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  • Cognitive behavioural therapy (CBT) FAQ
  • For which patient groups is CBT most effective?

    CBT has been proven extremely effective for more disorders such as like depression and bipolar disorder. And extremely effective as well for anxiety disorder such as generalised anxiety, obsessive compulsive disorder and post-traumatic stress disorder. The last few years we use CBT for psychosis and schizophrenia as well. So for all these wide range of disorders, CBT has been proven extremely effective.

  • How effective is CBT?

    CBT has been proven extremely effective for mood disorders and anxiety disorders. So we have numerous, like hundreds of randomised controlled trials that have proven that CBT can be 80 up-to 90% effective and actually this can stay for 15 up-to 24 months. Sometimes however, clients they need to come back for some booster sessions or some refreshers, so they can come back and we can refresh some of the skills they have learnt during their treatment, but generally it's a very effective treatment.

  • How long does it take for patients to see an improvement from CBT?

    This varies, actually. This varies, as I said, you know, how this kind of applies CBT for different disorders. If someone presents, as an example, a moderate depression, it can take up to 12 sessions. If it is more severe, it can take up to 24. But, generally, clients, they can start experiencing an alleviation of their symptoms quite quickly. Like, in the first eight sessions, they can equip themselves with a lot of skills, so they're very familiar with the CBT concepts, generally, and skills and interventions. So, after the eight weeks, it's most like a phase where we try to enhance their thinking around their negative thoughts processing. So, it takes from, let's say, from 8 weeks, 6 weeks, up to 24 weeks.

  • What are some examples of successful CBT patients?

    I have been working with a client who has been a victim of sexual abuse, and when she came to therapy, she felt a failure. So, she holds this image about herself that is a damaged person, that she's a failure and she doesn't deserve anything in life. So, after employing CBT treatment, we managed to break down these negative cognitions about herself, and tried to see if there is any factual evidence that can support her cognitive processing. So, during the CBT process, we identified a lot of positive things about her, rather than negative things about her, so we managed, actually, to establish a more balanced way of thinking around that. So, when she said, "I'm a failure", as an example, I asked her, like, "Okay, what kind of evidence do you have about this?" And, generally, she had a very successful life. She was someone with quite perfectionistic standards, and probably these got in the way. Her standards were very unrelenting, you can say. So, yeah, so by doing this processing of the cognitive restructuring, trying to find evidence for and evidence against something, we managed to establish an alternative belief about herself.

  • What can patients do to make the CBT therapy more effective?

    First of all at the end of the treatment, yes at the termination phase, we start building a relapse prevention plan for the client. The relapse prevention plan is like an emergency kit more or less. So we try to summarise all these things that we have covered in therapy and what kind of skills a client can use if he or she feels low. And what kind of...and what are the signs of relapse. Actually this is a very very important thing. So to be able to identify the signs of relapse, and I encourage my clients to carry on utilising all the skills that you have learnt so far and to use full journal, and to do that on daily basis. I believe that clients who do very well in CBT are clients who are very, very adherent to the model at the end of the treatment.

  • What is CBT?

    So, CBT is cognitive behavioural treatment and is a treatment that has been extensively researched and has been proven extremely effective for mood disorders and excited disorders. So, it helps you a lot to challenge your negative thoughts and your unhealthful thinking patterns and modify them. And this can happen by using different interventions.

  • What is your approach to CBT?

    So first of all, I encourage my clients to use a thought journal, where they can write down their thoughts, their negative thoughts that came to their minds. And then what we do in therapy we try to channel these thoughts, and to come up with more balanced alternative thoughts.