Clinical Measures in CBT – A Hassle or a Help?

The integration of measures to guide CBT is a critical component of providing evidence-based care. Use of psychometrically sound clinical measures can help to monitor progress and guide treatment by providing a window into a client’s symptoms and functioning.

January 2019 CBT Update

A collection of the articles, research, and news in Cognitive Behavior Therapy from January.

Goal-Setting Part 2: Follow-up after a roleplay with Dr. Aaron Beck

Read feedback from a recent workshop participant. She implemented techniques she learned during a roleplay with Dr. Aaron Beck.

“Hey doc, are you in recovery too?”

Patients sometimes express curiosity about their therapists by asking them personal questions. When treating patients who suffer from alcohol and other substance use disorders, it is not uncommon for therapists to be on the receiving end of questions such as, “Are you in recovery too?” or “Have you ever used [insert name of substance]?” or “Haven’t you ever binge-drank?”

Health Anxiety and Interoceptive Exposure

When a client of mine, Adam, was 22, he received the following diagnosis during a routine physical: elevated liver enzymes. He thought, “Oh my God, I’m going to die.” It was later revealed that the lab results were in error, but as he reported to me ten years later: “This catapulted me into heath anxiety.”

December 2018 CBT Update

You Believe in Me

Years ago I asked many of the individuals whom I treated.  “What accounted for your improvement in treatment?” Not infrequently, instead of attributing their improvement to the therapeutic strategies, they would often reply “You believed in me.”

If You Weren’t Overeating, What Would You Be Doing More Of? Less Of?

Susan reported being 60 pounds over her ideal body weight. She had tried many diets that resulted in weight loss but were followed by regain once she returned to her typical eating habits.

Motivation

Once motivation is identified as a target mechanism of change, the big question is how to increase the individuals’ motivation and effort to engage in the activities that will restore them to mental health.