Entries by Sarah Licata

New Breakthroughs in Cognitive Therapy: Applications to the Severely Mentally Ill (Part 3)

When we work with individuals with schizophrenia who have been hospitalized for many years, we need to find out what their needs are. We are often able to draw on their delusions. For example, six inpatients had delusions that they were God or Jesus. To our surprise, several of the individuals responded to the question, “What is good about being God?” with the response, “You can help people.”

Reconciling 12-Step Tenets with Principles of CBT for Substance Use Disorders

Therapists providing CBT to their patients with substance misuse problems can support the patients’ involvement in 12-steps groups without having to be concerned that the two approaches are incompatible.

Behavioral Activation Tip

Depressed clients often isolate themselves from others and withdraw from life. To counter the isolation and withdrawal common to depression, therapists can introduce behavioral activation. This strategy entails getting clients more active and involved in life by scheduling activities that have the potential to improve their mood.

Intrinsic Motivation

In our work with dieters, we have found that many (if not most) rely very heavily on the scale going down as an external reward for their hard work. They believe that if they were perfect, or close to perfect, on their diets, the scale should go down, if not every day, then certainly every week. This is problematic because the scale simply doesn’t work that way.