Below you'll find a list of all posts that have been tagged as “cbt”
Insomnia has often been related to anxiety and worry at bedtime, but recent research has linked daytime worry and rumination to nighttime insomnia. People often realize that their thinking patterns at night are keeping them awake, but may not consider the impact of worrying that they did earlier in the day to their sleep patterns at night. Anxious, repetitive thinking …
What’s your seasonal mindset? Does Seasonal Affective Disorder (SAD) increase as latitude increases up into the far polar regions where winter nights are longest? A recent study from Norway found the opposite: people who live at higher latitudes have stronger coping skills and there is less change in subjective well-being over the course of a year. Kari Leibowitz, a researcher …
Anxious Times, Anxious Thoughts Anxiety is a common companion for mood disorders, in fact, anxiety is, for many people, the first mood-related symptom they remember from childhood, before other symptoms began to develop. Studies show that as many as 90% of people with bipolar also have an anxiety disorder. Anxiety often takes the form of constantly repeated worry about worst-case …
Cognitive behavior therapy (CBT) shows better results than medication for overcoming insomnia in a meta-analysis of 13 studies conducted over the past 30 years. Generally, after 4 to 6 sessions of CBT training patients reported medium-to-large positive effects on their sleep, and the improvements were maintained for three to twelve months post treatment. In the U.K., where this study was …
Internet gaming addiction is a growing concern internationally, and the number of patients complaining of serious problems that result from their uncontrolled internet use is on the rise. A recently published study from Germany looked at Cognitive Behavior Therapy (CBT) as a strategy to help these patients regain control of their internet use. The study took 143 men who had …
One of the popular and well-researched non-medication alternatives for bipolar and unipolar depression is Cognitive Behavior Therapy (CBT), a method of helping people identify and change unhealthy patterns of thought and/or behavior. CBT looks at the interaction between feelings, thoughts and behavior, and helps participants learn to analyze the connections between them and how they influence each other. For example, …
Are smartphone apps for depression effective? Two articles published in 2017 by a group of Australian and American researchers examined the question of whether smart phone apps for depression and anxiety are effective. In both articles the authors comprehensively analyzed the world medical literature for research articles that evaluated the effectiveness of smart phone delivered interventions for either depressive symptoms …
A recent study confirms that cognitive behavioral therapy is effective for chronic insomnia and is often more effective than medications. “What surprises us is that there isn’t more awareness of this treatment’s effectiveness and that there haven’t been more attempts to make the treatment more available to patients,” James M. Trauer of the Melbourne Sleep Disorders Centre in Australia told …
Insomnia treatment may have long-term beneficial effects on the health of your brain. Study in the Journal Biological Psychiatry published in February, 2015 looked at 123 older adults with chronic insomnia who were randomized to one of two active treatments (twice-weekly cognitive behavioral therapy for insomnia (CBTi) for 4 months or a relaxation therapy) or a control group who received educational …
CBT for insomnia (CBTi) is clearly preferable to taking sleeping medications for most people. Studies show that cognitive behavioral therapy is associated with greater improvements in sleep quality than sleeping medications, and that those improvements are more durable, and, particularly in the elderly, sleeping medications are associated with significant adverse effects, including an increase in mortality. But it can be a hard …
Mind-body dualism seems alive and well in the land of mental health. I am still surprised how often someone will say, “well that’s not a biological depression.” Meaning that it is the kind of depression that can be understood as a result of events in that person’s life, or that it can be treated effectively with therapy, or that …
A new study published in the most prestigious psychiatric journal (JAMA Psychiatry – see reference below) strongly suggests that a brain scan might be able to help people decide whether therapy or medications are more likely to treat their depression. As background, although some people feel that for more severe depression medications are more effective, the fact is that most …
Proactive behavior refers to actions taken that are forward thinking, that anticipate future problems, and are aimed at avoiding those problems. They are focused on changing the environment for the better. Proactivity contrasts with reactivity as an approach to challenges. Reactive behavior is about dealing with the crisis that is present right now. Reactivity also often is associated with a wish …
One of the things that we spend a lot of time thinking about is the “I can’t do that” process. How it is that someone can’t get out of bed, or take a shower, or any number of other things… It is actually a step forward often when the other person says, “I can’t do that” directly. Most of the …
The idea for today’s post comes from a wonderful online resource for folks with moods – MoodScope.com (they have an interesting mood tracker app and blog). They wrote about the power of changing a single word in one’s thoughts – going from I should do something, or I should have done something, to I could do something. Give it a …
We have been blessed to work with many very, very intelligent people over the years. It always stimulates us to have smart people ask challenging questions about the work that we do. One of the common complaints of smart people in therapy is: my therapist isn’t telling me anything I don’t already know. We used to try to point out …
Therapists are like the sweepers in the winter olympic sport of curling. Curling, for those who are not intrigued by the sport, involves hurling a heavy sphere down an icy lane (like a frozen bowling lane) with the goal of landing in a particular spot. What really makes the sport odd is the addition of two people who use brooms …
Maybe Grandma was right. After all of the years of research and development trying to find medications to help with insomnia, we ran across a recently published paper which suggested that a single session devoted to teaching people with chronic insomnia to focus their attention on some idea, image, song, memory, that was not associated with strong emotions (especially negative …
There are dangerous ideas that can shape an entire life. Ideas that suggest that “no one will ever really love me” or “if I tell someone what I want they will leave me” or even “I can’t trust anyone.” These ideas may not have much basis in fact, they may have been handed to us as children from our parents, …
Sometimes life circumstances, or our own mood, conspire to lead us into a state of endless worry. We never seem to be able to figure anything out, and the anxiety makes it increasingly difficult to get anything done. One strategy that we often recommend is to schedule worry time. It sounds crazy, but putting aside time each day to worry …
