What is Multimodal Therapy?
Multimodal therapy (MMT) is a systematic and comprehensive psychotherapeutic approach developed by clinical psychologist Arnold Lazarus. For the first time, Lazarus (1958) introduced the terms “behavioral therapy” and “behavioral therapist” to the scientific literature to show that behavioral interventions are the basis in clinical practice. Lazarus later expanded its technical spectrum in therapy, due to the high rate of re-disturbance seen only in follow-up studies of individuals who used behavioral methods. In his measurement and therapy, “who provides what is the best treatment for which problem, under what conditions, by whom?” chose to be multilateral and methodical in order to provide clearer answers to his questions.
Multimodal therapy of Lazarus is made up of 7 different and also interrelated models. These models are known as BASIC-ID with the abbreviation of English names formed by their initials. The problems that the therapy aims to correct; irrational thoughts, perverted behavior, unwanted sensations, compelling images, stressful relationships, negative sensations and biochemical imbalances (irrational beliefs, deviant behaviors, unpleasant feelings, intrusive images, stressful relationships, negative sensations, and possible biochemical imbalance).
According to therapists who practice multimodal therapy, the more the client learns from therapy, the lower the probability of recurrence of the disease or problem.
It is not enough for the therapist to be a good listener and not only to treat the patient well, but also to have a lot of knowledge about the therapy and the types of therapy and to apply the technique that suits the patient the most.
Multimodal Therapy deals with the patient in many areas (multimodal) and briefly BASIC I.D. gives the name:
I: Interpersonal relationships
D: Drugs / biology – medication, diet, hygiene, exercise, etc.
Identification of problems and treatment techniques in BASIC I.D. creates modality profiles. This framework allows the therapist to administer a treatment based on the individual condition of the patient. BASIC I.D. Accordingly, significant unhealthy deficiencies and excesses in the patient’s problems are provided for each modality.
Basic Response Techniques in Multimodal Therapy: Bridging and Monitoring
Bridging: The therapist starts from the patient’s preferred modality in BASIC I.D., then moves to other more efficient dimensions. For example, if the therapist finds it appropriate to start from emotional modality, if the patient prefers to start from cognitive modality, it is done so. This provides a smooth transition to other modalities in the future without making the patient feel unclear.
Monitoring: It is the examination of the triggering order of different modalities. BASIC I.D. this order can be in many different variations. For example, SCIB, CISB, I.BSCA, IBI.S, CISA, SICA etc. It can vary from person to person at the same time, and it is possible to see different sequential modalities for different problems in the same person. This row shows which modality triggered the patient’s problem and which other modalities triggered it in which order. For example, considering the order of CISA (cognition-imaging-sensation-emotion), the thought of “if I worry” in C modality may bring to mind images that may be in a panic moment in I modality, this may activate S by causing excessive heart palpitations and frequent breathing and in A It can reveal a sense of panic. Treatment techniques are also generally applied in this order. For example, for a problem showing the order of CISA, Meichenbaum’s “self-instruction” training, then the technique of coping in imagination, rhythmic breathing and relaxation exercises can be applied respectively.