Evidence-Based Therapies used in Counselling

Cognitive Behavioural Therapy (CBT)

CBT is one of the most widely used and researched therapies in New Zealand and internationally. It is recommended for anxiety, depression, stress, trauma responses, and behavioural challenges.

CBT works by helping people understand how thoughts, feelings, and behaviours are connected, and how unhelpful thinking patterns can be changed to improve emotional wellbeing.

  • Health New Zealand | Te Whatu Ora recognises talking therapies like CBT as a core treatment for common mental health conditions

  • CBT is recommended as a first-line treatment in international clinical guidelines such as the National Institute for Health and Care Excellence

In practice, CBT helps people:

  • Reduce anxiety and overthinking

  • Break cycles of low mood and depression

  • Improve coping strategies and emotional regulation

  • Develop practical tools for everyday life

Why it matters for clients:
CBT is structured, practical, and skills-based—clients often notice improvement within weeks.

Integrative Counselling (Most Common NZ Approach)

Most modern New Zealand counsellors use an integrative approach, meaning they draw from multiple evidence-based therapies such as CBT, ACT, person-centred therapy, and solution-focused methods.

  • New Zealand Association of Counsellors training standards support flexible, client-centred integration of therapeutic models

Integrative counselling allows therapists to:

  • Match therapy to the client’s needs

  • Adjust approaches as goals change

  • Combine practical tools with emotional insight work

  • Provide more personalised support

Why it matters for clients:
There is no “one-size-fits-all” therapy—good counselling adapts to the person, not the model.

Acceptance and Commitment Therapy (ACT)

  • Recognised internationally by organisations like the American Psychological Association as an evidence-based therapy

  • Increasingly used in New Zealand for stress, anxiety, and life challenges

ACT helps you:

  • Respond differently to difficult thoughts and emotions

  • Focus on what matters most to you (your values)

Why it works:
ACT builds psychological flexibility, helping you move forward even when life feels difficult.

Acceptance and Commitment Therapy (ACT)

ACT is a modern, evidence-based therapy increasingly used in New Zealand counselling services. It is particularly helpful for anxiety, stress, trauma, and emotional overwhelm.

ACT focuses on helping people relate differently to difficult thoughts and emotions, rather than trying to eliminate them.

ACT is widely recognised as part of the “third wave” of CBT approaches in clinical psychology literature.

  • ACT is supported within CBT frameworks and training literature in New Zealand counselling education and clinical practice

  • It is grounded in the psychological flexibility model, which is widely used in modern psychotherapy

ACT helps people:

  • Reduce struggle with anxious or intrusive thoughts

  • Build psychological flexibility

  • Clarify personal values and direction

  • Take meaningful action even when emotions are difficult

Why it matters for clients:
ACT helps people stop waiting to “feel better first” and start living more fully now.

Psychodynamic / Insight-Oriented Therapy

Psychodynamic therapy explores how past experiences and relationships influence current thoughts, emotions, and behaviour patterns.

It is commonly used for long-standing emotional difficulties, relationship patterns, and identity-related challenges.

  • Anxiety New Zealand Trust recognises psychotherapy approaches as effective for anxiety, depression, grief, and emotional distress

This approach helps people:

  • Understand repeating emotional patterns

  • Process unresolved experiences

  • Improve self-awareness and relational insight

  • Strengthen emotional resilience

Why it matters for clients:
Understanding the “why” behind patterns often creates deep, lasting change.

Person-Centred Therapy

Person-centred therapy is a foundational counselling approach widely used in New Zealand. It focuses on providing a safe, non-judgemental space where clients can explore their thoughts and emotions at their own pace.

This approach is grounded in the work of Carl Rogers and is commonly used across counselling services, including community and private practice.

  • New Zealand Association of Counsellors emphasises ethical, client-led practice as a core counselling standard in NZ

Person-centred counselling supports people to:

  • Feel heard and understood

  • Explore emotions safely

  • Build self-awareness and confidence

  • Work through life challenges at their own pace

Why it matters for clients:
Feeling safe and not judged is often the first step toward meaningful change.

Brief Solution-Focused Therapy

Solution-focused therapy is a short-term, goal-oriented approach commonly used in New Zealand counselling settings.

Rather than focusing heavily on the problem, it focuses on what is working and how to build on it.

It helps clients:

  • Identify strengths and existing coping skills

  • Set clear, achievable goals

  • Create practical next steps

  • Build momentum quickly

Why it matters for clients:
This approach is often helpful when people feel stuck and want forward movement quickly.