Brief Intensive Gestalt (BIG) Therapy  is a technique developed by Dr. Gautham to help the patient explore dysfunctional thinking, emotions and behavior, and to  recognize the maladaptive nature of the behavior, leading to a change towards better adjusted behavior.

The technique is "Brief" in that it tries to achieve the goal as quickly as possible; "Intensive", in that it aims to help the patient experience warded-off feelings, ideas, attitudes, and emotions to the maximum degree possible; "Gestalt" because it focuses on process (what is actually happening) as well as on content (what is being talked about) and emphasises what is being done, thought, and felt at the present moment rather than on what was, might be, could be, or should have been.

‘Gestalt’ is a German word which,  in English usage has come to mean ‘as a whole’ or ‘holistic’. When used in psychiatry it means ‘a holistic perception of the present environment in which you live, that takes into account but goes beyond the sum of all the attendant individual responses’. Gestalt Therapy emphasizes personal responsibility, and focuses upon your experience in the present moment, within the environmental and social contexts of your life, and the self-regulating adjustments you make as a result of your overall situation.

The focus is on on the client’s:

• perception of reality
  
• understandind about what and how they are thinking, feeling, and doing as they interact with the therapist and the other people in the world
• responsibility for their destiny and identity
• awareness of what he or she is doing and experiencing

The objective is to enable the patient to identify distorted thinking relating to self and others, to become free from the blocks and unfinished business that may diminish satisfaction, fulfillment, and growth, and to develop skills for modifying beliefs, attitudes and to experiment with new behaviors for a better adjusted life and relationships. 

The outcome is the ability to become fully aware of what is happening within oneself and outside of oneself, in interaction with others, and to deal with the problems.

Treatment is based on collaboration between patient and therapist and on testing beliefs. Therapy may consist of testing the assumptions which one makes and identifying how certain of one's usually unquestioned thoughts are distorted, unrealistic and unhelpful. Once those thoughts have been challenged, one's feelings about the subject matter of those thoughts are more easily subject to change

The procedure of therapy is simple.  A detailed  history is taken first.  Medication may be prescribed to relieve anxiety and tension that interferes with the Therapy.  The person is encouraged to express the distressing thoughts, feelings, and behavior. The procedure of the session conveys the therapists understanding of the emotions and attitudes expressed and they are accepted without  approval nor disapproval, but they are  challenged by the therapist whenever appropriate.

The patient is encouraged to  explore  attitudes and reactions to the challenges posed by the therapist till he / she arrives at a clear conscious realization of the reasons behind the attitudes.

A warm and permissive atmosphere is created in which the individual is free to bring out any attitudes and feelings, no matter how unconventional, absurd, or contradictory these attitudes may be.The client is as free to withhold expression as to give expression to feelings.

Simple limits are set on behavior, but not on attitudes e.g. the person may feel that he / she wants to break something or leave the room, and this this feeling is fully accepted, they are not allowed to carry out the behaviour.

The person is set a fixed time for each session at the end of which the session is terminated, but there is full acceptance of the desire to claim more time.

Therapy operates on the principles that the individual is basically responsible for self, and is willing  to keep that responsibility and that the person has a strong drive to become mature, socially adjusted. independent, productive, and relies on this force, and not the therapist, for the therapeutic change.

As the person begins to have "realization" about the disruptive behavior and becomes calmer with therapy the mind is challenged more intensely. 

As an issue is addressed the person  may experience restlessness, anger and sadness which he / she is taught to analyze and understand the reason for.

As treatment proceeds the person begins to understand that the feelings and attitudes being challenged are "irrelevant" and begins to learn "lessons" from the experiences that were previously distressing.

The person is also helped to develop skills for modifying beliefs, identifying distorted thinking, relating to others in different ways, and changing behaviors.

Based on the new "Gestalt" the person chooses a new goal which is more satisfying than the previous maladjusted goals.This will result in changed behaviour in order to reach the new goals, with the person becoming more spontaneous and less tense, more in harmony with social needs of others, and adopting a more realistic and more comfortable adjustment to life.