CBT: Cognitive-Behavioral Therapy, is a therapy model that combines two
of the best therapy models; Cognitive Therapy and Behavioral Therapy.
Cognitive psychology started in the 50's in order to help create computers that mimic human intelligence. Dr. Aaron Beck, one of the early pioneers of Cognitive Psychology started cognitive therapy based on the assumption that people don't feel good due to the way they think. If we can help them identify distortions in the way they think, we can help them feel better.
The Behavioral Therapy originated from Behavioral Psychology, tracing back to Russian Physiologist Pavlov and his famous dogs. He noticed how dogs learned to salivate when someone opened a door right before their feeding time. This became to be known as Pavlovian Conditioning which was later called Classical Conditioning. Other learning theories were later discovered by people like Thorndike and Skinner who discovered Operant Conditioning. Skinner learned that animals and later humans, learned to behave based on the simple principle of Gaining Pleasure, or Avoiding Pain. As the theory evolved and became well understood, Behavioral Therapy later came along assuming also that people don't feel good due to their maladaptive behaviors. If we can help people identify their maladaptive behaviors and modify them, then they will begin to feel better.
CBT has
proven to be most effective for Anxiety Disorders, and Depression,
among other mental and emotional problems. The theory assumes that by
changing someone's distorted cognition (thoughts, beliefs, schemas,
values, etc.) and modifying their maladaptive (dysfunctional)
behaviors, they will therefore feel better. In other words, the way we
think and the way we behave directly impacts how we feel. According to
the CBT model, anxiety and depression can also be treated effectively
using this model by helping the individual change their distorted
thoughts and behaviors which eventually ameliorate anxiety and
depression.
How Does CBT Work and Why?
• CBT starts by
Psychoeducation. The individual is first and foremost educated about
their illness, their symptoms, and what might be causing it. In
addition, and based on the therapist's level of experience, education
and competence, the education can be expanded to the brain and its
functions and how it relates to the body vs. the mind.
• CBT
sessions begin after the individual is assessed and evaluated as to the
level of cognitive functioning and its impact on the emotional state.
This process in the therapy begins by therapist inquiring about the
individual's beliefs, values, etc., and challenging their validity and
connecting their impact on their emotional state. By the end of the
first few sessions, the individual would become a scientist, curious
and inquisitive about their cognitive state. They would begin
challenging their own cognitive distortions and replacing those by
healthy ones that could lead to a better more adaptive state of mind.
This process also involves lots of self-help exercises that are
evaluated and modified each session.
• CBT also involves
something known as Schemas
. Dr. Jeff Young, the founder of Schema
therapy, identified 18 negative schemas. Once the individual identifies
specific schemas, the therapist begins their work by helping the
individual identify old coping skills and behaviors and find new ones
that could promote better mental health, and better relationships.
• CBT is brief in time. Most of the therapy
work done by CBT is brief and limited in time. After all, once the
individual becomes an expert on their own problems, and how to
challenge them, the therapist's work is finished. Most issues such as
anxiety or depression are resolved within 12-18 weeks. If more sessions
are required, that can always be negotiated.
• CBT has proven
its efficacy in scientific research especially with anxiety disorders
and depression. This is something that insurance companies love.
Therefore, CBT is not only requested, but is also favored by them.
SAD
CliniC
Stress, Anxiety, & Depression CliniC
Mind Over Matter: If you DO Mind, it Will Matter
CBT: COGNITIVE-BEHAVIORAL THERAPY
West Los Angeles
What is CBT?