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Cognitive behavioral therapy
Hi. Can anyone explain exactly what this is and what it would entail please? I'm currently on anti-depressants for feeling down and suicidal but I also have quite bad paranoia which my doctor said she'd refer me to CBT to sort out. I don't know what this is, and all the descriptions on the internet sound a bit lame and like it doesn't have a chance of working.
Thanks,
Anon.
Thanks,
Anon.
christy24
CBT is a 'talking therapy' like counselling, but more focused/structured. Your therapist will help you look at and better understand how past/current issues really affect you - and how you can better cope with these in future. Often when someone is depressed, their thought patterns may cloud or distort things so it feels much worse, whereas CBT will help you to view things from a more objective perspective. So you will be able to identify and learn to change any negative thought patterns or behaviours. It's really helped me anyway. 
Glad to hear it's helping you, but what does it entail exactly?
CBT is a way of thinking about how you think about yourself, the world and other people as well as how what you do affects your thoughts and feelings.
CBT can help you to change how you think ("Cognitive") and what you do ("Behaviour)". These changes can help you to feel better. Unlike some of the other talking treatments, it focuses on the "here and now" problems and difficulties. Instead of focussing on the causes of your distress or symptoms in the past, it looks for ways to improve your state of mind now.
It has proven helpful in: Anxiety; depression; panic; Agoraphobia and other phobias; social phobia; OCD; PTSD; Schizophrenia and Bulimia.
CBT can help you to make sense of overwhelming problems by breaking them down into smaller parts. This makes it easier to see how they are connected and how they affect you.
CBT can be done individually or with a group of people. It can also be done from a self-help book or computer programme.
If you have individual therapy
You will usually meet with a therapist for between five and twenty weekly or fortnightly sessions. Each session would normally last between 30 and 60 minutes.
In the first 2-4 sessions, the therapist will check that you can use this sort of treatment and you will check that you feel comfortable with it.
The therapist will also ask you questions about your past life and background. Although CBT concentrates on the here and now, at times you may need to talk about the past to understand how it is affecting you now.
You decide what you want to deal with in the short, medium and long term.
The session will normally begin with you and your therapist deciding wat you will discuss in that session.
CBT focuses on a problem having five parts:
from this can flow:
With the therapist, you break each problem down into its separate parts. To help this process, your therapist may ask you to keep a diary. This will help you to identify your individual patterns of thoughts, emotions, bodily feelings and actions.
Together you will look at your thoughts, feelings and behaviours to work out:
- if they are unrealistic or unhelpful
- how they affect each other, and you.
The therapist will then help you to work out how to change unhelpful thoughts and behaviours.
It's easy to talk about doing something, much harder to actually do it. So, after you have identified what you can change, your therapist will recommend "homework" - you practise these changes in your everyday life. Depending on the situation, you might start to:
-Question a self-critical or upsetting thought and replace it with a positive (and more realistic) one that you have developed in CBT
-recognise that you are about to do something that will make you feel worse and, instead, do something more helpful.
At each meeting you discuss how you've got on since the last session. Your therapist can help with suggestions if any of the tasks seem too hard or don't seem to be helping.
They will not ask you to do things you don't want to do - you decide the pace of the treatment and what you will and won't try. The strength of CBT is that you can continue to practise and develop your skills even after the sessions have finished. This makes it less likely that your symptoms or problems will return.
Hopefully that will have helped you. All the information has been taken from the Royal College of Psychiatrists.
CBT can help you to change how you think ("Cognitive") and what you do ("Behaviour)". These changes can help you to feel better. Unlike some of the other talking treatments, it focuses on the "here and now" problems and difficulties. Instead of focussing on the causes of your distress or symptoms in the past, it looks for ways to improve your state of mind now.
It has proven helpful in: Anxiety; depression; panic; Agoraphobia and other phobias; social phobia; OCD; PTSD; Schizophrenia and Bulimia.
CBT can help you to make sense of overwhelming problems by breaking them down into smaller parts. This makes it easier to see how they are connected and how they affect you.
CBT can be done individually or with a group of people. It can also be done from a self-help book or computer programme.
If you have individual therapy
You will usually meet with a therapist for between five and twenty weekly or fortnightly sessions. Each session would normally last between 30 and 60 minutes.
In the first 2-4 sessions, the therapist will check that you can use this sort of treatment and you will check that you feel comfortable with it.
The therapist will also ask you questions about your past life and background. Although CBT concentrates on the here and now, at times you may need to talk about the past to understand how it is affecting you now.
You decide what you want to deal with in the short, medium and long term.
The session will normally begin with you and your therapist deciding wat you will discuss in that session.
CBT focuses on a problem having five parts:
•
A situation
from this can flow:
•
Thoughts
•
Emotions
•
Physical feelings
•
Actions
With the therapist, you break each problem down into its separate parts. To help this process, your therapist may ask you to keep a diary. This will help you to identify your individual patterns of thoughts, emotions, bodily feelings and actions.
Together you will look at your thoughts, feelings and behaviours to work out:
- if they are unrealistic or unhelpful
- how they affect each other, and you.
The therapist will then help you to work out how to change unhelpful thoughts and behaviours.
It's easy to talk about doing something, much harder to actually do it. So, after you have identified what you can change, your therapist will recommend "homework" - you practise these changes in your everyday life. Depending on the situation, you might start to:
-Question a self-critical or upsetting thought and replace it with a positive (and more realistic) one that you have developed in CBT
-recognise that you are about to do something that will make you feel worse and, instead, do something more helpful.
At each meeting you discuss how you've got on since the last session. Your therapist can help with suggestions if any of the tasks seem too hard or don't seem to be helping.
They will not ask you to do things you don't want to do - you decide the pace of the treatment and what you will and won't try. The strength of CBT is that you can continue to practise and develop your skills even after the sessions have finished. This makes it less likely that your symptoms or problems will return.
Hopefully that will have helped you. All the information has been taken from the Royal College of Psychiatrists.
I agree that the description sounds like it can't really do anything, but you'd be wrong to think so.
I used to suffer pretty heavily from social phobia, it got worse and worse where I'd avoid all contact. I dropped my friends, stopped answering the phone, absolutely hated talking to anyone in authority and was terrified what the opposite sex thought of me.
I studied CBT through some self-help books and internet literature to help my other half overcome her own phobia (agoraphobia in her case), and quickly realised it would be useful for me.
At first it seemed too much like 'common sense' to work. That was before I realised just how twisted and illogical my thinking had become. Basically speaking, CBT helps you to correct the ridiculous thoughts that are so common to you now that you take them as true, even though they probably bear no resemblance to reality whatsoever. It sounds stupid at first, but if you keep it up for a couple of weeks you will see huge dividends.
CBT is the most effective form of therapy for phobias there has ever been.
It's turned my life around. I'm now attending college, I have plenty of friends there including the sort of people I'd usually avoid. I actually purposely associate with beautiful women now just to show myself I can. My other half says I'm a different man, and honestly she is right.
I'd say give it a go, but make sure you do what it says! Don't expect it to work just talking to the therapist, you have to put the effort in. Good luck
I used to suffer pretty heavily from social phobia, it got worse and worse where I'd avoid all contact. I dropped my friends, stopped answering the phone, absolutely hated talking to anyone in authority and was terrified what the opposite sex thought of me.
I studied CBT through some self-help books and internet literature to help my other half overcome her own phobia (agoraphobia in her case), and quickly realised it would be useful for me.
At first it seemed too much like 'common sense' to work. That was before I realised just how twisted and illogical my thinking had become. Basically speaking, CBT helps you to correct the ridiculous thoughts that are so common to you now that you take them as true, even though they probably bear no resemblance to reality whatsoever. It sounds stupid at first, but if you keep it up for a couple of weeks you will see huge dividends.
CBT is the most effective form of therapy for phobias there has ever been.
It's turned my life around. I'm now attending college, I have plenty of friends there including the sort of people I'd usually avoid. I actually purposely associate with beautiful women now just to show myself I can. My other half says I'm a different man, and honestly she is right.
I'd say give it a go, but make sure you do what it says! Don't expect it to work just talking to the therapist, you have to put the effort in. Good luck
Still sounds like a load of rubbish to me, taking about **** and that. But thank you for the answers, I'll give it a go but I'm not expecting much.
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- Becoming an accountant in my mid-20s without a degree
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- University of Leicester
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- Have you had CBT at university?
- How to get a career as a Therapist
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