How to Navigate Psychotherapy: An Overview of Approaches and How to Choose the Right One

Jana Malinovská
7.11.2026

Deciding to start caring for your mental health is often the first important step. But right after that, a question usually arises: where exactly to go and what form of help to choose? Psychotherapy offers multiple approaches that differ in how they view the person and how they work. This article will help you get your bearings among them.

Main Directions of Psychotherapy

Psychotherapy is not a single universal method. There are several basic approaches, each working in a different way:

  • Cognitive-Behavioral Therapy (CBT)
    Focuses on the connection between thoughts, emotions, and behaviors. It helps identify unhelpful patterns and replace them with more useful ones. It is often structured and goal-oriented.
  • Psychodynamic and Depth-Oriented Therapy
    Based on working with unconscious processes and past experiences. It helps you understand why certain patterns repeat and how they relate to your history.
  • Humanistic and Client-Centered Therapy
    Emphasizes the relationship between therapist and client, acceptance, and authentic experiencing. It supports personal growth and self-awareness.
  • Systemic Therapy
    Looks at the person in the context of relationships (family, partnership, work). It focuses on patterns of communication and interaction.
  • Integrative Approaches
    Combine multiple directions according to the client’s needs. In practice, these are very common today.

How Work with the Client Differs

The differences between approaches are not only theoretical—they show up in the actual collaboration:

  • Some approaches are more structured (e.g., CBT), others more open and exploratory.
  • Some focus more on the present, others on the past.
  • Some therapies provide concrete tools and “homework,” others rely on deeper understanding and experiencing.
  • The therapist’s personality and the quality of the relationship also play an important role.

There is no “best” approach for everyone—what matters is the fit between your needs, expectations, and the therapist’s working style.

Psychologist, Psychotherapist, Addiction Specialist… Who to Turn To?

Besides choosing a therapeutic direction, selecting the right professional can also be confusing:

  • Psychologist – diagnostics, counseling, often also psychotherapy
  • Psychotherapist – specialized in therapeutic work
  • Addiction Specialist (Adiktolog) – focused on addictions and addictive behaviors
  • Nutritional Therapist – works with nutrition, which can significantly influence mental state

In practice, these areas often overlap. For example, anxiety can be related to lifestyle, addictions to emotions and relationships, and mental difficulties to physical health.

When You’re Not Sure Where to Start

It’s completely normal that at the beginning a person doesn’t know:

  • what type of therapy would suit them
  • which professional to contact
  • whether psychotherapy is the right solution

In such a situation, it can make sense to first get oriented.

That’s why at EUNOMA Clinic we offer a comprehensive mental health and lifestyle consultation, which serves as a safe first step. During the meeting, we go together through areas that may influence your difficulties—from emotional experience and relationships to sleep, stress, or nutrition.

This includes:

  • a structured interview and a targeted questionnaire created by our team
  • mapping of key areas of mental health (psychology, habits, relationships, sleep, stress, movement, and nutrition)

Based on this, an individual recommendation is created, which includes:

  • recommendations for specific specialties to include in care (psychologist, psychotherapist, addiction specialist, nutritional therapist, and others)
  • recommendation of a psychotherapeutic direction
  • proposal for further care, including time frame, frequency of visits, and priorities
  • 2–3 concrete recommendations for first steps you can start doing right away

If you already have an idea of whom you’re looking for, you can of course contact a specific specialist within our clinic directly. The consultation is not a mandatory condition—it is rather support for those who want more certainty in their decision-making.

The First Step Doesn’t Have to Be Perfect

Starting to address your mental health doesn’t mean having everything clear right away. Often, it’s enough to be willing to take the first step—and gradually search for what makes sense to you.

MUDr. Bc. Jana Malinovská, Ph.D.

I have been working in the field of addiction counselling for more than 10 years. I hold a bachelor’s degree in Addictology from the First Faculty of Medicine and a degree in General Medicine from the Second Faculty of Medicine, Charles University. In my research, I focus on preventive medicine and epidemiology.

In my work with clients, I combine evidence-based knowledge with a holistic approach to mental health. My medical background enables me to understand the broader clinical context and to better support each client’s individual needs.