A
Guide to Understanding Cognitive Behavior Therapy
(CBT)
What is Cognitive Behavior Therapy
(CBT)?
•
CBT is a psychological approach which research
has shown to be effective for a wide range
of problems.
•
The client and therapist work together to
identify and understand problems in terms
of the relationship between thoughts,
feelings and behavior.
•
The approach usually focuses on difficulties
in the here and now and relies on the therapist
and client developing a
shared view of the individual’s problem.
This then leads to the identification of personalized,
time-limited therapy goals and
strategies which are continually monitored
and evaluated.
• The approaches can be used to help
anyone irrespective of ability, culture, race,
gender or sexual preference.
•
CBT therapists are usually health care providers
such as nurses, psychologists, GP’s,
social workers and occupational
therapists, who have undertaken additional
training in CBT.
Here
is an example of how our thoughts, feelings
and behavior can affect us :
Carol was nearly asleep and by the time she
managed to pick up the phone it had stopped
ringing. She had been suffering from anxiety
and depression for some time. Her daughter
Leanne, who had recently moved to Toronto,
immediately came to mind. Carol thought: Something
must have happened to Leanne! That was the
police calling to inform me that Leanne was
in a serious accident. She felt her stomach
churning and her heart pounding at the thought
that something could have happened to Leanne.
Her thoughts raced uncontrollably and she
feared she could be losing her mind.
She called Leanne’s home number several
times but there was no reply. Sue took this
as further evidence that something bad had
happened to Leanne. Carol felt so panicky
that she stayed up all night, despite taking
extra medication. She felt dreadful thinking
of all the things that could have happened
and even thought of calling some of the GTA
hospitals. Carol found out from Leanne the
next morning that she had stayed the night
at one of her friends’ houses and was
fine. Nevertheless, she remained distressed
and unsettled and felt unable to go to work………’
What happens in CBT?
In CBT the therapist and the client work together
to develop a shared understanding of the client’s
problems, identify how these affect the clients’
thoughts, behaviors, feelings and a daily
functioning.
Based on the understanding of each clients
individual problems the therapist and the
client will then work together to define goals
and to agree to a shared therapy plan. The
focus of therapy is to enable the client to
generate solutions to their problems that
are more helpful than their present ways of
coping. This often involves the client using
the time between therapy sessions to try things
out.
Therapy is organized over an agreed number
of sessions. The number of sessions needed
will differ depending on the nature and severity
of a client’s problem. Typically, sessions
are weekly, last an hour and take place over
a period of between 10 to 15 sessions, but
this can be significantly shorter or longer.
After treatment completion client and therapist
usually agree to a limited number or follow-up
sessions to maintain the progress achieved.
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