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.
Dr. Aaron Beck recently did a roleplay with a therapist who was attending one of our on-site workshops. The therapist played a patient from his own practice, John. John is in his mid-twenties and has a longstanding anxiety disorder.