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Re: CBT anyone? Tabitha

Posted by SLS on July 11, 2016, at 15:40:49

In reply to Re: CBT anyone? SLS, posted by Tabitha on July 10, 2016, at 13:38:23

> > Is CBT effective for anything?
> >
> > All comments welcome.

> Did you say you've used CBT? How did it go? Are you considering trying again?

I began taking advantage of my cursory knowledge of behaviorism (classical conditioning and operant learning) to help me unravel my severely involuted mind. I began this approach in 1982 when I first learned that I had a biological mood disorder that was seemingly resistant to other forms of psychotherapy. I had enormous success with this. Interestingly, I never knew that there was such thing as CBT - which I later discovered emerged in the 1960s.

I believe in learning the psychological techniques and schematic diagram of how CBT works. I really don't believe in carrying a notebook around with you. I found that if you know what cognitive distortions you are contending with, you can then learn how to recognize them, and do your own reality testing to find a suitable replacement for the counterproductive thought. It helps to describe your experiences with a therapist so that you can be helped to reality-test specific distortions and replace them with positive messages.

I do believe in the model:

Automatic thoughts -> Intermediate beliefs -> Core beliefs

It has worked for me. However, I received benefits from IPT that CBT did not provide and vice-versa. I consider CBT to be a good add-on to IPT. I don't know about psychoanalysis or psychodynamic therapy.

CBT and IPT helped to improve the way my mind worked, but did nothing to improve my depressive disorder (bipolar depression). I am surprised that so many randomized controlled trials of CBT monotherapy in depression yield positive results. Perhaps their subject selection included people with mild-to-moderate depressed mood. I'm not sure that all of these people have Major Depressive Disorder. That's one of my pet peeves regarding clinical studies of depressive illness. I can, however, see how using CBT as an add-on to drug therapy can yield better results than drug therapy alone.

- Scott

Some see things as they are and ask why.
I dream of things that never were and ask why not.

- George Bernard Shaw




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