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Cognitive Behavioral Therapy

You cannot control the world, but you can control how you interpret and handle things when they arise. That is the goal of cognitive behavioral therapy (CBT). CBT teaches the individual how to take control of his or her thoughts and feelings as they play a central role in our behavior (Cherry, 2019).

 

What is Cognitive Behavioral Therapy? Understanding Cognitive Behavioral Therapy

Cognitive behavioral therapy is a type of therapy that helps clients understand and analyze the underlying cause of their negative thoughts and feelings. These thoughts and feelings can eventually influence and impact a person’s behavior. The client is taught how to identify and modify negative, destructive, and or disturbing thought patterns (Cherry, 2019). CBT is empirically supported in terms of efficacy and is the most researched form of therapy. Specific goals of CBT mean that results are measurable and observable. This makes CBT valid and reliable.

 

What Does Cognitive Behavioral Therapy Treat? Understanding Cognitive Behavioral Therapy

CBT is “highly effective for adult unipolar depression, adolescent unipolar depression, generalized anxiety disorder, panic disorder with or without agoraphobia, social phobia, PTSD, and childhood depressive and anxiety disorders” (Butler, Chapman, Forman, & Beck, 2006, pp. 28). CBT is also used to treat:

  • Anxiety
  • Phobies
  • Depression
  • Addictions
  • Eating disorders
  • Panic attacks
  • Anger

 

What Do CBT Sessions Look Like and Who is CBT Well-Suited For?

Therapist role is very active and instructional – the therapist has a focused and structured approach that guides the counseling session. The client coming into counseling identifies the specific problem he or she wishes to resolve. This enables the development of a collaborative therapeutic relationship founded on established goals. The goal-oriented and focused sessions are typically comprised of short-term sessions with gradual process or incremental steps towards the change in maladaptive behavior, with homework assigned to be completed between sessions. 

 

What is the Goal of CBT?

The goal of cognitive behavioral therapy is to change or modify thoughts and feelings that influence self-defeating as well as self-destructive behavior. Cognitive behavioral therapy enables the individual to acquire insights about him or herself, in addition to self-discovery that occurs. Introspection also occurs when the individual begins the development of new skills and coping mechanisms.

 

How Can We Help?

Rahmah Albugani is a doctorate intern who is conducting evaluations and ongoing counseling here at Makin Wellness. She is a nationally certified counselor with experience in setting goals for clients that are specific, measurable, achievable, realistic and time manageable. If you are interested in cognitive behavioral therapy, please contact our office at (412)-532-1249 to schedule with Rahmah!

 

 

 

References:

Butler, A., Chapman, J., Forman, E., & Beck, A. (2006). The Empirical Status of Cognitive-Behavioral Therapy: A Review of Meta-analyses. Clinical Psychology Review, 26(1), 17–31. Doi: 10.1016/j.cpr.2005.07.003 

Cherry, K. (2019). How Cognitive Behavior Therapy Works. Retrieved from https://www.verywellmind.com/what-is-cognitive-behavior-therapy-2795747 

 

About Makin Wellness

Founded in 2017 , Makin Wellness is Pittsburgh’s premier therapy & coaching centers located in Downtown Pittsburgh and Downtown New Kensington. The company’s mission is to help people heal and become happy again. Makin Wellness specializes in depression, anxiety, addiction, trauma, medical marijuana assisted treatment and relationship counseling.

 

Rahmah Albugani Makin Wellness

Understanding Abnormal Psychology

What is Abnormal Psychology?

Abnormal psychology is a subdivision of psychology that deals with “abnormal” behavior or behaviors that don’t follow the norm. It is easier to visualize what we mean by this when we look at a bell curve. The height of the bell curve is the normal behavior. If we were looking at stress levels, for instance, then the stress levels held by most people define the normal behavior. This represents the peak of the bell curve. The outliers, people with higher levels of stress, are those with abnormal behavior. Abnormal behavior doesn’t always have a negative association, as outliers in this example could also be people with an abnormally low amount of stress.

Characteristics of Abnormal Psychology

When considering if a certain behavior is abnormal or not, there are four characteristics that should be considered. Deviance, dysfunction, distress, and danger are all factors that are important to take into account. The bell curve example above illustrates the deviance criteria. This means evaluating how an individual’s behavior relates to the standard behavior of the population. Dysfunction refers to how the behavior interferes with the individual’s life. If someone had an anxiety disorder that prohibited them from being able to go out in public places, then the disorder was interrupting the daily functioning of the individual’s life.

High levels of fear, anxiety, depression or the emotions can be used to measure a level of distress. Phobias can demonstrate distress. An individual who has a phobia of snakes would feel distress while walking in the woods or other areas that snakes usually reside. Danger is the last criteria. Being a danger to yourself or others defines this category. An example of this could be an individual with a substance disorder. A substance disorder not only brings danger to the individual that is abusing a harmful substance but also is a danger to those around him. It can be hard to control one’s actions when under the influence. Abusing a substance can put friends and family of the abuser in harms way.

Common Diagnoses

Many disorders, ranging from depression and anxiety to schizophrenia, fall under the category of Abnormal Psychology. These diagnoses are widespread, with the Anxiety and Depression Association of America (ADAA) reporting that anxiety disorders affect about 18.1% of the US population  every year. This may sound like a small percentage, but 18.1% translates to around 42 million adults. On the other hand, Abnormal Psychology also covers the less diagnosed disorders. The National Institute of Mental Health reports that schizophrenia has a prevalence rate between 0.25% and 0.64% in the United States. The most common disorders are depressive and anxiety disorders.

Depressive Disorders

Depressive disorders include major depressive disorder, postpartum depression, and seasonal affective disorder.

One of the disorders, major depressive disorder, is feeling depressed or sad for an extended period of time while experiencing symptoms of hopelessness or loss of pleasure in previously exciting things. Symptoms can also affect an individual somatically through the loss or gain of weight, decreased energy, or headaches/pains that don’t have a clear source. Depression changes a person’s attitude and can make them more irritable or restless. This disorder affects around 16 million American adults a year, making it one of the more common disorders. Risk factors for depression include having a family history of depression, going through a traumatic or stressful time, or even some physical illnesses and medication. Every individual is different, so depression can manifest in a wide range of symptoms that can make each person’s experience with depression different.

Another widespread depressive disorder, seasonal affective disorder, occurs typically during the winter months when there is less sunlight. Symptoms of this disorder include social withdrawal, weight gain, and increased sleep. This disorder is temporary in the fact that the depression usually decreases during the spring and summer months when the amount of daylight increases.

Anxiety Disorders

Anxiety disorders affect more people in American than any other mental disorder and include generalized anxiety disorder, social anxiety disorder, panic disorder, and phobias. Generalized anxiety disorder (GAD), to elaborate on one specific disorder, is intense worry and anxiety that does not have a specific source and occurs over an extended period of time. These negative thoughts are usually accompanied by trembling or shaking, trouble sleeping, muscle tension, or headaches.

GAD generally occurs during childhood or adolescence and builds up gradually. However, it is possible for GAD to come on during adulthood. GAD is associated with fear of future events and anticipating the worst. Individuals with GAD tend to get stuck in thought loops which occur when a person is unable to stop ruminating about a negative thought and the thought continues to be repeated. The individual usually realizes that whatever unpleasant thought they are catastrophizing is irrational, however they do not have the ability to shake their concerns. Many of the anxiety disorders share symptoms, panic attacks and excessive worry being some common symptoms. GAD is different from other anxiety disorders in the fact that it is usually less interruptive in people’s day to day lives. People with GAD tend to be less likely than people with other anxiety disorders to avoid certain situations because of their disorder.

Treatments

Cognitive Behavioral Therapy

Various forms of psychotherapy can treat these diagnoses. Cognitive behavioral therapy (CBT) is an effective type of therapy that helps depression, anxiety, and other disorders. The therapy aims at making the patient aware of their negative thoughts and looking at them from an objective, rational point of view. CBT typically occurs in four different steps. It begins with identifying the troubling parts of your life, whether it be specific anxieties involving school or problems dealing with social relationships. Then, the patient takes notice of these negative thoughts when they occur and can either share their thoughts with their therapist or write them down in a journal. From there, the therapist asks the patient to pay attention to their reaction to these thoughts. The goal is to recognize that the thoughts are negative and irrational. The final step of CBT is to take these unpleasant or inaccurate thoughts and correct them.

If a patient was struggling with anxiety about a presentation in class, they could think that if they mess up then the whole class will laugh at them or the teacher will automatically fail them. CBT would have the patient identify that this an irrational thought and then think about how the situation would go realistically. For instance, most students don’t pay that much attention to presentations and will most likely not remember the presentation come the end of the day. Teachers will probably not fail a student for a mistake in a presentation, and even if, the class can always be taken again. CBT is an effective therapy that some pair with medications like antidepressants or anti-psychotics.

How Can We Help?

If you are experiencing any of these symptoms it is important to get help. With the proper mental health advice, the overwhelming feelings of anxiety and depression can be treated and we can help you get your health on track. We can provide mental health counseling for anxiety and depression right here in our office. Please contact our office at (412)-532-1249 to schedule according to your availability and preferred location

 

 

 

 

About Makin Wellness

Founded in 2017 , Makin Wellness is Pittsburgh’s premier therapy & coaching centers located in Downtown Pittsburgh and Downtown New Kensington. The company’s mission is to help people heal and become happy again.  Makin Wellness specializes in depression, anxiety, addiction, trauma, medical marijuana assisted treatment and relationship counseling.