Trauma – PTSD » PTSD Treatment » Cognitive Behavioral Therapy

Cognitive Behavioral Therapy

Question:

Could somebody please explain to me what this really means? I have a vague idea, but not certain. Also, it would help me a lot if you could share your personal experience with CBT. Whether it works or not, how it really works if it does, etc. E-mail me privately if the story is too personal to tell here.. Thank you very much in advance. Health and prosperity to all, Cytherea

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Should know more about this – I’ve done a lot of counselling courses, but they’ve all been more person-centred than CBT. Just done a search on Dogpile on"Cognitive Behavioral Rog

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: Could somebody please explain to me what this really means? I have a : vague idea, but not certain. Also, it would help me a lot if you could : share your personal experience with CBT. Whether it works or not, how it : really works if it does, etc. : E-mail me privately if the story is too personal to tell here.. : Thank you very much in advance. In CBT, the "cognitive" part has to do with thinking habits. Like, does thinking about all the horrible things that "might happen" discourage you from doing things. Cognitive therapy attempts to change your thinking habits to be more positive so that you wont accidently encourage anxiety. The "behavioral" part has to do with conditioned responses. Like, if you’ve had anxiety attacks in grocery stores a lot, you eventually feel "trained" to fear grocery stores (a process called negative conditioning). Behavioral therapy attempts to "un-train" such fears with positive experiences (positive conditioning); like, say, gradually re-exposing yourself to grocery stores in small steps. CBT can be very effective for people with certain kinds of cases. Namely, CBT often works well when a person’s anxiety is mostly psychological. However, CBT may not work very well (and may even be detrimental) when a person’s anxiety is mostly biological (as in hormonal problems causing spontaneous attacks). Biological anxiety typically needs to be treated with medication. Once the biological anxiety is under control, then CBT may help to overcome residual psychological anxiety. It should also be noted that CBT is not always necessary for recovery. People who suffer biological anxiety do not always develop negative thinking habits nor conditioned avoidance; especially if the biological condition is treated promptly. Also, in *rare* cases, forms of psychological anxiety *might* have a more psychoanalytic character, which CBT does not address.                                         Best Wishes,                                         Arthur

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: : Should know more about this – I’ve done a lot of counselling courses, : but they’ve all been more person-centred than CBT. Just done a search on : Dogpile on"Cognitive Behavioral : : Except for the horrid background music. I TOTALLY agree! (grin) I checked out the site today (during my search engine duties) and found the music a real turn off. (barf-o-rama) I wasn’t entirely happy with the site content either, but added it to my database anyway; in the spirit of unbiased diversity.                                         Best Wishes,                                         Arthur http://anxiety-panic.com 190 URLs and growing…

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I plead ignorance: my speakers weren’t turned on.See what you mean though. Rog Plaintive note to spellchecker: I am NOT a rogue

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- Hide quoted text — Show quoted text – However, CBT may not work very well (and may even be detrimental) when a person’s anxiety is mostly biological (as in hormonal problems causing spontaneous attacks). Biological anxiety typically needs to be treated with medication. Once the biological anxiety is under control, then CBT may help to overcome residual psychological anxiety. It should also be noted that CBT is not always necessary for recovery. People who suffer biological anxiety do not always develop negative thinking habits nor conditioned avoidance; especially if the biological condition is treated promptly. Also, in *rare* cases, forms of psychological anxiety *might* have a more psychoanalytic character, which CBT does not address.                                         Best Wishes,                                         Arthur

I hit the jack pot on this one.  I suffered PTSD for over 25 years. And I had to treat myself in both areas – the mind and the body.  What a learning/self discovery journey it was. I studied mind/body medicine, holistic healing and nutrition to take matters into my own hands after years of ineffective treatment and incorrect diagnosis. I’m well now, but still proper daily self care is the top priority.  Plus the monthly hormone and brain chemistry changing is an important time for prevention.  I guess with such a hard history such as PTSD for my mind and body, I just have to live with this high maintenance for the rest of my life.  I learned to take nothing for granted. But, whew, it can get a little tiring at times. I feel very much like those cancer suvivors. If I failed to take proper care of mysef everyday, the bad feelings can return. Rose

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Except for the horrid background music. I wonder what drug the designer was on. (heh) — — Jim

Maybe a designer drug?  <g  Maybe I should be glad I don’t have sound after all…. Best Wishes — Blue

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Should know more about this – I’ve done a lot of counselling courses, but they’ve all been more person-centred than CBT. Just done a search on Dogpile on"Cognitive Behavioral

Except for the horrid background music. I wonder what drug the designer was on. (heh) — — Jim

Response:

I think we should make a distinction between CBT and psychoanalysis. While I agree with Gary Cooper that psychoanalytic therapy (ie the "get in touch with your feelings" kind) is relatively useless if not often more harmful in the case of GAD or PD, the goal of CBT is entirely different. The goal of CBT is to teach you new behavioral tools, not to find out how you felt about your mom <grin. There is a very definitive difference in those two styles, and also a very strong distinction between which is more successful in this area. In my case, my panic disorder had created all kinds of secondary conditions (agoraphobia, OCD, just to name a couple) and these were dramatically improved by CBT. Just wanted to inject that (no pun intended!).

I very much agree with you, Dori – and almost always recommend that people consider CBT. Statistically speaking, the greatest chance of recovery seems to come from a mixture of both CBT and medications, but there’s room for considerable variation within those figures and either alone might do the job for the individual. I also, FWIW, agree with you about the tremendous difference between the essentially practical, goal-orientated approach of CBT and the introspective, almost contemplative, nature of ‘traditional’ psychotherapy. Apart from rare cases, I find it hard to see how ‘psychotherapy’ can have much to offer the average sufferer of GAD or PD, though YMMV applies, of course ;) — Gary Cooper

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I think we should make a distinction between CBT and psychoanalysis. While I agree with Gary Cooper that psychoanalytic therapy (ie the "get in touch with your feelings" kind) is relatively useless if not often more harmful in the case of GAD or PD, the goal of CBT is entirely different. The goal of CBT is to teach you new behavioral tools, not to find out how you felt about your mom <grin. There is a very definitive difference in those two styles, and also a very strong distinction between which is more successful in this area. In my case, my panic disorder had created all kinds of secondary conditions (agoraphobia, OCD, just to name a couple) and these were dramatically improved by CBT. Just wanted to inject that (no pun intended!). Dori — http://www.cybercomm.net/~dori

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Any good luck with Cognitive Behavioral Therapy (CBT) for Social Anxiety? Info will be highly appreciated. — Created using Ximian Evolution running on a Linux 9 plataform. **Penguin’s rules**

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Any good luck with Cognitive Behavioral Therapy (CBT) for Social Anxiety? Info will be highly appreciated.

IMO it’s *the* treatment of choice. Philip

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