Cognitive Behavior Therapy
Cognitive Therapy (or Cognitive Behavior Therapy [CBT]) was originally developed by Aaron T. Beck, M.D., a recent recipient of the prestigious Lasker Award in Medicine. First developed for depression, the general principal underlying treatment is to help clients understand how their thoughts, feelings, and behaviors influence each other and the ways individuals interact in their environment. By changing our thoughts or our relationship to our thoughts, we can change behavior and emotions. In addition, CBT helps individuals identify and learn tools to overcome maladaptive thought patterns, behaviors, and difficult emotional experiences. Using this general frame, and with more scientific research than any other psychotherapy, CBT has evolved to treat various disorders and presenting problems in specific and efficient ways. At CBTC, clinicians focus on ensuring treatment is targeted for the patient’s areas of concern, demonstrating compassion for individual struggles, and holding themselves accountable for delivery and implementation of these effective treatments.
Services For Family Members
When people experience emotional difficulties, it effects not only them, but also their loved ones. The DBT program at CBT California offers services for friends and family members of patients who are struggling with psychological problems. Individual therapy, Parent Skills Training, and the Friends and Family Group teach you the skills you need to provide and receive support, regulate your own emotions, and effectively observe your limits. Our clinicians will be happy to discuss options with you. Please visit here for more information.
CBT Treatment Map
Upon your intake, the expert team at CBTC will do a comprehensive assessment of your current problems and goals. Our team uses validated psychological assessments to help you accelerate the intake process so that you do not spend an excessive amount of time in session recounting information that can easily be read.
Choosing A Treatment
Choosing A Treatment
One of the benefits of choosing CBTC is that our team is well trained in a number of evidence based treatments and will present you with the treatment options most likely to benefit you given your symptoms, problems and goals. Treatments include Cognitive Behavior Therapy (CBT), Dialectical Behavior Therapy (DBT), Acceptance and Commitment Therapy (ACT) and Cognitive Behavioral Analysis System of Psychotherapy (CBASP). At times we may suggest treatments in sequence, for instance, DBT followed by Prolonged Exposure (PE) which is a type of CBT for trauma.
Cognitive Behavior Therapy
CBT is the most well researched psychotherapy. With over 1000 studies on over 10,000 patients, CBT has been shown to be effective with a wide range of disorders and concerns from depression to eating disorders and everything in between. CBTC staff are all intensively trained in CBT by world leaders in the treatment. CBTC staff ensures caring, high fidelity treatment for the best possible outcomes.
Acceptance and Commitment Therapy
Acceptance and Commitment Therapy (ACT) has over 100 studies showing its effectiveness, and was recently approved by the Veteran’s Affairs System as an effective treatment for patients with multiple problems. ACT is great alternative for those who have tried other treatments without success. ACT is a highly humane treatment based on the premise that we all encounter suffering and our attempts to rigidly control our own emotions and experiences increases the suffering. This treatment is focused on mindfulness, acceptance and increasing lives full of meaning and value.
Cognitive Behavioral Analysis System of Psychotherapy
You probably don’t know this, but the biggest scientific study ever done on psychotherapy was done on Cognitive Behavioral Analysis System of Psychotherapy (CBASP). This is the only treatment designed specifically for people with chronic depression. This treatment focuses on helping you get what you want out of your life and interactions with others. Its effectiveness is unmatched by any other psychotherapy for people who have been depressed two years or more. CBTC staff have been intensively trained in this approach and can help you move towards a more satisfying life with better relationships.
Prolonged exposure therapy (PE) is a form of cognitive behavior therapy designed to treat post-traumatic stress disorder, characterized by re-experiencing the traumatic event through remembering it and engaging with, rather than avoiding, reminders of the trauma (triggers). Prolonged exposure therapy (PE) is a theoretically-based and highly efficacious treatment for chronic post-traumatic stress disorder (PTSD) and related depression, anxiety, and anger. Based on basic behavioral principles, it is empirically validated, with more than 20 years of research supporting its use. Prolonged exposure is a flexible therapy that can be modified to fit the needs of individual clients. It is specifically designed to help clients psychologically process traumatic events and reduce trauma-induced psychological disturbances. Prolonged exposure produces clinically significant improvement in about 80% of patients with chronic PTSD. The PE therapy was found to be superior to supportive therapy in sexually abused women with PTSD in a randomized controlled trial (Foa, 2014).
DBT ACES (Acceptance the Challenges of Exiting the System) is a treatment implemented after the completion of standard DBT, adapted and expanded by Kate Comtois, Ph.D. at Harborview Mental Health Service. The goal of DBT-ACES is to help clients achieve effective and satisfying employment, financial independence, social belonging, and self-sufficiency. In addition, treatment works to reduce the need for financial and other practical supports from the government, employer disability programs, or family/friends. The focus in DBT-ACES is on overcoming anxiety, avoidance, and other emotional problems that interfere with obtaining and maintaining employment, a social network, building your life worth living, and achieving your grand ambition. A more nuanced approach, DBT-ACES teaches more complex versions and advanced application of standard DBT skills. Other skills such as goal-setting, problem-solving, time management, and flexible effective thinking are also emphasized. DBT-ACES requires clients to spend considerable time on career/life goal development activities including working, attending college or other strategies to achieve gainful employment or a fulfilled life.
Cognitive Processing Therapy (CPT) is an adaptation of CBT used by clinicians to help clients recover from posttraumatic stress disorder (PTSD) and related conditions. It is a manualized therapy that includes common elements from general cognitive-behavioral treatments. CPT typically consists of 12 sessions and has been shown to be effective in treating PTSD across a variety of populations, including combat veterans, sexual assault victims, and refugees. Although PTSD is classified currently as an anxiety disorder, most people with PTSD experience a range of emotions including horror, anger, shame, guilt and sadness as well as fear. A significant contributor to the interruption of natural recovery process is the ongoing use of avoidance as a coping strategy. By avoiding the trauma memory and situations that trigger reactions, people with PTSD limit their opportunities to process the traumatic experience and gain a more adaptive understanding. CPT incorporates trauma-specific cognitive techniques to help individuals with PTSD more accurately appraise these “stuck points” and progress toward recovery (Resick, 2014).
DBT-SUD is a modification of standard DBT, for those who have co-occurring mental health and substance abuse problems. Research has supported the efficacy of DBT for substance use disorders. Among the goals of DBT-SUD are to: become more aware of urges to drink or use and tolerate urges without acting on them; increase motivation to stop abusing alcohol or drugs; manage strong negative emotions such as fear, sadness, and anger without alcohol or drugs; and make changes in the environment to support substance-free living. Participants learn to utilize DBT skills to effectively cope with strong negative emotions, as well as build towards their life worth living. Individual therapy, group therapy, and as-needed phone coaching is provided by clinicians trained in DBT and substance use treatment. Although a harm reduction model informs the treatment, participants strive for dialectical abstinence, being 100 percent clean and sober. Drug testing is available as a treatment option if clinically indicated.
Mindfulness-based cognitive therapy (MBCT) is a type of CBT for depression that incorporates mindfulness and mindfulness meditation. MBCT incorporates Psycho-education, Mindfulness and mindfulness meditation, cognitive restructuring and behavioral activation to decrease the likelihood of relapse. Like CBT, MBCT functions on the theory that when individuals who have historically had depression become distressed, they return to automatic cognitive processes that can trigger a depressive episode. The goal of MBCT is to interrupt these automatic processes and teach the participants to focus less on reacting to incoming stimuli, and instead accepting and observing them without judgment. Beyond its use in reducing depressive acuity, research additionally supports the effectiveness of mindfulness meditation upon reducing cravings for substances that people are addicted to.
Recent empirical studies have demonstrated that it is not necessary to wait to engage in trauma treatment until after you have completed Stage 1 DBT treatment. Studies have shown that individuals can show significant progress in DBT and Prolonged Exposure (PE) for treatment of emotion dysregulation and trauma symptoms at the same time, without causing increases in suicide or self-injury urges. In order to provide state of the art treatment, CBTC therapists can utilize the option of PE treatment within the standard DBT frame. In order to minimize risk, PE is an
option with concurrent DBT when individuals are no longer at imminent risk of suicide, have not engaged in life threatening behaviors for at least 30 days, are able to exhibit behavioral control over life-threatening urges and behaviors (even when cues to these behaviors are present). In addition, PE is an option to those individuals who want to treat trauma symptoms more immediately and who are willing to experience emotions associated with trauma without doing deleterious things to escape these emotional experiences.