- Julie Barris | Crisis Counselor | Therapist-in-Training
- Aug 1
Therapy integration allows clinicians to draw from multiple evidence-based approaches to meet the unique and layered needs of clients. By combining tools from DBT, REBT, and psychodynamic therapy, integrated therapy offers a flexible and holistic path to healing unresolved trauma.

In the ever-evolving landscape of mental health care, the “one-size-fits-all” approach is rapidly losing ground. Clients are complex, nuanced, and shaped by layers of experience—and nowhere is that more evident than in the treatment of trauma.
For therapists working with clients who carry unprocessed trauma, the challenge is not just about soothing symptoms—it’s about helping them reclaim their sense of self. And sometimes, one therapeutic lens isn't enough.
That’s where integration comes in.
Meet the Client: A Story of Layers
Let’s say you’re working with a 27-year-old client named Maya. She presents with intense emotional reactivity, self-critical thinking, and recurring nightmares tied to a childhood history of emotional neglect and intermittent abuse. She's intelligent, insightful—and stuck in patterns that feel impossible to escape.
Maya’s trauma isn’t just a memory—it’s woven into her worldview, her body, and her relationships. Traditional talk therapy helped her understand some of her history, but she says it “doesn’t touch the part that always feels unsafe.”
So where do you go from here?
Why Just One Approach Might Fall Short
DBT (Dialectical Behavior Therapy) offers Maya immediate tools. She learns to name her emotions, sit with distress without self-harming, and practice radical acceptance. DBT brings structure and safety to her emotional chaos. But she still says, “I don’t know why I react this way. I just always have.”
REBT (Rational Emotive Behavior Therapy) helps Maya confront her inner critic. She begins to challenge beliefs like, “If I feel anxious, it means I’m weak” or “I can’t handle rejection.” She’s learning that emotions, while powerful, don’t dictate truth. But even as her beliefs shift, a deeper wound remains untouched.
Psychodynamic Therapy allows her to dive beneath the surface. Here, she uncovers unconscious patterns and links present-day triggers to childhood dynamics. She realizes that her fear of abandonment isn't irrational—it was once a survival response. But the insight alone doesn’t regulate her panic when she feels ignored.
Each modality offers something. But together? They create a therapeutic force greater than the sum of its parts.
Why Integration Works for Trauma
Trauma lives in the body, mind, and relational world. DBT teaches clients how to stay regulated in the present. REBT disrupts self-defeating beliefs rooted in trauma-based shame. Psychodynamic work explores the origin story—the “why” behind reactions that seem irrational.
With all three, the client can move through a full arc: from stabilization, to reframing, to deep healing. Integration allows the therapist to tailor the work session by session, drawing on the strengths of each method as needed.
And most importantly, it honors the complexity of the human experience.
Beyond the Toolbox: Therapist as Translator
Integrative therapy isn’t about piling on techniques—it’s about knowing when to use which tool, and why. It requires the therapist to be fluent in different languages: the validation of DBT, the cognitive precision of REBT, and the emotional depth of psychodynamic thinking.
As therapists, we must be translators, bridging approaches so the client doesn’t have to navigate their healing alone.
Final Thought:
If you could blend the best parts of your favorite therapies to help a client truly heal—not just cope—what would you bring into the room? And are you willing to stretch your comfort zone to do it?
Now, ask yourself: Are you practicing therapy… or translating healing?
💬 Ready to start your own healing journey?
Book a session with one of our compassionate therapists at Moody Melon Counseling. We’re here when you’re ready. 🍉
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