Posted by linkadge on May 15, 2010, at 18:33:23
In reply to Re: How long can this thing last?, posted by MrTook on May 15, 2010, at 11:36:00
CBT can work if the patient has enough insight (and cognative capacity) to self monitor their behavior. You need to have some of the right connections in place for the CBT to take hold to subsequently rewire faulty thought patterns. In some psychiatric patients, the ability to reflect on behavior is almost entirely nonexistent.
Researchers have noticed that severe bipolar disorder is almost always associated with a (state dependant) virtually complete inability to reflect on actions or behavior.
The structural abnormalities in the brain (prefrontal atrophy, grey matter deficits etc.) are probably implicated to some extent.
Linkadge
poster:linkadge
thread:947322
URL: http://www.dr-bob.org/babble/20100514/msgs/947534.html