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Integrative Therapy: Meeting You Where You Are

  • Writer: Liv Acerbis
    Liv Acerbis
  • Jun 27, 2025
  • 5 min read

Introduction: What Is Integrative Therapy?


When it comes to therapy, there is no one-size-fits-all solution. Every person is unique, and their journey towards healing and growth requires an approach that respects that. As an integrative therapist, I blend various therapeutic techniques to create a personalised, flexible treatment plan. But what does “integrative therapy” actually mean, and how does it work in practice?

In this post, I explore what an integrative approach looks like in real life, not just from a textbook, but from the therapy room. Whether you are considering starting therapy or simply curious about what this kind of work involves, this is a gentle guide to how integrative therapy meets you exactly where you are.


Why I Chose to Work Integratively


When I began training as a therapist, I initially thought I would focus solely on CBT (Cognitive Behavioural Therapy). I was drawn to the structure, the clarity, and how effective it can be when helping people challenge negative thought patterns and change unhelpful behaviours. I still love CBT, and it is something I use often in my practice.

However, I quickly realised that people and their needs are never one-dimensional. My own experience with ADHD played a significant role in this realisation. I had always found traditional learning environments difficult because they were set up to suit one type of learner. It made me think: if learning and growing does not happen the same way for everyone, why should therapy?

That is when integrative therapy clicked for me. It made sense. It allowed therapy to be responsive and flexible, tailored to each person in a way that felt authentic and supportive. From both sides of the room, as therapist and client, I have experienced how much more meaningful therapy can feel when it is personal rather than prescriptive.


Adapting in the Moment: A Responsive Approach


One of the most valuable aspects of integrative therapy is how naturally it evolves in session. I do not plan a strict method in advance. Instead, I adapt organically in the moment, responding to the client’s personality, their energy, or the theme that arises during our time together.

Some sessions call for more structure and practical tools. Others need space, silence, and curiosity. There may be moments where we pause and reflect deeply on past experiences, and others where we look ahead and explore next steps.

I like to think of therapy as a dynamic, living process. It is not static. And because every client is different, the way we work together will be different too. That is the heart of integrative therapy.


Blending Techniques


Let us imagine a client comes to therapy feeling stuck, struggling with anxiety linked to work, relationships, and a constant sense of needing to get everything right.

In the early stages, I might use CBT to help the client identify thought distortions, such as catastrophising or assuming the worst, and begin to challenge these patterns. This gives us a foundation to work from and provides tools the client can use outside of the session.

However, therapy is not just about managing symptoms. We might also lean into a person-centred approach, where the client feels unconditionally heard, accepted, and supported as they begin to explore where these pressures come from. As trust builds, we may gently shift into psychodynamic work, looking at early experiences, core beliefs, or unspoken rules the client has internalised over time.

Together, this creates a fuller picture, offering not just short-term relief but long-term insight and change.


The Power of Flexibility


To me, therapy is ultimately about growth, and growth is not linear. It is layered, evolving, and sometimes unpredictable. That is why I believe an integrative approach can be so powerful. It allows the therapeutic process to grow with the client, rather than trying to fit them into a box.

Some clients need stability and grounding before they can explore more vulnerable emotional work. Others may benefit from insight and reflection before they feel ready for action. The integrative model allows for this kind of ebb and flow. It meets the client where they are today and adapts as they change.


Client Collaboration: You Are in the Driving Seat


In my practice, I see therapy as a collaborative space. While I bring my training and tools into the room, the client brings their goals, values, preferences, and lived experience. Some clients arrive with an idea of the kind of therapy they want, and others are unsure. Both are completely welcome.

Sometimes, knowing the different modalities I draw from helps open up a conversation. A simple question such as, “Would you like something more reflective or more solution-focused today?” can shift the session in a way that feels more aligned with the client’s emotional needs in that moment.

A good example of this is when I work with clients managing OCD or OCD tendencies. In these cases, CBT is often extremely effective, particularly when combined with ERP (Exposure and Response Prevention). This involves gradually facing anxiety triggers while learning to resist compulsive behaviours. It is structured, focused, and incredibly empowering when done in a supportive environment. Even in those sessions, relational safety and emotional validation, drawn from other therapeutic models, remain key parts of the process.


Do You Need to Understand All of This as a Client? Not at All


Not everyone arrives in therapy knowing what “integrative” means, and that is completely fine. I always offer a clear, simple explanation of how I work and what to expect. I also encourage clients to explore further if they are curious. Sometimes, learning about the different approaches we use can help deepen engagement with the process.

However, you do not need to be an expert in therapy models to benefit from them. What matters most is how the therapy feels. Do you feel seen, understood, and supported? That is the true measure of progress.


Bringing It All Together


Integrative therapy is not about mixing techniques for the sake of it. It is about creating something intentional and human. It is about recognising that no two people heal in the same way, and no two therapy sessions will look the same. Whether you need practical strategies, deeper emotional insight, or simply space to be heard, this approach allows the work to be shaped around you.

If therapy is a journey, integrative therapy ensures the path you take is your own.


Interested in Exploring Therapy?


If you are curious about how integrative therapy could support you, I would love to hear from you. Whether you are completely new to therapy or returning after time away, you are welcome exactly as you are. Feel free to reach out to book a consultation or ask any questions. You do not need to have it all figured out to begin.

 
 
 

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