Cognitive Behaviour Therapy (CBT) - leaflet print - Patient UK

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feelings, attitudes,

of trying out ways of coping which you have learned during therapy.

Cognitive Behaviour Therapy (CBT)
CBT aims to help you to change the way that you think, feel and behave.

How well does CBT work?
CBT has been shown in clinical trials to help ease symptoms of various health problems. For It is used as a treatment for various mental health and physical problems. example, research studies have shown that a course of CBT is just as effective as medication in treating depression and certain anxiety disorders. There may be long-term benefits of CBT as the techniques to combat these problems can be used for the rest of your life to help to keep symptoms away. So, for example, depression or anxiety are less likely to recur in the future. There is good researchis cognitive behaviour therapy (CBT)? symptoms of some physical conditions What evidence too to show that CBT can help to improve such as rheumatoid arthritis. Cognitive therapy What is the processes' arebetween CBT and other talking treatments? Our 'cognitive difference our thoughts which include our ideas, mental images, beliefs and attitudes. Cognitive therapy is based on the principle that certain ways of thinking can trigger, or 'fuel', CBT is one type of psychotherapy ('talking treatment'). Unlike other types of psychotherapy it does not certain health problems. For example, anxiety, depression, phobias, etc, but there are others involve 'talking freely', or dwell on therapist helpspast to understand youryour emotional state of mind. including physical problems. The events in your you to gain insight into current thought patterns. In Itparticular, toon the couchharmful, all' type of and 'false' ideas or thoughts which you have that can is not a 'lie identify any and tell unhelpful, therapy. trigger your health problem, or make it worse. The aim is then to change your ways of thinking to CBT tends toideas.with the 'here yournow' - how your current more realistic and helpful. are affecting avoid these deal Also, to help and thought patterns to be thoughts and behaviours you now. It recognises that events in your past have shaped the way that you currently think and Behaviour therapy behave. In particular, thought patterns and behaviours learned in childhood, However, CBT does not This on the change aims to find solutions to how to or not helpful. Various techniques behaviours dwell aims topast, but any behaviours that are harmful change your current thoughts and are used. For example, common unhelpful behaviour is so that youacan function better in the future. to avoid situations that can make you anxious. In some people with phobias the avoidance can become extreme and affect day-to-day life. In this situation a type of behaviour therapy called 'exposure meant to be be used. This is where and supportive. CBT is also different to counselling which is therapy' may non-directive, empathic you are gradually exposed more and more to feared support and empathy, the therapy has a to control anxiety and Although the CBT therapist will offersituations. The therapist teaches you howstructure, is problem- to cope when practical. focused andyou face up to the feared situations. For example, by using deep breathing and other techniques.

What are the limitations of CBT?

Cognitive behaviour therapy - CBT This is a not suit everyone and it is not helpful for all conditions. You combined committed and CBT doesmixture of cognitive and behaviour therapies. They are oftenneed to be because how we behave often reflects how we think about certain things with the help The emphasis on can be hard persistent in tackling and improving your health problem or situations. of the therapist. It cognitive or behaviour aspects of may be difficult and challenging. You may be taken 'out of your example, there work. The 'homework' therapy can vary, depending on the condition being treated. Forcomfort zone' is often more emphasis on behaviour therapy distress. However, many people have greatly when tackling situations which cause anxiety orwhen treating obsessive compulsive disorder (where repetitive compulsive actions are benefited from a course of CBT. a main problem). On the other hand, the emphasis may be more on cognitive therapy when treating depression.

How can I get CBT? What conditions can be helped by CBT?
Your doctor may refer you to a therapist who has been trained in CBT. This may be a psychologist, CBT has been shown nurse, or other health care professional. There is health conditions and psychiatrist, psychiatricto help people with various condition - both mentala limited number of CBT physical available For example: therapistsconditions.on the NHS. You may wish to go private if it is not available in your area on the NHS. (See below for resources.) including phobias, panic attacksto make CBT more widely available certain anxiety disorders However, government policy is and panic disorder on the NHS. depression

Do-it-yourself CBT obsessive-compulsive disorder
body dysmorphic disorder Although CBT with the help of a trained therapist is best, some people prefer to tackle their problems anger themselves. There are a range of books and leaflets on self-help for the problems which CBT is post-traumatic-stress disorder useful for (anxiety, phobias, depression, etc). More recently, interactive CDs and websites are being sexual evaluated for self-directed developed andand relationship problems CBT for a variety of conditions. See the resources below habits such for further details. as facial tics drug or alcohol abuse some sleep problems Further resources chronic fatigue syndrome / ME chronic (persistent) Behavioural and Cognitive Psychotherapies (BABCP) The British Association ofpain Globe Centre, PO BOX 9, Accrington, BB5 2GD As 01254 875277 specific the problem, Tel: a rule, the moreWeb: www.babcp.comthe more likely CBT may help. This is because it is a practical therapy which focuses on particular have pamphlets (for a small charge) which provide Maintain a register of practitioners. They also problems and aims to overcome them. CBT is sometimes used problems sometimes used in addition PTSD, OCD, depending on the type and information about alone, andsuch as anxiety, depression, to medication,social phobia, agoraphobia, severity of the condition being treated. chronic fatigue syndrome, eating disorders, etc.

eating disorders

What is likely to happen during a Oxford Cognitive Therapy Centre (OCTC) course of CBT? Based in the Oxford Psychology Department, part of Oxfordshire Mental Healthcare Trust. The www.octc.co.uk Web:first session of therapy will usually include time for the therapist and you to develop a shared understanding of the problem. This order a number of how your thoughts, ideas, Their website gives details of how to is usually to identifyself-help booklets with a CBT approach for conditions such as OCD, anxiety, panic, depression, phobias, etc.
Ultrasis Web: www.ultrasis.com - produce interactive, computer based CBT programmes. FearFighter Web: www.fearfighter.com - a method for delivering CBT on the internet.

References
Depression and anxiety - computerised cognitive behavioural therapy (CCBT), NICE (2006)

http://www.patient.co.uk/printer.asp?doc=27000424

4/6/2009 8:51:41 PM

which occur when you become anxious before a social event. Later on you may be given homework of trying out ways of coping which you have learned during therapy.

How well does CBT work?
CBT has been shown in clinical trials to help ease symptoms of various health problems. For example, research studies have shown that a course of CBT is just as effective as medication in treating depression and certain anxiety disorders. There may be long-term benefits of CBT as the techniques to combat these problems can be used for the rest of your life to help to keep symptoms away. So, for example, depression or anxiety are less likely to recur in the future. There is good research evidence too to show that CBT can help to improve symptoms of some physical conditions such as rheumatoid arthritis.

What is the difference between CBT and other talking treatments?
CBT is one type of psychotherapy ('talking treatment'). Unlike other types of psychotherapy it does not involve 'talking freely', or dwell on events in your past to gain insight into your emotional state of mind. It is not a 'lie on the couch and tell all' type of therapy. CBT tends to deal with the 'here and now' - how your current thoughts and behaviours are affecting you now. It recognises that events in your past have shaped the way that you currently think and behave. In particular, thought patterns and behaviours learned in childhood, However, CBT does not dwell on the past, but aims to find solutions to how to change your current thoughts and behaviours so that you can function better in the future. CBT is also different to counselling which is meant to be non-directive, empathic and supportive. Although the CBT therapist will offer support and empathy, the therapy has a structure, is problemfocused and practical.

What are the limitations of CBT?
CBT does not suit everyone and it is not helpful for all conditions. You need to be committed and persistent in tackling and improving your health problem with the help of the therapist. It can be hard work. The 'homework' may be difficult and challenging. You may be taken 'out of your comfort zone' when tackling situations which cause anxiety or distress. However, many people have greatly benefited from a course of CBT.

How can I get CBT?
Your doctor may refer you to a therapist who has been trained in CBT. This may be a psychologist, psychiatrist, psychiatric nurse, or other health care professional. There is a limited number of CBT therapists available on the NHS. You may wish to go private if it is not available in your area on the NHS. (See below for resources.) However, government policy is to make CBT more widely available on the NHS.

Do-it-yourself CBT
Although CBT with the help of a trained therapist is best, some people prefer to tackle their problems themselves. There are a range of books and leaflets on self-help for the problems which CBT is useful for (anxiety, phobias, depression, etc). More recently, interactive CDs and websites are being developed and evaluated for self-directed CBT for a variety of conditions. See the resources below for further details.

Further resources
The British Association of Behavioural and Cognitive Psychotherapies (BABCP) Globe Centre, PO BOX 9, Accrington, BB5 2GD Tel: 01254 875277 Web: www.babcp.com Maintain a register of practitioners. They also have pamphlets (for a small charge) which provide information about problems such as anxiety, depression, PTSD, OCD, social phobia, agoraphobia, chronic fatigue syndrome, eating disorders, etc. Oxford Cognitive Therapy Centre (OCTC) Based in the Oxford Psychology Department, part of Oxfordshire Mental Healthcare Trust. Web: www.octc.co.uk Their website gives details of how to order a number of self-help booklets with a CBT approach for conditions such as OCD, anxiety, panic, depression, phobias, etc. Ultrasis Web: www.ultrasis.com - produce interactive, computer based CBT programmes. FearFighter Web: www.fearfighter.com - a method for delivering CBT on the internet.

References
Depression and anxiety - computerised cognitive behavioural therapy (CCBT), NICE (2006)

Cognitive Behaviour Therapy (CBT) - leaflet print - Patient UK
What are Cognitive and/or Behavioural Psychotherapies? A paper prepared for a UKCP/BACP mapping psychotherapy exercise by Katy Grazebrook, Anne Garland and the Board of BABCP July 2005 O'Kearney RT, Anstey KJ, von Sanden C. Behavioural and cognitive behavioural therapy for obsessive compulsive disorder in children and adolescents. Cochrane Database of Systematic Reviews 2006, Issue 4 James A, Soler A, Weatherall R. Cognitive behavioural therapy for anxiety disorders in children and adolescents. Cochrane Database of Systematic Reviews 2005

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Disclaimer: This article is for information only and should not be used for the diagnosis or treatment of medical conditions. EMIS has used all reasonable care in compiling the information but make no warranty as to its accuracy. Consult a doctor or other health care professional for diagnosis and treatment of medical conditions. For details see our conditions. © EMIS 2009 Reviewed: 1 May 2007 DocID: 4789 Version: 39

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