Research has shown significant consequences of so-called “therapeutic drift”. The drop-off in skill levels of therapists, the variable use of empirically supported treatments, and the faulty implementation of such treatments potentially lead to further patient suffering and the public perception of ineffectiveness of our treatments.
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About Sarah Licata
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Entries by Sarah Licata
Approximately 65% of people living with type 1 diabetes, and 50% of people living with type 2 diabetes believe that this condition negatively affects their self-confidence and their ability to take on life’s challenges.
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.”
I posited that if cognitive therapy were truly effective, then it should work on the most severely mentally ill. The three steps we followed were:
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.
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.
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.
Beck Institute for Cognitive Behavior Therapy is a leading international source for training, therapy, and resources in CBT.
Soldiers Suicide Prevention (Beck Institute) is a Combined Federal Campaign (CFC) Approved Charity: CFC # 11590
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