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Adam Zimbardo
Marriage and Family Therapist

Psychotherapy for individuals and couples

How is CBT different from other therapeutic styles?

Many psychotherapists practice psychodynamic therapy. The root assumption of psychodynamic therapy is that symptoms and problems in the present have their roots in early experiences, and that exploring these early experiences will uncover unconscious material that will lead to resolution of symptoms. Therapy is typically long-term, and focuses on childhood and family. While this is an appropriate treatment for some people (especially those who are seeking insight into relationships), it is a frustrating process for many who are seeking help with current real-life problems. Psychodynamic therapy is seldom an effective treatment for people with depression, anxiety, or substance use issues.

I work from the opposite assumption: that problems in the present have solutions in the present. I practice cognitive-behavioral therapy, which focuses on thoughts and actions. The basic idea is that the way we think and the things we do can create problems in our lives, and that by understanding the connections between thoughts, feelings, and behaviors, we can open up avenues to solutions. Cognitive-behavioral therapy is typically shorter-term, more interactive, and focuses on problem-solving. CBT has been repeatedly demonstrated to be the most effective form of therapy for depression and anxiety.