Cognitive Behavior Therapy for Personality Disorders

In this video from a recent Beck Institute Workshop, Dr. Aaron Beck discusses the evolution of cognitive behavior therapy for personality disorders.  Dr. Beck explains that it is often helpful to incorporate a patient’s early development into therapy when treating patients with personality disorders.  Dr. Beck describes a specific instance in which he used imaginal roleplaying to help a patient modify the meaning of her early traumatic experiences.

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Cognitive Behavior Therapy is Effective for Sleep Disturbances in US Military Vets

According to a recent study published in the Journal of Psychosomatic Research, cognitive behavior therapy (CBT) may improve sleep and reduce daytime PTSD symptoms among military veterans. The current study compared Prazosin (a pharmacological treatment for sleep disturbance) versus a CBT sleep intervention against a placebo control. Fifty US military veterans were randomly assigned to either the Prazosin group (n = 18), the CBT group (n = 17), or the placebo group (n = 15). Both active groups (Prazosin and CBT) showed greater reductions in insomnia and daytime PTSD symptom severity. Overall sleep improvements were noted in 61.9% of those who completed the active treatments and 25% of those in the placebo group. These results suggest that both pharmacological and CBT interventions may improve sleep and reduce PTSD symptoms among military veterans.

Germain, A., Richardson, R., Moul, D. E., Mammen, O., Haas, G., Forman, S. D., Rode, N., … Nofzinger, E. A. (2012). Placebo-controlled comparison of prazosin and cognitive-behavioral treatments for sleep disturbances in US Military Veterans. Journal of Psychosomatic Research, 72, 2, 89-96.

Cognitive Therapy and Psychodynamic Therapy

In this video from a recent Beck Institute workshop, Dr. Aaron Beck discusses the similarities and differences between cognitive therapy and modern psychodynamic therapy.  Both theories delve into the significance of automatic thoughts and their meanings, and both utilize action plans in therapy.  Dr. Beck explains, however, that cognitive therapy is based on the generic cognitive model and requires a structured, action-oriented session, while wpsychodynamic therapy utilizes a more discursive, free-flowing session oriented toward listening. To watch an additional video of Dr. Beck discussing the generic cognitive model, click here.

Online CBT Course Shows Promise in Treating Depression among Adolescents and Young Adults

According to a recent study published in the Journal of Medical Internet Research, internet-based cognitive behavior therapy (CBT) may help reduce depressive symptoms among adolescents and young adults. The current study aimed to determine the effectiveness of Master Your Mood (MYM), an internet based CBT intervention, for depressive symptoms among young people. Participants (244; ages 16-25) were randomly assigned to the online MYM course or to a wait-list control. The online MYM group focused on cognitive restructuring—participants were taught and encouraged to identify and respond to their own unhelpful and inaccurate thoughts; to engage in pleasant activities every day; and to measure their mood every day to help them understand the connection between pleasant activities and mood level. At a 3-month follow up, the MYM group showed significant improvements in depressive and anxiety symptoms. These promising results suggest that internet-based interventions may help reach adolescents and young adults who might otherwise remain untreated.

Van der Zanden, R., Kramer, J., Gerrits, R., & Cuijpers, P. (2012). Effectiveness of an online group course for depression in adolescents and young adults: a randomized trial. Journal of Medical Internet Research 14(3).

CBT for Children and Adolescents

Cognitive Behavior Therapy for Children and Adolescents

Dr. Aaron Beck at Beck Institute's CBT for Children and Adolescent's Workshop

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A Monthly Summary of Beck Institute Updates [June 2012]

In its efforts to encourage the growth and dissemination of CBT throughout the world, the Beck Institute has expanded its online presence across social media and other platforms. To keep you (our readers) informed of our most recent updates, we’ve decided to implement a monthly summary including: blogs, CBT articles, and CBT trainings, and other updates for our readers. Please use the following links to go back and read what you may have missed from June 2012:

See what you missed in May

Tailored Internet-Based CBT is Effective for Depression

According to a recent study published in Plos One, tailored internet-based cognitive behavior therapy (CBT) may be helpful in the treatment of depression. In the current study, researchers compared individually tailored, internet-based self-help CBT to standardized (non-tailored) internet-based CBT and an active control (a monitored online discussion group). Participants included 121 individuals diagnosed with major depressive disorder and a range of comorbid symptoms. The standardized CBT (non-tailored) group received 8 self-help downloadable chapters with material on behavioral activation, cognitive restructuring, sleep management, general health advice and relapse prevention. The tailored CBT group received 25 self-help downloadable chapters with material on depression, panic, social anxiety, worrying and additional material (e.g., information on stress management and problem solving strategies) and each participant received an individual 10-week treatment plan. Both CBT groups (tailored and non-tailored) received email support from a therapist. At post-treatment and at a 6 month follow-up, both groups improved on measures of depression, anxiety, and quality of life. Subgroup analyses showed that the tailored CBT group had greater recovery rates as well as greater reductions in depressive symptoms among participants who presented with higher levels of depression and comorbidity at baseline. These results suggest that tailoring guided self-help treatments for depression may help make them more effective than standardized approaches.

Johansson, R., Sjoberg, E., Sjogren, M., Johnsson, E., Carlbring, P., Andersson, T., Rousseau, A., Andersson, G.  (2012).   Tailored vs. Standard Internet-Based Cognitive Behavior Therapy for Depression and Comorbid Symptoms: A Randomized Controlled Trial.  Plos ONE, 7(5) : e36905.  doi:  10.1371/journal.pone.0036905