There are a wide variety of tools, skills and approaches used in the treatment of various mental health conditions such as bulimia nervosa, depression and generalized anxiety disorder. As so many different therapies are currently available it may be difficult for sufferers, relatives and carers to make a decision as to which approach may be most effective for achieving a healthy recovery. In order to provide a basic understanding of key methods, four different therapies used in the treatment of depression will now be explored. Cognitive Behavioural Therapy for Depression CBT is by far the most widely recognised form of therapy currently used in the treatment of depression.
Moreover, most therapists possess relative strengths and weaknesses within their caseloads in terms of their domain-specific effectiveness; for example, one therapist might be effective at treating patients with depression, but not substance use.
Thus, it seems vital for the field to uncover factors that contribute to therapists being more vs.
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|Online Therapy Series||But even though the term itself became well known, just what "cognitive- behavioral therapy" involved was less well understood.|
Yet, to date, few such determinants of therapist effects have been unearthed. Moreover, it is presently unclear whether the few determinants identified thus far are indeed trainable.
For example, when the process marker of patient resistance to the treatment or therapist occurs in action-oriented, directive treatments, like cognitive behavioral therapy CBTit has been associated with poorer treatment outcomes Westra, Thus, from a CRPI perspective, if therapists notice markers of resistance, then they can shift into responsive MI to address it more effectively than forging ahead with the treatment status quo.
To test this idea experimentally, Westra, Constantino, and Antony conducted a randomized controlled study that compared standard CBT for generalized anxiety disorder GAD vs. Although the two treatments resulted in comparable posttreatment outcomes, MI-CBT patients experienced greater worry reduction across the month follow up.
Yet, although perhaps initially counterintuitive, it seems possible that training MI-CBT therapists on an evidence-based marker-response sequence i. If so, it would follow that therapists in the CBT condition, who were not systematically trained in this marker-based responsiveness, would be expected to show more variability in their ability to respond effectively to patient resistance, which could in turn lead to differences i.
Method in Brief Participants Patients from the Westra et al. Treatments Patients in both conditions received 15 50 minute sessions. Standard CBT was adapted from several evidence-based treatment manuals see Westra et al.
Measures and Procedures Worry. Results To assess outcome variance accounted for by therapists, we calculated intraclass correlations ICCs for each treatment condition from an unconditional 3-level model with repeated measures level 1nested within patients level 2nested within therapists level 3.
Summary The present findings suggest that one potential determinant of between-therapist differences in treatment outcomes is therapist responsivity to a momentary clinical process—patient resistance.
Without specific training on evidence-based strategies for responding to this marker, CBT therapists naturally varied in their responses as they delivered the treatment protocol, which may have resulted in differences in their overall effectiveness. When these differential therapist effects are considered in the context of the overall trial results i.
Thus, at least preliminarily, this marker-response sequence may represent a mutable determinant of between-therapist differences in treatment outcomes, rendering it an important aspect of clinical training.Short-term psychodynamic psychotherapy and cognitive-behavioral therapy in generalized anxiety disorder: a randomized, controlled trial.
American Journal of Psychiatry, (8), A comparison of cognitive-behavior therapy with interpersonal and cognitive behavior therapy in the treatment of generalized anxiety disorder. Counselling Psychology Quarterly. ; – Shannon’s clinical practice focuses on the assessment, diagnosis, and treatment of individuals with anxiety disorders (panic disorder, agoraphobia, generalized anxiety disorder, social anxiety disorder, obsessive-compulsive disorder, and phobias), mood disorders, and personality-related problems.
As the name implies, behavioral learning theory concerns itself with the way behaviors are learned, and subsequently "unlearned." Since the word "learning" is often used throughout this article, it is important to understand what psychologists mean by this term.
Generalized anxiety disorder (GAD) is an anxiety disorder characterized by excessive, uncontrollable and often irrational worry about events or activities. This excessive worry often interferes with daily functioning, and sufferers are overly concerned about everyday matters such as health issues, money, death, family problems, friendship problems, interpersonal relationship problems, or work.
Efficacy of Cognitive Behavioral Therapy for Anxiety Disorders: A Review of Meta-Analytic Findings Bunmi O. Olatunji, PhDa,*, Josh M. Cisler, MAb, Brett J.
Deacon, PhDc Anxiety disorders are characterized by excessive fear and subsequent avoidance.