Cognitive Behavior Therapy for Substance Abuse

In this clip from a recent 3-day workshop at the Beck Institute for Cognitive Behavior Therapy, Dr. Aaron Beck discusses how CBT can be used to treat substance use disorders. Dr. Beck explains how the generic cognitive model can be applied to specific situations, such as when a patient is faced with a craving. He also describes the process of coping with cravings via experiential CBT treatment.  Beck Institute will be hosting its first ever CBT for Substance Abuse workshop this year.  For more information visit our website.

Seeking Safety Treatment Improves Outcomes in Patient with Substance Use Disorders and Co-Occurring PTSD

According to a recent study published in Addiction, seeking safety treatment (SS), a manualized, present-focused, cognitive behavior therapy (CBT) treatment program for substance use disorders and PTSD, is associated with better drug use outcomes than treatment as usual. The current study compared treatment as usual to a combination of SS and treatment as usual. Results indicate that SS may reduce drug use in veterans with substance use disorders and PTSD better than treatment as usual, and works as well as treatment as usual in reducing alcohol use and PTSD symptoms. SS is also associated with greater treatment attendance, treatment satisfaction, and improvements in active coping. Requirements for training, supervision and consultation in SS is less costly than other evidence-based treatments for PTSD, which may increase its feasibility of use. Seeking safety treatment was developed by Lisa Najavits, Ph.D.

Boden, M. T., Kimerling, R., Jacobs-Lentz, J., Bowman, D., Weaver, C., Carney, D., Trafton, J. A.,& Walser, R. (2012). Seeking Safety treatment for male veterans with a substance use disorder and post-traumatic stress disorder symptomatology. Addiction, 107(3), 578-586.

The Generic Cognitive Model

In this clip from a recent 3-day workshop at Beck Institute for Cognitive Behavior Therapy, Dr. Aaron Beck first describes the generic cognitive model and explains how it can be adapted to a number of different disorders. Then Dr. Beck illustrates the application of CBT to panic disorder and chronic fatigue syndrome— just two examples of the many disorders to which CBT is effectively applied.

CBT for Depression and Anxiety

CBT Training at Beck Institute

Conceptualizing individual clients using the Cognitive Model at Beck Institute’s CBT for Depression and Anxiety Workshop.

Videoconference and Cell Phone-Based CBT Improves OCD Symptoms

According to a recent study published in the Journal of Anxiety Disorders, videoconference- and cell phone-based cognitive behavior therapy (CBT) may improve obsessive-compulsive symptoms in patients with limited access to face-to-face therapy. In the current study, researchers in Norway partnered with researchers at the University of Michigan to study the efficacy of CBT via electronic means. Six OCD patients received fifteen therapy sessions via electronic forms during a 12-week period. Nine sessions were conducted via cell phone, and six were conducted via videoconference. Patients completed self-report measures at pretreatment, throughout treatment, post treatment, and at a three month follow-up. Five of the patients were female; ages ranged from 24-44 years.

Results indicate that all participants achieved at least 50% reductions in all measures of OCD, depression, and anxiety. When compared to previous studies, these reductions are consistent with face-to-face therapy. These findings provide preliminary support for CBT via electronic means as an alternative treatment approach for OCD patients with limited access to treatment facilities.

Vogel, P. A., Launes, G., Moen, E. M., Solem, S., Hansen, B., Haland, A. T., & Himle, J. A. (2012).  Videoconference– and cell phone-based cognitive behavioral therapy of obsessive-compulsive disorder: A case series. Journal of Anxiety Disorders, 26(1), 158-164.

Modifying CBT for Shorter Sessions

In this clip from a recent 3-day workshop at Beck Institute for Cognitive Behavior Therapy, Dr. Aaron Beck discusses adapting CBT sessions within time constraints. Brief CBT interventions have been shown to be effective in the treatment of a variety of disorders. Dr. Beck stresses the importance of maintaining the structural components of CBT in shortened sessions.

Insight is a Predictive Variable in Cognitive Behavior Therapy for Psychosis

According to a recent study published in Cognitive Behaviour Therapy, insight (illness awareness) may be a predictive variable in cognitive behavior therapy for psychosis (CBTp). In the current study, researchers assessed forty-four psychotic patients before and following a CBTp intervention. They discovered that insight correlated to improvements in psychotic symptoms among patients with auditory and visual hallucinations and ideas of reference.  Insight did not correlate to other symptom types (e.g., paranoid delusions, mind reading, and thought insertion), however. These findings suggest that symptom type moderates the relationship between insight and outcome in CBTp and that CBTp may be particularly effective with certain patients with specific symptomatology.

Kuller, A.M., Libben, M.R., Rosmarin, D.H., & Björgvinsson T. (2012). Does symptom type moderate the relationship between insight and outcome in cognitive behavioral therapy for psychosis? A preliminary investigation. Cognitive Behaviour Therapy, 1-12. Doi: 10.1080/16506073.2012.676670

Terapia Cognitiva Conductal [The Future of CBT]

Dr. Aaron Beck discusses the future of Cognitive Therapy at Beck Institute’s Cognitive Behavior Therapy Workshop in Spanish. According to Dr. Beck, the theory of Cognitive Therapy rests on the science of human behavior and human psychopathology. As the scientific basis expands (e.g., neuroscience, psychopathology, social psychology, cognitive psychology, etc.), so too will Cognitive Therapy.

Cognitive Therapy Reduces the Severity of Psychosis

According to a recent study published in the British Medical Journal, cognitive therapy (CT) may reduce the severity of psychotic symptoms among individuals who develop psychosis. Participants (n = 288) identified as high-risk for developing a psychotic disorder were randomly assigned to receive either six months of CT plus mental state monitoring or mental state monitoring only. While CT did not significantly reduce the transition to psychosis, it did reduce the severity of psychotic symptoms in high-risk individuals. Further, the overall prevalence of transition to psychosis (8%) was lower than expected, and most participants in both groups improved over time. These findings impart an optimistic message to patients at risk for psychosis: Patients can improve with intervention, and CT may help with recovery.

Morrison, A. P., Stewart, S. L. K., French, P., Parker, S., Byrne, R., Birchwood, M., Brunet, K., … Dunn, G. (2012). Early detection and intervention evaluation for people at risk of psychosis: Multisite randomised controlled trial. British Medical Journal (online), 344, 7852.

CBT for Schizophrenia

CBT Training at Beck InstituteDr. Judith Beck greeting participants at Beck Institute’s first ever CBT for Schizophrenia Workshop.