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A therapy or medical treatment is the attempted remediation of a health problem, usually following a medical diagnosis. Both words, treatment and therapy, are often abbreviated tx, Tx, or Tx.

Treatment and therapy are often synonymous, especially in the usage of health professionals. However, in the context of mental health, the term therapy may refer specifically to psychotherapy.

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Treatment decisions often follow formal or informal algorithmic guidelines. Treatment options can often be ranked or prioritized into lines of therapy: first-line therapy, second-line therapy, third-line therapy, and so on. First-line therapy (sometimes referred to as induction therapy, primary therapy, or front-line therapy)[2] is the first therapy that will be tried. Its priority over other options is usually either: (1) formally recommended on the basis of clinical trial evidence for its best-available combination of efficacy, safety, and tolerability or (2) chosen based on the clinical experience of the physician. If a first-line therapy either fails to resolve the issue or produces intolerable side effects, additional (second-line) therapies may be substituted or added to the treatment regimen, followed by third-line therapies, and so on.

An example of a context in which the formalization of treatment algorithms and the ranking of lines of therapy is very extensive is chemotherapy regimens. Because of the great difficulty in successfully treating some forms of cancer, one line after another may be tried. In oncology the count of therapy lines may reach 10 or even 20.

Often multiple therapies may be tried simultaneously (combination therapy or polytherapy). Thus combination chemotherapy is also called polychemotherapy, whereas chemotherapy with one agent at a time is called single-agent therapy or monotherapy.

Adjuvant therapy is therapy given in addition to the primary, main, or initial treatment, but simultaneously (as opposed to second-line therapy). Neoadjuvant therapy is therapy that is begun before the main therapy. Thus one can consider surgical excision of a tumor as the first-line therapy for a certain type and stage of cancer even though radiotherapy is used before it; the radiotherapy is neoadjuvant (chronologically first but not primary in the sense of the main event). Premedication is conceptually not far from this, but the words are not interchangeable; cytotoxic drugs to put a tumor "on the ropes" before surgery delivers the "knockout punch" are called neoadjuvant chemotherapy, not premedication, whereas things like anesthetics or prophylactic antibiotics before dental surgery are called premedication.

Step therapy or stepladder therapy is a specific type of prioritization by lines of therapy. It is controversial in American health care because unlike conventional decision-making about what constitutes first-line, second-line, and third-line therapy, which in the U.S. reflects safety and efficacy first and cost only according to the patient's wishes, step therapy attempts to mix cost containment by someone other than the patient (third-party payers) into the algorithm. Therapy freedom and the negotiation between individual and group rights are involved.[citation needed]

Breakthrough Therapy designation is a process designed to expedite the development and review of drugs that are intended to treat a serious condition and preliminary clinical evidence indicates that the drug may demonstrate substantial improvement over available therapy on a clinically significant endpoint(s).

To determine whether the improvement over available therapy is substantial is a matter of judgment and depends on both the magnitude of the treatment effect, which could include duration of the effect, and the importance of the observed clinical outcome. In general, the preliminary clinical evidence should show a clear advantage over available therapy.

Breakthrough Therapy designation is requested by the drug company. If a sponsor has not requested breakthrough therapy designation, FDA may suggest that the sponsor consider submitting a request if: (1) after reviewing submitted data and information (including preliminary clinical evidence), the Agency thinks the drug development program may meet the criteria for Breakthrough Therapy designation and (2) the remaining drug development program can benefit from the designation.

Psychotherapy (sometimes called talk therapy) refers to a variety of treatments that aim to help a person identify and change troubling emotions, thoughts, and behaviors. Most psychotherapy takes place when a licensed mental health professional and a patient meet one-on-one or with other patients in a group setting.

Psychotherapy can be used as an alternative to or alongside medication and other treatment options. Choosing the right treatment plan should be based on a person's individual needs and medical situation and occur under the guidance of a mental health professional.

Even when medication relieves symptoms, psychotherapy can help a person address specific issues. These might include self-defeating ways of thinking, irrational fears, problems interacting with other people, or difficulty coping with situations at home, school, or work.

Note that there are many different types of psychotherapy. Therapies are often variations of an established approach, such as CBT. There is no formal approval process for psychotherapies like there is for medications by the U.S. Food and Drug Administration.

The goal of therapy is to gain relief from symptoms, maintain or improve daily functioning, and improve quality of life. If you have been in therapy for what feels like a reasonable amount of time and are not getting better, talk to your therapist or explore other mental health professionals or approaches.

Exposure therapy is a form of CBT. An article in Behavior Research and Therapy notes that therapists have successfully used exposure therapy to treat people with fear and anxiety disorders.

Therapists may use exposure therapy to help treat:

A person undergoing exposure therapy will work with their therapist to figure out what triggers their anxiety. The person will learn methods to avoid ritualistic behaviors or anxiety after exposure to these triggers.

According to Psychology and Psychotherapy, mentalization-based therapy (MBT) is an effective treatment to treat BPD.

MBT involves a technique called mentalizing. This therapy helps people with BPD to notice and understand their thoughts and feelings and those of others.

Its primary aim is to give a person with BPD a sense of self and help them connect to other people.

One 2018 article indicates that psychodynamic therapy is successful in treating depressive disorders, BPD, and anxiety. However, therapists employ this technique to treat a wide range of mental health issues and personality disorders

An article in Frontiers in Psychology, researchers recommend using animal-assisted therapy, alongside music therapy, an enriched environment, and other supportive therapies, to minimize stress and trauma for hospitalized people who may require compulsory admission or seclusion.

Family therapy involves working with a family unit to help an individual within the family resolve specific issues. Family therapists help a family understand and work through patterns of negative behavior that may cause underlying problems.

Group therapy allows people experiencing similar issues to join together as a group to resolve them. In group therapy, a therapist leads the discussion, and individuals can comment or contribute personal thoughts and experiences.

A 2015 study found that mindfulness-based therapy helped relieve anxiety and depressions in people who had cancer. However, the researchers indicate that the benefits of the therapy may not be long-lasting.

Creative art therapy aims to engage the mind through various methods of creativity. Creative art therapy allows people to express how they are feeling through different mediums, such as art, dance, music, or poetry.

Cognitive behavioral therapy (CBT) is a form of psychological treatment that has been demonstrated to be effective for a range of problems including depression, anxiety disorders, alcohol and drug use problems, marital problems, eating disorders, and severe mental illness. Numerous research studies suggest that CBT leads to significant improvement in functioning and quality of life. In many studies, CBT has been demonstrated to be as effective as, or more effective than, other forms of psychological therapy or psychiatric medications.

Online therapy is proven to be as effective, if not more effective than face-to-face therapy. A study conducted by Talkspace & the Journal of Telemedicine and e-Health showed that text-based therapy through Talkspace was highly effective and comparable to traditional therapy. When compared with traditional therapy, Talkspace also generated greater satisfaction in terms of its delivery, accessibility, and affordability. Learn more from studies on how Talkspace improves mental health.

The best online therapy services provide convenient, affordable ways to receive mental health support. They offer clients an opportunity to connect with reputable, licensed therapists in a flexible and accessible scheduling environment, as well as offering up varied options for communication.

Talkspace has helped thousands of people live happier lives and bypass barriers to therapy. Lucky for us, some of those people went out of their way to document their experiences by writing in-depth reviews of our brand of online therapy.

Therapy (or psychotherapy, sometimes called talk therapy) is the process of working with a licensed therapist or counselor to develop positive thinking and coping skills to treat specific mental health conditions like depression or anxiety, trauma, or simply the daily human challenges we all face. e24fc04721