Cognitive-behavioral therapy is one of the psychotherapeutic methods applied to people with problems such as addiction, anxiety disorders, depression or other fear disorders. The purpose of this method is to correct the patient’s thinking and perception from incorrect things and towards more positive and correct things.
What is cognitive-behavioral therapy?
Cognitive Behavioral Therapy (CBT) is one of the most appreciated methods in the field of psychotherapy. CBT is involved in challenging and changing misperceptions in patients, developing strategies to cope with stress, as well as controlling negative factors that can affect behavior in each person.
Cognitive-behavioral therapy was developed based on the concept that human thoughts, emotions, feelings, and actions are intimately linked. It is negative thoughts and feelings of pain and sadness that will directly affect the behavior and “distort” the person’s perception of reality.
To put it simply, CBT is like a circular pattern of Thought – behavior – Emotion. CBT will implement interventions at the Thought step. Like a chain reaction, if a person has good, positive thoughts, then the behavior will also be good and of course the emotions that follow are also of a positive nature. And vice versa, feelings of sadness and depression also lead to negative thoughts and less standard behavior.
Cognitive Behavioral Therapy is usually short-lived and focuses on helping the patient cope with specific situations. The therapist will accompany the client throughout therapy to correct misperceptions and teach the patient how to manage emotions.
Progress in cognitive-behavioral therapy is being appreciated, even higher than the use of western medicine. This result is confirmed and proven entirely on the basis of research combined with actual clinical practice.
CBT therapy has appeared since 1950 and by 1990 was officially used widely in psychotherapy. The origin of this method is related to classical learning theories, social learning theory, especially cognitive therapy of psychiatrist Aaron Beck.
Cognitive-behavioral therapy was originally developed to care for patients with depression. Given these benefits and methods, CBT has been designed to care for people with other psycho-psychiatric problems, including:
- Patients with depression
- People with anxiety disorders, fear disorders or ritual phobias
- Eating disorder
- Sleep disorders
- Chronic fatigue syndrome
- Emotional disturbance
- People with chronic or dangerous physical problems, such as diabetes or cancer
- People with substance use problems, such as drug addiction
- Prevent mental illness from recurring
Cognitive-behavioral therapy is used not only for therapeutic purposes, but also for people who have difficulty controlling emotions, are often angry, and easily become agitated.
Components of cognitive-behavioral therapy
As the British Association for Cognitive Behavioral Psychotherapy states, “Cognitive-behavioral therapy encompasses a range of therapies based on concepts and principles derived from psychological patterns of emotions. human emotions and behaviour. Therapy includes a therapeutic approach to emotional disorders along with a continuum of support measures ranging from individual psychotherapy to self-help materials.”
Therapies in CBT used by therapists include
- Rational Emotional Behavior Therapy (REBT)
- Cognitive Therapy (CT)
- Multimodal Therapy MT
- Dialectical Behavior Therapy (DBT)
- The Components of Cognitive Behavior Therapy (CBT)
In general, it can be understood that therapies in CBT will gradually approach patients to gradually change false perceptions and behaviors. By doing so step by step will bring the best treatment results without obsessing for the client.
In some simple situations, the therapist will start by asking the client to imagine himself or herself in a stressful situation to learn how to cope, then continue with learning how to talk and share. with family, relatives, friends.
Cognitive-behavioral therapy can approach customers in 6 directions, based on basic theories and philosophies. Consists of
- First, the therapist needs to understand the client’s current thoughts as well as the thoughts that cause negative emotions for the client. Thereby recognizing and identifying the perceptions and views that negatively affect the psychology of the client and listen to how they interpret those views. Because a person’s perspective is directly related to subsequent behaviors, it is essential to capture the thoughts of customers.
- Second: The client is assessed as being overly negative in their views and beliefs. This causes them to suffer due to their own misinformation in the process of building and adapting to daily life.
- Third, the therapist will apply CBT to consultation sessions through suggestions, homework assignments, active discussions and creating a comfortable environment for clients to share their views, own feelings.
- Completing the therapist’s requests will demonstrate the spirit of cooperation and initiative of the client.
- Fourth: CBT will focus on resolving and correcting the client’s incorrect judgments to prevent other possible consequences. Including checking the accuracy of the client’s beliefs, changing the tendency of negative thoughts, and the therapist will encourage the client to participate in experimental series to change the beliefs in a meaningful way. system based on its accuracy.
- Fifth: Implement therapy through the form of psychological education to help the client become a “guide” for himself. Therapeutic and relaxation measures will be combined to prevent the risk of recurrence of the disease.
- Sixth: Each consultation session is designed specifically, with clear goals, content, and ending. At the end of the session, the therapist and the client will jointly evaluate the results of the consultation to make timely adjustments.
Treatment techniques in cognitive behavioral therapy
Cognitive-behavioral therapy will focus on specific objects, situations and goals, so the results can be seen clearly right after each consultation. CBT is very suitable for those who can think about their own aspects and views.
In response to therapy, it is common for the therapist to also request or create a comfortable space where the client can readily share feelings, thoughts, or underlying problems that are causing the obstacles. psychological fear. Only then can therapeutic measures bring the best results.
Depending on the patient’s condition and treatment goals, the therapist may use the following techniques in cognitive-behavioral therapy:
- Write diary
- Play as a character
- Games to distract the mind
- Practicing mindfulness
- Challenging Faith
- Exercises on thinking, physical, social.
The therapist will also ask the client to practice homework along with face-to-face sessions. This will be continued even after the end of the course to ensure that the patient is ready to face challenges and is no longer in a state of anxiety and stress because he knows how to control his emotions.
What to prepare if practicing CBT
Cognitive-behavioral therapy works best when both therapist and client find harmony and connection. Because CBT is not only a psychological therapy but also helps in improving social communication skills, confidence, and interaction, if the two cannot connect or maintain a connection certain results, it is difficult to continue the consultations. Collaborative Empiricism is a term to emphasize the importance of coordination and connection between the client and the therapist.
Therefore, for those who are ill or who are looking for a solution to mind control through CBT, it is necessary to find a suitable therapist. A good, well-known therapist doesn’t always connect with everyone. At the same time, when you have found it, you must accept to open up, share, be honest, and be frank with the therapist to be able to solve your problems.
On the contrary, the therapist not only needs to train himself with the skills and knowledge required for cognitive-behavioral therapy, but also need to create a suitable space for the client to comfortably talk. To share. Listening, understanding, and sincerity are essential qualities of a therapist.
In addition, customers who need to come to CBT should also spend time thinking and preparing about the problems they want to solve. During the first consultation, sharing and clarifying your own problems will help you both understand each other better as well as help the therapist to plan a specific plan for later sessions.
Content of cognitive-behavioral therapy consultation session
In the early consultation sessions, the therapist will mainly focus on listening to the client’s views and perceptions about the problems they are facing. The therapist will encourage the client to honestly share his or her feelings to better understand the problems that the client is facing. Therefore, the client’s feelings of sadness and crying are also considered part of therapy.
In later sessions, the therapist will focus on adjusting and changing the client’s perception through conversation or supportive activities. For example, in people with claustrophobia, the therapist may ask the client to confront his or her fear by staying in a narrow, closed room. Of course, with their expertise, the therapist will have a way to help to avoid dangerous situations for the client.
Homework assignments are also given to clients to practice and experience for themselves. CBT also focuses on developing skills for dealing with stress, adjusting the client’s mindset to more positive things.
Depending on the situation and the problem being encountered, the therapist will make an appropriate regimen. If you don’t feel like a therapist from the outset, you can totally consider meeting someone else because the experience and connection with the therapist is so important.
Advantages/disadvantages of cognitive-behavioral therapy
The effectiveness of cognitive-behavioral therapy has indeed been proven in many ways. The fact that many patients have successfully eliminated psychological problems such as depression, anxiety disorders through CBT, this cannot be denied.
However, there are still advantages/disadvantages of this approach. Understanding these characteristics will give you many options to suit your needs and desires.
The obvious advantages of cognitive-behavioral therapy include
- There are no physical side effects like Western drugs. This is also the biggest advantage of psychotherapeutic methods in general
- Combining with western medicine for some severe cases can bring the best results
- The CBT course is relatively short. On average, a person will participate in counseling for 5 – 20 sessions, each session averages 60 minutes with exercises at home
- Therapy is varied and flexible, including talking or practicing stress management or using a guidebook.
- Therapeutic methods bring many useful values both at the time of treatment and after treatment
- Suitable for those who are looking for short-term treatments
- With high security, customers can freely share all their problems without worrying that those around them will know.
Currently, there are still many people who doubt the effectiveness of psychotherapeutic measures, including CBT. The nature of cognitive-behavioral therapy requires frank sharing from the underlying issues that are affecting the person’s behavior, but if the client fails to do this, it is very difficult. to deliver the best value.
A few disadvantages of CBT that you also need to know include
- Requiring cooperation from the client, if he or she himself refuses to open up, hide, and be dishonest, it will be difficult to solve problems.
- It is not possible to achieve immediate results like drugs. This is obvious, some people may even feel worse during the first consultations
- Early counseling sessions will require the client to share, and at the same time, deal with feelings and worries. Some people may feel physically exhausted (due to stress, crying, or anger).
- Primarily focused on changing clients’ thoughts, feelings and behaviors, excluding some other social issues
- CBT focuses on addressing specific issues in the present, excluding issues related to past experiences such as abuse or an unhappy childhood.
In fact, with psychological problems, no remedy is absolutely perfect, including medication or psychotherapy. Finding the right therapist can minimize the downsides of this approach.
Despite many advantages/disadvantages, cognitive-behavioral therapy is still a highly appreciated measure for people who are having problems in their mind that cannot be resolved on their own. Hope the above sharing has brought you a lot of useful information.