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Cognitive Behavioral Therapy (CBT)

Anxiety, Disorders

In cognitive behavioral therapy we focused on feelings and thoughts how you think about yourself, and others. Cognitive behavior therapy (CBT) can help you how you think about things, people (cognitive process) and what you do (behavior). In which we discusses how it work, how it help, its effect, why it is used, side effects, and treatment. CBT helps with many problems include depression, panic, bulimia, phobia (special phobia, agoraphobia, social phobia) stress, anxiety, obsessive compulsive disorder, bipolar disorder etc.

Cognitive behavior therapy (CBT) deals with our feeling, emotion thoughts. How you think about problem for example a person is depressed and he think I am worthless, so he loses his confidence and show poor working in everything and with therapist help the person cope from his irrational beliefs. We focus how you think physically and emotionally and what you do about your thoughts. These are helpful and unhelpful in specific situation. It’s all depending on what you think about them. For example a panic patient always thinks I am in a danger and therapists help to break his false beliefs. (CBT) can help you to break this vicious circle of altered thinking, feelings and behavior.

In cognitive behavior therapy (CBT) therapist treat with your destructive or disturbing thoughts pattern. Therapists change your negative thoughts into positive because these destructive or disturbing thoughts have a negative influence on behavior. In which people learn how to identify your negative thoughts pattern and how to change it. Cognitive behavior therapy (CBT) is mostly used to treat with phobias, depression, anxiety and addiction.

Our thoughts and feelings play a fundamental role in our behavior. For example a person spend a lot of time thinking about road accidents, car and bike crashes, and other truck and train accidents because of his disturb thoughts he avoid to travel. The goal of cognitive behavior therapy is to teach patients that while they cannot control every aspect of the world around them, they can take control of how they can deal with things in their environment. The therapist’s role is to listen, motivate, teach and encourage.

How CBT Work

Cognitive behavior therapy (CBT) can help you to understand your problem and how to cope from problem. Your feelings, thoughts, physical feelings and action are interconnected to each other one can affect the others.

  • A situation
  • Problem, Difficult event or situation, horror things
  • Thought
  • Positive or negative, helpful or unhelpful
  • Emotions
  • Low or sad, active or happy
  • Physical feelings
  • Low energy, feel sick, stomach pain or none feel comfortable
  • Action
  • Go home Want to live alone, or Get in touch and solve the problem

Your thoughts about a problem can often affect how you feel physically and emotionally, as well as how you act on the problem. First you have a situation or problem for example your close friend ignore you in shopping mall automatically you think about the problem why he ignored me he don’t like me then automatically you feel low, sad and rejected emotionally and physically you feel stomach cramps, low energy and immediately you want to go home and live alone. But if you have positive and healthy thoughts you feel comfortable both emotionally and physically to immediately you call him to make sure everything is OK.

History of Cognitive-Behavioral Therapy

The term (CBT) is a psycho-therapeutic approach and related to several approaches including Rational Emotive Behavior Therapy, Relaxation training, Cognitive therapy, Rational Behavior therapy, and Rational living Therapy. Now we discus two important therapies

  • Rational Emotive Behavior Therapy
  • Cognitive Therapy

Rational Emotive Behavior Therapy

(RET) was originated by Albert Ellis, Ph.D. Ellis developed the ABC model of emotions, and later modified the model to the A-B-C-D-E approach.  In the 1990’s Ellis renamed his approach Rational Emotive Behavior Therapy. In which a therapist deal with your emotion, behavior and irrational beliefs.

  • A : Activating event
  • B : Beliefs
  • C : Consequences ( emotional and behavioral)
  • D : Disputing intervention
  • E : Effect
  • F : New feelings

Cognitive Therapy

In the 1960’s, Aaron Beck, M.D. developed his approach called Cognitive Therapy. Cognitive therapy based on cognitive model in which thoughts, behavior and feelings are all connected to each other. Therapist deal with your cognition changes your inaccurate feeling, problematic behavior and distressing emotional response in positive way.

Five Areas of Assessment in CBT

  • Life situation, practical problem, difficult situation
  • Altered thinking
  • Altered emotional feelings
  • Altered physical feelings
  • Altered behavior

This is another way of assessment in (CBT) through five areas. These five areas strongly connected with each other. It builds on our relationships with other and helps us to see how these can make us feel better or worse.

For example: Job, joint family system and housing difficulties.

What Conditions Can Be Helped By Cognitive Behavioral Therapy

CBT can both help us in mentally and physically disorders. Like as

  • Sexual and relationship problems
  • Habits such as facial tics
  • Certain anxiety disorders
  • Phobias
  • Panic Attacks
  • Panic disorder
  • Depression
  • Eating disorders
  • Body dysmorphic disorder
  • Post-traumatic stress disorder
  • Drug or alcohol abuse
  • Some sleep problems
  • Chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME)
  • Chronic (persistent) pain
  • Obsessive Compulsive Disorder  (OCD)
  • Anger
  • Personality disorder
  • Low back pain

How Effective CBT Is

  • . One of the greatest benefits of cognitive-behavior therapy is that it helps clients develop coping skills that can be useful both now and in the future.
  • In adult’s CBT has been shown most effective role in the treatment plans for anxiety disorder, depression, eating disorder, psychosis, substance use disorder, psychosis, and schizophrenia.
  •  In children or adolescents, CBT is an effective part of treatment plans for body dysmorphic disorder, obesity, obsessive compulsive disorder, post traumatic stress disorder, eating disorder and depression.
  • Most effective psychological treatment for moderate and severe depression.
  • Effective as antidepressants for many types of depression.
  • Cognitive behavior therapy is also well-suited for people looking for a short-term treatment option that does not necessarily involve pharmacological medication.

What Problem May Occur During CBT

  • CBT is not a quick fix
  • Therapist only give you advises and encourage. But cannot do it for you
  • There is a always risk that problem with return
  • Always keep practicing your CBT skills
  • It is very complicated take to much effort
  • If patient feelings low , it very difficult to get motivated
  • A good therapist will pace your sessions. You both decide what you do together, so patient stay in control

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