Cognitive Behavioral Therapy

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Cognitive Behavioral Therapy Cognitive Behavioral Therapy (CBT) is a type of therapy that was developed in the 1960s, primarily by Dr. Aaron Beck. Beck was heavily influenced by Dr. Albert Ellis, the creator of Rational Emotive Behavioral Therapy. For the most part, CBT arose out of the need for a more effective treatment for unipolar depression, which was not widely understood at the time. The basic idea behind CBT is that psychological and psychiatric disorders are usually caused by the beliefs and thought processes that a person has. In other words, a person’s experience or behavior is caused by how the situation is interpreted. During psychotherapy with CBT, the therapist works with the patient in modifying the dysfunctional thinking that causes the symptoms. Also, the therapist works to modify the underlying beliefs that are causing the dysfunctional thinking. The “General Cognitive Model” states that first a situation occurs, then a person has automatic thoughts and automatic images, and finally the person reacts emotionally or behaviorally. Another important aspect of CBT is the “Cognitive Triad,” which says that most dysfunctional thinking falls under one of three categories: Negative view of the self, negative view of the future, or negative view of the world. A person is not limited to just one; someone could have one, all, or some permutation of the three influencing thoughts. While modifying thinking is a large part of CBT, the therapist also works to help patients modify their behavior. Depressed people often are plagued with what Dr. David D. Burns calls “Do-Nothingism,” in which a person will not find the motivation to engage in previously enjoyable activities. Homework assignments, often in the form of activities, are frequently given to patients to help get them active again. Often, the patient realizes that the activity was far more enjoyable
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