically validated methods.

  • In short, EBP focuses on integrating clinical expertise with external scientific evidence

What is Practice Based Evidence (PBE) ? 

  • Definition: In clinical psychology, PBE is an approach to clinical practice that emphasizes the importance of observing and valuing the clinical experience and the evidence generated from everyday clinical work.

  • Key Components: It includes (a) clinical observations, (b) client feedback, and (c) data collected from routine practice.

  • Purpose: PBE aims to bridge the gap between clinical research and real-world practice, recognizing that controlled research conditions may not always reflect the diversity and complexity of real-life cases.

  • In short, PBE values the insights and data gathered from everyday clinical experiences.

 

The following are examples of some of the modalities that are used by our clinicians.

Cognitive Behavioral Therapy (CBT)

 

  • This therapy style focuses on changing unhelpful or unhealthy thoughts and behaviors.

  • It's a structured and directive approach that aims to solve problems by modifying dysfunctional thinking/behaviroal patterns.

Solution-Focused Therapy

 

  • This approach concentrates on finding solutions in the present time and exploring one's hope for the future. 

  • It's goal-directed and focuses on the present and future, rather than past experiences.

Narrative Therapy

 

  • This modality focuses on the stories that individuals construct and carry with them.

  • Clinicians help clients to narrate their stories in meaningful and helpful ways and identify ways of rewriting the narratives that shape their lives.

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Accelerated Resolution Therapy (ART)

  • ART uses rapid eye movements and voluntary memory replacement to change the way negative images/memories are stored in the brain.

  • It helps clients to reframe traumatic memories to reduce their negative impact on their current life. 

Somatic Experiencing

 

  • Developed by Dr. Peter Levine.

  • This modality focuses on the body's responses to traumatic events.

  • It's a body-oriented approach that pay attention to the stories of Autonomic Nervous System (ANS) in order to facilitate healing of trauma and other stress disorders, emphasizing the body's physical sensations.

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Humanistic Approach

  • This approach emphasizes the individual's capacity for self-realization and fulfillment.

  • It encourages self-exploration, self-expression, and personal responsibility, focusing on the client's experience in the moment.

Dialectical Behavior Therapy (DBT) Informed Care

 

  • Originally developed by Marsha Linehan for treating borderline personality disorder.

  • It is a cognitive-behavioral therapy that emphasizes balancing acceptance and change. 

  • It is different from formal, classical DBT where care is typically offered in a combination of group and individual component. 

  • In DBT-informed care, DBT's core principles are adapted and applied to various client needs and settings, not strictly limited to borderline personality disorder.

  • It is effective in addressing a range of emotional and behavioral issues by helping individuals develop coping skills, emotional regulation, and improved relationships.

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