A treatment approach is a clinical orientation; a series of skills that
can affect change in a client. Over time new approaches are developed to address
deficiencies in effectiveness of the dominant approach of the day. But that
is not to say that the older approaches are discarded entirely, just that
they lose favour in treating certain disorders. Also there may be a comorbid
issue that derails therapy or makes a client likely to relapse following treatment.
For instance there may be clear anxiety which could very effectively be treated
using CBT, but the client has discontinued from therapy a number of times
which indicates the need to explore other issues that may for instance respond
to a Psychdynamic or DBT approach and then integrate the CBT later into the
Often different clinicians have a particular clinical orientation - for instance
if their initial training emphasised a CBT or Psychodynamic approach, then
they tend to see the world from a CBT or psychodynamic standpoint and use
certain language and emphasise certain points similarly to other clinicians
that have been trained in that orientation. Over time it is common for clinicians
to build up a richer 'tool-kit' of skills as they participate in continuing
education, formal training and undertake supervision. In this way their orientation
will tend to blend into a more eclectic style over time.
It is impossible to master all approaches as there is a significant investment
of time and energy in learning applying and integrating each approach. As
such the Clinical Psychology Centre has clinicians that use different approaches
and therefore specialise in different clinical areas according to the effectiveness
of those approaches.