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.