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.
Opening remarks from Dr. Judith Beck at the Beck Institute Excellence Summit, October 20, 2018.
The Improving Access to Psychological Therapies (IAPT) program is working to close the gap between quality care and individuals needing effective treatment through their research and training initiative.
The negative outcomes of past intuitive treatment reinforced one of the most common and fundamental beliefs of PTSD: “I am incompetent.” The woman perceived through past experiences in and out of therapy that something within her was so broken that she was beyond help, leading to a cycle of hopelessness, suicidality, and treatment avoidance.
To reduce or eliminate the experiences of non-fear emotions, such as shame and guilt, the individual needs to correct these unhelpful and inaccurate cognitions using CBT exposure strategies.
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.
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:
