by AJPReyes Cognitive behavioral therapy is an approach used by psychotherapists to influence a patient s behaviors and emotions. The key to the app
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| Cognitive Behavioral Therapy Can Treat Social Anxiety Disorder ... |
by AJPReyes
Cognitive behavioral therapy is an approach used by psychotherapists to influence a patient's behaviors and emotions. The key to the approach is in its procedure which must be systematic. It has been used successfully to treat a variety of disorders including eating disorders, substance abuse, anxiety and personality disorders. It can be used in individual or group therapy sessions and the approach can also be geared towards self help therapy.
Cognitive behavioral therapy is a combination of traditional behavioral therapy and cognitive therapy. They are combined into a treatment that is focused on symptom removal. The effectiveness of the treatment can clearly be judged based on its results. The more it is used, the more it has become recommended. It is now used as the number one treatment technique for post traumatic stress disorder, obsessive compulsive disorder, depression and bulimia.
Cognitive behavioral therapy first began to be used between 1960 and 1970. It was a gradual process of merging behavioral therapy techniques and cognitive therapy techniques. Behavioral therapy had been around since the 1920's, but cognitive therapy was not introduced until the 1960's. Almost immediately the benefits of combining it with behavioral therapy techniques were realized. Ivan Pavlov, with his dogs who salivated at the ringing of the dinner bell, was among the most famous of the behavioral research pioneers. Other leaders in the field included John Watson and Clark Hull.
Instead of focusing on analyzing the problem like Freud and the psychoanalysts, cognitive behavioral therapy focused on eliminating the symptoms. The idea being that if you eliminate the symptoms, you have eliminated the problem. This more direct approach was seen as more effective at getting to the problem at hand and helping patients to make progress more quickly.
As a more radical aggressive treatment, behavioral techniques dealt better with more radical problems. The more obvious and clear cut the symptoms were, the easier it was to target them and devise treatments to eliminate them. Behavioral therapy was not as successful initially with more ambiguous problems such as depression. This realm was better served with cognitive therapy techniques.
In many academic settings, the two therapy techniques were used side by side to compare and contrast the results. It was not long before the advantages of combining the two techniques became clear as a way of taking advantage of the strengths of each. David Barlow's work on panic disorder treatments provided the first concrete example of the success of the combined strategies.
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Source : http://imentalhealth.net/mental-health-disorders/cognitive-disorders/the-history-of-cognitive-behavioral-therapy
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Commonly question about The History of Cognitive Behavioral Therapy
A ficticious Clinical Case (Cognitive Therapy and EMDR)?
A fictitious Clinical Case (Cognitive Therapy and EMDR)Patient X, male, 25 years.
No health problem, no clinical depression, is seeking help to try to improve his life.
Also, there is no trauma regarding exercises.
Patientts complaint: He wants to feel motivated to do physical exercises.
He finds exercising "very boring". He knows it would be good for his health, but he says he is still young, and so hedoesn tnt need to care about this yet. In the future, of course, but not yet.
When he is in the gym, or trying some physical activity, he feels theres so many more important and productive things that he could be doing with his time and energy that he feels its very difficult for him to continue with hat activity.
According to his words "It is as if I was trying to read the Great Philosophers, or, you know, trying to improve my financial skills by taking a class, or something like that: I know it would benefit me, but i just dont want to do it. I would love to have the motivation to do any of this things, but i just dont feel like it."
Now, please, disconsider his life history (focus on the right here,Rightt now, only), and have in mind that he understands the role physical exercises plays to his health, and give your opinion:
What Cognitive Behavioural Therapy techniques would help him to acquire the motivation he wants ?
Would a therapy like EMDR have any use to help him find this motivation ?
emdr is mainly for phobias and ptsd, so not much use here.
Therapy is making me feel worse!?
I am seeing a therapist for generalized anxiety disorder & body image issues. I have been seeing my therapist for 1 month. My anxiety has gotten worse & now I feel that I m not getting any better. Each week I feel like I am getting worse because I have to deal with issues that I haven t had to think about for years. We agreed that the approach to my healing would be through the use of cognitive behavioral therapy, but so far all we ve done is talk about my past. He doesn t even address my body image issues. When I bring my body issues up, he glides right over that & on to more questions about my family.The sessions go by fast & mostly consist of casual talk about my job & conversations regarding my family history. Last week he asked me if I would tell him how much money I make at my job. We spent 15 minutes discussing my salary. When I asked why he was interested, he said he was intrigued by people in the art world & just wondered what kind of money I made. He even pulled out a calculator hoping I d tell him what I make a month. I thought that was odd, but maybe not. I cry every single time I m in therapy & I feel dumb after wards. He always looks at me & says he feels sorry for me...
That statement makes me feel pretty bad & very, very, very pathetic. I didn t go there for sympathy...I go for a solution.
Before therapy I had mild anxiety, but now I have serious anxiety & sadness because all the old stuff I went through is fresh on my mind week after week. Also, I agreed to do medical therapy along with CBT.
I was already on meds given to me by my general physician, but my psychologist wants me to see a psychiatrist for a prescription.
He told me that the psychiatrist would have to reevaluate me, so that means I ll have to go through all the depressing details of my past again & with a new strange person. I ve told him that this alone causes me a lot of anxiety, but he ignores my concerns & continues to insist.
I really don t want to do this, but I m feeling pressured into it.
I found this guy through my insurance plan. Therapy is kinda new to me, so I dont want to rush into any judgements on what is & isn t normal. But, is this normal?? Should I be feeling worse & more anxious? Or am I feeling this way because my therapist isn t a good fit for me?
You are very much on target.
"Cognitive therapy" does not delve into family history much--it is your thinking ansd messages you send yourself about body image. Now perhaps the doctor is trying to find a link from your childhood and how your parents treated you and what messages they gave you about yourself--which affects your self-esteem.
Bottom line is this--if he is wasting your time (and the whiole crock about your salary is just that)--then he is not for you.
perhaps a female therapist would work out better.
If Paxil is helping, i don t know why he is pushing for lamictal--unless if they get great kick backs from the drug manufacturer 9which most doctors do get some kind of kickback from various drug companies--I m serious, like trips, weekends in hawaii, etc).
besides the paxil, (which is an anti-depressant much like Zoloft or Prozac)--you would benefit from a small dose of something for anxiety--such as klonopin, or ativan, xanax. It works right away--within 30 minutes to help relax you, and calm down your heart rate, etc.
Paxil works cumulatively--"Over time". It has to build up in your blood stream to a therapeutic level--may take 4-6 weeks to stabilkize at the right level.
Oh--nnot sure, but some doctors will refer their patients to a friend . Kinda keep the money flowing their friend s direction, and vice versa.
Some people see a psychiatrist once a month, maybe for a half hour for medication review only.
The real therapy is done with a psychologist ( counselor) who does talk therapy , and gets to the root of things and works through them with you.
So you have options. I m sure there are group therapies too. Some are all women, etc. There may be some support groups too, that a counselor would know about--on body image and self esteem, etc.
Please don t be intimidated by this shrink. I have worked for them and with them for over 2 decades. Most are great and very caring. And some are quacks, just like in any profession.
You deserve the best--your intuition about this guy seems to be right on the mark.
I knew one psychiatrist who spent half a session telling the lady about his trip to bostomn.
Seeing that she was spending $140.00 per session--that doctor made $70.00 talking about his trip. She wrote him a letter explaining that she would not be returening until he paid her back the money. he offerred a free session--and she took it to terminate his services.
best wishes to you.
Source(s):
hospital psychiatric healthcare 21 yrspersonal experience
Any Bipolars successfuly survived one year WITHOUT therapy, meds., help?
A bipolar 1 diagnosed, unmedicated (has access to meds. and help if desired, but wants to push self to be "normal" without the meds) person is going to move to an area without much access to the support groups and cognitive behavioral therapy usually accessible. It will be for one year in a country he can t even express himself in since there s a massive language barrier. There s a past history of self harm/cutting during stressful situations, current minor prescription addiction (yet the person won t take the meds. for the actual disorder, go figure!), prior hospitalization from pathetic attempts at suicide and is currently near the border of either an episode of mania or depression that tends to last a while. So after their episode is over what can they work on to ensure healthy survival in a foreign country with no help and limited contact with their loved ones? i.e., he will only see his spouse 2x/mo b.c. spouse is living in a military installation in the middle of the sinai!yes, the meds made me way worse after taking them for a whole year and personally for me they screwed up my head. ever since i took those stupid drugs i can t think clearly. i was better before i took them.
seriously, doctors tell you "need" to take them because thats what they re paid and trained to do: sell drugs. but these drugs ARE DANGEROUS. and have many unhealthy side effects that are long term. the longer you take them, the more it screws you up.
my advice: don t take the medications no mater how many people convince you that you need them. you don t need them. bi-polar is tough to deal with but it is not something a drugs today can fix. theres no easy way out, you just have to cope and try and keep your mind focused on other things. if you cant find someone to talk to, bring a diary to write your thoughts down in. eat healthy foods and drink a lot of water too, dont eat junk food as this can make your mind in an unstable state. drugs and alcohol can do this too so avoid them also. i have been living a healthier lifestyle and i dont feel the effects of bipolar anymore very often, so i know it is possible to overcome it. even in tough situations i think of the future and think positively and it helps. best of luck to you.
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