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Cognitive Behavioral Therapy (CBT)

 

Cognitive-behavioral therapy (CBT) is the combination of cognitive and behaviorist approaches. Cognitions are the beliefs, thoughts, and all the internal images that a person has about his life events. In cognitive-behavioral therapy, the therapists work on changing the negative, irrational, and depressogenic thoughts to the positive, rational, and non-depressogenic ones with the help of techniques adopted from the behaviorist approach. This therapy works on the principle that thoughts can influence behavior and behavioral changes can bring new thoughts within the person. This therapy focuses on mental processes and their influences on mental health and behavior. Individuals thinking largely determine how individuals feel and behave. 

In cognitive-behavioral therapy, the psychologist changes the thought patterns which are conflicting and have a negative pattern to remove the unwanted behavior and aware the client about his thought patterns so that he or she can convert his thoughts into more positive and logical ones to shape new desirable behavior.

"There are three musts that hold us back: I must do well. You must treat me well. And the world must be easy."

Basics of CBT

  • CBT is a form of talk therapy based on the premise that our thoughts patterns, feelings, and behavior are interrelated and influence one another.
  • CBT focuses on changing the negative and illogical thought patterns into positive and logical ones.
  • CBT involves the theories and principles from cognitive and behavioral paradigms.
  • CBT helps in understanding our thought patterns, bringing insight into our problems and how we can overcome that.
  • CBT helps in overcoming neurotic problems and helps in relapse prevention.
  • CBT is more advanced and modern psychotherapy.
What Can CBT Treat?

CBT can help with:

  • CBT is a very effective therapy for clients having average to above average in terms of their intelligence and ability to identify their underlying thought patterns and feelings.
  • They must be able to process visual and auditory information accurately.
  • A CBT practitioner can deal with people who have moderate to high levels of functional distress and should not be psychotic.
  • This therapy does not work gratefully with people who are disabled with the present ongoing issue and challenges.
  • CBT works great with people who are willing and able to complete their homework given by the psychotherapist and can restore their behavioral skills and responses.

Types of cognitive-behavioral therapy (CBT)

Mainly we focus on three types of cognitive-behavioral therapy they are:

 

(1) Rational Emotive Behavioral Therapy (REBT):  This therapy assumes that people are “inherently rational and irrational, sensible and crazy. irrational beliefs develops feelings of discomfort within-person and may fill him with upsetting and disturbing thoughts. When people recognize their thought patterns and successfully change their irrational beliefs into the rationale one then they can develop desirable behavior after removing the undesirable ones. Living life with logic and rationality can overcome a person from his all sufferings.

 

(2) Reality therapy (RT): This therapy focuses on human consciousness and believes that human beings function on a conscious level and want to be driven by health/growth force. In this therapy, therapists help clients become rational, psychologically strong and they have choices interms of how they treat themselves and others.

 

(3) Cognitive therapy (CT): This therapy assumes that dysfunctional behavior is a result of dysfunctional thinking,  so if a therapist wants to improve a person’s behavior then he must first work on his underlying problematic thoughts for change into positive ones. If thought will change behavior will change also.

Benefits of Cognitive Behavioral Therapy (CBT)

CBT is very popular and successful psychotherapy for neurotic problems and shows great efficiency in dealing with problems like:

  • Depression
  • Mood disorders
  • Obsessive-compulsive disorder
  • Post-traumatic stress disorder
  • Treating eating disorders: Anorexia and bulimia nervosa
  • Break-up 
  • Relationship issues
  • Career problems 
  • Future apprehension
  • Sexual disorders
  • Anxiety, Stress, phobia
  • Sleep problems caused by the occurrence of negative thoughts
  • Personality development and developing healthy habits
  • Unconditional acceptance of a person, others, and the world around him.
  • Self-doubt and self-guilt removal
  • Relapse prevention in substance-related disorders, schizophrenia, and bipolar mood disorders.

Process of Cognitive Behavioral Therapy (CBT)

How CBT Works

Numerous techniques can be used in CBT psychotherapy depending upon the type of approach and client’s problems. Few popular techniques are:

(1) cognitive disputation:  This technique involves the use of direct questions, logical reasoning, and persuasion.

(2) Imaginal disputation:  It uses the client’s skill of imagination and employs a technique of rational Emotive imagery.

(3) Behavioural disputation: Using the techniques of role play, completing assignments that are opposite to the current usual behavior of the client to develop desirable behavior.

(4) Bibliography: In this client read self-help books.

(5) Improving communication skills

(6) Increase the use of the positive self-statement

(7) Self-monitoring of negative thoughts and behavior

(8) Challenging the way individual process information

(9) confrontation

(10) Employing humor

(11) Formulating specific plans

(12) Psychoeducation

Techniques used in Cognitive Behavioral Therapy (CBT)

cognitive disputation

Roleplaying

Imaginal disputation

Journaling

Activity scheduling

Relaxation

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