Cognitive Behavioral Therapy
At some point in our lives, most of us experience some difficulties with negative thoughts about ourselves or the world around us that keep us from being able to live a more peaceful and meaningful life.
These on-going negative or sometimes extreme thoughts will automatically trigger certain feelings, which in turn, will also affect the way that we behave. First, a situation, event or memory might trigger an automatic thought. This thought might then conjure up certain feelings, and these two factors together will then impact how you behave.
Most of us are not really conscious that we are actually doing this, however, if you begin to notice that you are feeling unsettled about how you are reacting to certain things but are not sure how to make changes, it may be a good time to consider speaking to a trained therapist about Cognitive Behavioral Therapy, or CBT as it is more commonly known.
Unfortunately, we sometimes tend to get “stuck” in certain thoughts, feelings, and actions – and those habits are not always helpful. We might think about things that stress us out, anticipate future fears, or tell ourselves that we are “not good enough” or “broken” or “bad.” We might feel down, irritable, anxious, or confused.
At times, we might turn to isolation, act impulsively, or use food or alcohol to “numb” the thoughts and feelings that are so distressing. If not addressed over time, these sorts of things can lead to more serious emotional and psychological issues.
CBT ‘s effectiveness has been proven through a long history of research. Its approach and strategies can be combined with other therapeutic strategies to successfully “retraining the brain” and make changes in the neural pathways. CBT can help treat:
- Relationship Issues
- Low Self-Confidence
- Feeling Lost or Confused With Life
- Panic Attacks
- Identity Issues
It is also designed to help you begin to make changes, change old thought patterns and free yourself from being stuck with difficulties such as:
- On-going negative thoughts, underlying feelings and behaviors that are getting in the way of your daily functioning or your overall quality of life
- Wanting to change a behavior that is impacting your life at home or work, but do not know where to start
- Having difficulty taking control of your life because you have difficulty seeing things in a positive light and do not see a way out
- Find yourself making the same mistakes over and over, with an inability to change or achieve the goals you set for yourself
When people become depressed, they tend to think in ways that are negative, pessimistic, and self-defeating. They also tend to feel constantly down, sad, tearful, and tired. And when people think that way and act that way, they also tend to withdraw from others, take poor care of themselves, and become physically inactive. The goal of a CBT therapist is to help you to overcome depression by helping you to learn how to modify or change some of those thoughts, feelings and behaviors.
One of the ways that CBT helps to do this is by providing you the tools that will help you to change the way you think about certain things. For example, if you are able to learn how to modify your thought from “today is going to be terrible” to “today may not be perfect, but it might not be so bad,” you might notice a difference in how you feel.
Having a slightly different perspective can alter the way that you feel and act through out the day. In the example above, you might start focusing on small things that will help you to build motivation to do certain things despite how you feel – “no matter how down I am feeling today, I am going to get out of bed.” The slight change in this thought alone is often enough to begin to consider different, more hopeful perspectives.
Another major part of CBT involves learning to challenge irrational fears. Take a look at the general example below, which starts with a basic fear of getting into a car and quickly spirals into extreme worries. You might then feel worried, nauseous, and panicked about what might happen, which then motivates you to avoid getting in your car that day. You avoided the fear (phew!), but now you are going to miss work, school, and other important responsibilities.
Many of our worries are based in reality – yes, you might get in a car accident, they do happen often. However, the thought that you might get into another car accident is not entirely true and is based on fear, not a fact. Learning to notice moments when you make assumptions or think irrationally will help free your mind from being trapped in what CBT therapists call “cognitive distortions,” or simple mistakes our minds tend to make.
Just like with depression, anxiety tends to have interconnected thoughts, feelings, and actions that keep you “stuck” in your fears and worries. Often times, these thoughts and worries keep you from considering what other factors you may not be considering which can make that thought not be completely true.
Insomnia, or difficulty falling and staying asleep, is an incredibly common problem. People struggle as they lay in bed, exhausted, as they attempt to will themselves into slumber.
You might toss and turn until you eventually reach for your book or smartphone to try and distract yourself. The hours tick by slowly, and in the morning, you continue to feel exhausted. CBT for insomnia helps you disrupt this cycle through “behavioral activation” which is where you change your routine to influence how you think and feel.
In this example, we might begin by shifting your sleep pattern. This might involve making changes such as pushing your bedtime back an hour, adding in physical activity throughout the day, and limiting consumption of alcohol and caffeine.
CBT may be a good treatment option for you if you are ready to make meaningful and lasting changes in your life but do not have the understanding as to how to go about it or the necessary skills. We provide CBT to adults from all over New York, both in person and via Telehealth.