Thursday, 4 August 2016

[amdavadis4ever] Cognitive behaviour therapy

 


Cognitive behaviour therapy

 

Cognitive therapy (CT) states that thoughts, feelings and behavior are all connected with each other. These individuals can overcome difficulties by identifying and changing these unhelpful or inaccurate thinking, problematic behavior, and distressing emotional responses by Cognitive therapy. The therapist helps to develop skills for modifying beliefs, identifying distorted thinking, in different ways, and then changing behaviors. Now the individual understand's internal reality, select appropriate interventions and identify areas of distress.

We change targeting thoughts (to change emotion and behavior), behavior (to change feelings and thoughts), or the individual's goals (by identifying thoughts, feelings or behavior that conflict with the goals)


As an example of how CT works:- Having made a mistake at work, a man may believe, "I'm useless and can't do anything right at work." He may then focus on the mistake (which he takes as evidence that his belief is true), and his thoughts about being "useless" are likely to lead to negative emotion (frustration, sadness, hopelessness). Given these thoughts and feelings, he may then begin to avoid challenges at work, which is behavior that could provide even more evidence for him that his belief is true.

Depressed people acquire a negativity of the world in childhood and adolescence;. Depressed people acquire such negativity through a loss of a parent, rejection by peers, bullying, criticism from teachers or parents, the depressive attitude of a parent and other negative events. The negativity of the person are activated in life. Depressed people have negative thoughts about themselves, their experiences in the world, and the future.

As a result he may focus even more on any mistakes he may make, which serve to reinforce the original belief of being "useless." In therapy, this example could be identified as a self-fulfilling prophecy or "problem cycle". We in therapy work together to explore and shift this cycle. Now the thoughts that do not meet his description may then be shifted to something more accurate or helpful, leading to more positive emotion, more desirable behavior, and movement toward the person's goals. Cognitive therapy takes a skill-building approach, where I help the person to learn and practice these skills independently, eventually "becoming his or her own therapist."

 

Application of Cognitive therapy

Cognitive therapy has been applied to a very wide range of behavioral problems

• Learning in school and college
• Addiction
• Anxiety disorders
• depression
• Bipolar disorder
• Phobia
• Schizophrenia
• Substance abuse
• Suicidal ideas
• Weight loss

Uses of Cognitive Behavior Therapy

Cognitive behavior therapy has been used to treat people suffering from a wide range of disorders, including anxiety, phobias, depression, and addiction. CBT is one of the most researched types of therapy because treatment is focused on highly specific goals and results can be measured relatively easily.

Cognitive behavior therapy is often best-suited for clients who are comfortable with introspection. In order for CBT to be effective, the individual must be ready and willing to spend time and effort analyzing his or her thoughts and feelings. Such self-analysis is a great way to learn more about how internal states impact outward behavior.

Cognitive behavior therapy can replace medication. 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 of his/her life.

In cognitive therapy thoughts, feelings and behavior are mutually influenced by each other. Shifting cognition is seen as the main mechanism by which lasting emotional and behavioral changes take place. Treatment is very collaborative, absolutely personal, skill-focused, and based on a case conceptualization. CBT is transparent to the individual receiving therapy. At the end of the therapy, an individual will often have learned the cognitive therapy skills well enough to "be their own therapist," decreasing dependence on a therapist to provide the answers.

During regular cognitive therapy sessions, I teache the tools of cognitive therapy. Then between sessions, the patient does homework. That homework helps the person learn how to apply the tools to solve specific life problems. "They make small changes in their thinking and behavior every day". "Then over time, these small changes lead to lasting improvement in mood and outlook."

 

Benefits of Cognitive Behavior Therapy

Cognitive therapy has become the standard "counseling therapy" to treat any psychological conditions. In addition to its high rate of success, it is also cost-effective. The benefits from cognitive therapy often come in weeks rather than months or years, as not in the case with other treatments.

Can cognitive therapy replace antipsychotic medications? Robert DeRubeis, PhD, professor of psychology and associate dean for the social sciences at the University of Pennsylvania - answer is yes. Medications have all kinds of side effects and can actually add to depression," With cognitive therapy, patients learn coping skills and how to apply them. When they do, there is less need for medications.

But it doesn't have to be an "either-or" decision. In some studies, cognitive therapy for depression worked even better when combined with NLP.

Because everyone's situation is unique, the decision about how to use cognitive therapy should always be made by the patient and the doctor together

Cognitive restructuring is a core part of Cognitive Behavioral Therapy (CBT). CBT is one of the most effective psychological treatments for common problems like depression, anxiety disorders, and binge eating. to reduce problems with mood, anxiety, and stress.

Choose one type of cognitive distortion to focus on at a time. Example: you recognize that you're prone to "negative predictions." For a week, just notice any times you find yourself making a negative prediction—for example, you might notice yourself expecting not to enjoy a party, expecting to feel too tired to exercise, expecting that your boss won't like an idea, etc.

When you find yourself having the cognitive distortion, ask yourself: what other ways you could think? For the negative predictions example, you might ask yourself what other outcomes are possible. Try these three questions: What's the worst possible thing that could happen? The best possible thing that could happen? The most realistic?

At the end of the week, determine what percentage of the times you ruminated it led to useful problem solving? CBT can help us make changes in the way we think ("Cognitive") and the way we act ("Behaviour)". Making changes in what we think will affect what you do and feel, and changing what we do, affects the way we think and feel. Making these changes then can help us feel better. CBT focuses on looking for ways to improve your mental wellbeing now. CBT says that it's not the event which causes our emotions, but how we interpret that event - what we think or what meaning we give that event or situation.

For instance, someone who's depressed might wake up in the morning and think: "This is going to be another awful day", "I'm going to mess up again", or "What's the point of anything?", which will make them feel even more depressed (feelings), and may prompt them to pull the covers over their head and stay in bed (behaviours). It's very likely that this will increase their negative thoughts, which in turn will increase the feelings of depression, and make them even less likely to get out of bed. A vicious cycle is the result - continuing to think and act the same way will help maintain our depression (diagram below), or anxiety.

CBT can help you to break these vicious cycles of negative thinking, feelings and behaviour. When you see the parts of the vicious cycle clearly, you can change them - and therefore change the way you feel.  It can also be helpful to look at the way our thoughts and feelings affect our bodies, and the physical sensations we can experience.

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Posted by: prakashbaroda@yahoo.com
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