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CBT IN THE NEWS
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Holidays create stress for some, and more for those of us having some mental health issues. Overly high expectations, poor self-care with the overabundance of comfort foods available, strained budgets and more can all contribute to stress.

But there are good strategies to employ, suggest some CBT practitioners.

For more, read


Intrusive Thoughts

This article, from New York magazine’s The Cut, discusses intrusive thoughts experienced by many new parents. Former ABCT president Jon Abramowitz is quoted as saying that every new parent has intrusive thoughts of harm befalling their baby at one time or another.

Occasionally, this common thought pattern can become persistent and distressing to the point of developing postpartum obsessive compulsive disorder.

Abramowitz and fellow anxiety researcher Nichole Fairbrother began collaborating after themselves experiencing intrusive thoughts as new parents.

Their research asserts that such thoughts occur in stressful situations, and that, like standing at the top of a tall building, the early stages of parenting falls into this category .

Read the article here


Orgasmic Reorientation

Once upon a time, both Leviticus and DSM considered homosexuality an affliction to be cured. Today, people still occasionally quote Leviticus (skipping over the parts on shaving, shellfish, and mixed fabrics), but psychology is virtually unanimous in its acceptance of homosexuality.

In the 60s and 70s, the debate on homosexuality was only just beginning, and Jerry Davison, one of CBT's pioneers, took a controversial stand, calling aversion therapy, the tool most often used in trying to alter a person's sexuality, immoral when used with homosexuals.

How he came to this position is fascinating, and provides a window into a debate that has ramifications for millions of people. For many of us today, its seems perfectly natural; it's easy to miss just how radical, and how courageous, such a position was forty years ago.

Listen to more of this story told in a way that draws us in further with every twist.

To listen on your pad


Time Out

This article in the Washington Post outlines the case for using timeout as a discipline technique for young children.

Written by ABCT members Camilo Ortiz, Anne Marie Albano, Mitch Prinstein, Regine Galanti, Dan Hoffman, Tim Cavell, and Hillary Vidair, it dispels several myths about effective, evidence based discipline. And, even better, it gives a detailed approach in doing time outs perfectly.

Read the article here


Will Power

ABCT member Mary Alvord, among others, discusses the use of will power, or self-control, in this US New and World Report article, with perhaps the best bicep curl analogy in a non-muscle magazine.

Alvord discusses willpower not being all-or-nothing as well as discussing stimulus control.

Read the article here


CBT for Anxious Children

The New York Times discusses how to help a child with an anxiety disorder. This article discusses how anxiety in children can seem normal, and therefore is under recognized and treated.

This is despite the fact that Cognitive Behavior Therapy and medication are both effective treatments for anxiety in children.

Instead of parents changing their lives around to accommodate a child's anxiety, the best way to help is to seek therapy, where families can work together to learn to face a child's anxiety.

Read the article here

To learn more about anxiety, see


CBT and ACT for Pain

EveryDayHealth.com, examining a 2013 study in the European Journal of Pain and a 2011 study in the Journal Arthritis Research and Therapy, explored how Cognitive and Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT) successfully managed pain in fibromyalgia. In the Pain study, ACT had positive effects on pain-related functioning, mental health–related quality of life, self-efficacy, depression, and anxiety in 40 women with fibromyalgia. The participants attended 12 weekly group ACT sessions. In the Arthritis study, CBT was helpful in reducing pain catastrophizing in people with fibromyalgia. Catastrophizing, generally, is believing that something is — or will be — much worse than it actually is. In pain catastrophizing, a person magnifies the actual or anticipated pain he’s experiencing.

There was lots more in the studies, including combatting "pain fog" and working around fatigue.

To read the full article, which includes links to the research articles discussed, see

For those looking to talk to a CBT therapist, including those who use ACT, see


Adolescent Anxiety

As many as one quarter of adolescents experience anxiety; and around 6% of people have anxiety their entire lives. According to Emily Bilek, who treats children and adolescents, normal fears are adaptive, but when anxiety interferes with life, or it becomes a "presence," and the sufferer or someone in the family says "something's got to give," it's time to seek help. She said the cause of the anxiety isn't important; treatment will have a positive effect, and CBT is the gold standard of care.

Bilek says that avoidance (of the thing that makes us anxious) narrows life. Often, anticipating the fear or even the physical changes that come with the anxiety is often worse than the thing feared. We tend to over-predict negative outcomes and under-predict our own resiliency. For the entire interview, see video ; for those interested in how we might treat, look at minute 13.

For more on anxiety, see ANXIETY Fact Sheet and this news


School and Your Nervous Kid

A little nervousness is good, especially with unknown situations, such as a new school with new kids, new teachers, new subjects. But some of our kids experience a LOT of anxiety, so much so that one in four meet criteria for a doctor to diagnose them as having anxiety.

And, according to doctors quoted in the Washington Post , anxiety is underreported. How can a parent tell if his, or her, child is anxious, rather than nervous? According to Mary Alvord, it's likely to be anxiety if the child's fears and actions get in the way; or if the parent is accommodating the child.

For more on anxiety, see ; for more on school refusal, see

To find a therapist who uses CBT, see


Anxiety in a Changing World

Teens are facing monumental changes in their world. More options, greater access to more things, and different social interactions. Good? Or Bad? Those changes, and the effects they're having on today's teens, are discussed by a number of prominent psychologists who specialize in helping children and teens.

Read more


Stress on the Rise

Based on what books are selling, this seems to be true, especially among people living in traditional "blue" states, and not so much in decidedly "red" states.

The Washington Post puts this in context in a fascinating article, and even provides some resources, including, drum roll please, us. A number of prominent psychologists are quoted, one each from a red, blue, and purple state. www.washingtonpost.com

For more on anxiety, see or, for one of many books on the subject, see our recommendations at Self-Help Books


Shaq and Shark

CBT helped Shaq overcome his fear of sharks: This article from The Inverse outlines Shaq's course of Exposure Therapy, and quotes ABCT member Mitchell Schare in describing how Exposure Therapy works to reduce fears. What a role model! Stories like this reduce mental health stigma.


OCD and Doubt

This article in Self magazine describes the role of reassurance-seeking in OCD. OCD is a disease that thrives on doubt and uncertainty in a world where certainty is not realistic. The article describes the concept of accommodation, when family members and friends "give in" to the OCD by answering reassurance-seeking questions. While this allows someone suffering from OCD to feel better in the short term, it exacerbates the symptoms in the long term. Instead, CBT for OCD helps people realize the role of this reassurance and reduce it, often through responses that might initially come off as counter-intuitive and unsupportive.

To read the article, click here

For more information about OCD, see our fact sheet here

To find a therapist who treats OCD, click here


CBT for Back Pain

The Washington Post outlined various approaches to relieving back pain. The paper outlined the steps to take, and the order in which to use them. CBT is suggested immediately after exercise and yoga and well before meds, acupuncture, chiropractic. Surgery is below the fold. The recommendations for CBT for back pain are from Consumer Reports and are based on the results from a JAMA study. Interestingly, if one is looking for a therapist, the paper suggests going to ABCT's website. Well, congratulations, all you well read people: you found us.

For information on pain management, see

And, for a therapist, like the good people at Consumer Reports and the Washington Post recommend, see


CBT for Health Anxiety

The New York Times addresses CBT for Health Anxiety in this article, "A New Approach to Treating Hypochondria." Jane Brody describes health anxiety as a vicious cycle: "health-related fears can be exaggerated by physical symptoms that develop as a result of anxiety about being sick or getting sick. Anxiety itself can cause a rapid heart rate, chest pain, nausea and sweating that patients then misinterpret as a sign of physical illness. "

Though this type of therapy is not new, CBT helps patients recognize unhealthy beliefs and learn to cope with anxiety provoking situations.

Read the full article here


CBT Effective in Combating Suicide

ABCT member Judith Beck outlines the ways that Cognitive Behavioral Therapy works as an effective treatment for suicidality. She describes how creating a safety plan provides hope, and how CBT uses clear steps to teaching people to solve problems and prevent relapses.

Read her article in the New York Times here


More Suicides

It's not just celebrities; in fact, suicides are on the rise across the country, in 49 of our 50 states. Ben Carey, in the New York Times, traces some of the probable causes, and the correlational statistics attending them.

Carey notes that the "biggest increases have been in states like Oklahoma, Montana and Wyoming where gun ownership, drug use and economic hardship are common. Among middle-aged people across the country, marriage rates have declined, and social isolation has increased." Carey is careful not to say that more guns, higher drug usage, and increase poverty are the reason, but he notes their increased presence and increased suicide rates.

To add evidence, though, to the impact of the availability of guns on suicides, Carey notes that "a handful of states have passed legislation allowing authorities to seize firearms from people deemed mentally unstable or 'dangerous.' In a study of these laws in two states, Indiana and Connecticut, researchers at the University of Indianapolis found that the legislation led to reductions in gun-related suicides, compared to the expected numbers: they were 7.5 percent lower in Indiana in the decade following enactment, and 13.7 percent lower in Connecticut in the year since strict enforcement began.

To read Carey's full article, see

In addition, we have a number of resources that might be useful in understanding suicide or in dealing with its aftermath.

Fact Sheets:

Videos:

For a list of treatment providers who work with depression and suicide, check out ABCT's Find-A-Therapist page here


Overprotected Child

Parenting behavior can have a large impact on childhood independence. Andrea Peterson lays out the research on childhood independence for her article in the Wall Street Journal. ABCT member Alan Kazdin recommends that parents encourage their children to "practice" independence in small, low stakes situations. Others encourage children to begin helping with household chores from a young age, with the ultimate goal, according to former ABCT president Anne Marie Albano, of having children be self sufficient by the time they leave to college.

It is sooooo worth the read read more


Middle School Resilience

NPR features the Resilience Builder program, developed by ABCT member Mary Alvord. This program is a form of group therapy designed to help students who are struggling with both trauma and everyday anxiety caused by things like bullying or moving schools. By teaching social and emotional skills, Alvord argues that if students can learn this kind of resilience, they can better adapt to the world around them.

To listen to or read more about it, click here read more


Apps for Anxiety

This Medical News Bulletin article reviewed a recent important study on mobile apps aimed to help children with anxiety. The study, published in Behavior Therapy, evaluated 121 apps found in Google Play and the Apple Store. These apps targeted children with anxiety and their families, and were meant to enable families access mental health treatment techniques to help their children. The study found that while most of these apps were free or low-cost, few of them contained evidence-based treatment components, with only 1/5 utilizing any form of exposure, one of the most integral parts of CBT for child anxiety. The author of the article discusses the utility of these apps along with or independent of standard CBT treatment, and also reflects on the challenges facing those teams trying to create these kinds of mental health related apps. With technology becoming an increasingly prevalent aspect of healthcare, it is important to stay up-to-date with these developments and understand how apps such as the ones reviewed in the cited study can help or hinder treatment.

Read [article] to find out more!

A copy-right protected version of the article appears in Behavior Therapy; you can read the abstract, or if you or your institution is already a subscriber, see the full article here read more


Fighting Stigma

This recent New York Times article discusses Mariah Carey's recent disclosure regarding her struggles with mental illness. Carey was diagnosed with Bipolar II Disorder in 2001, in the midst of an extremely successful career, but kept her mental health struggles a secret until recently because of her fears that stigma would end her career. The last year has seen a wave of celebrities disclosing their personal mental health battles, inspiring others to follow suit in an effort to stomp out the stigma of mental illness. For individuals struggling with bipolar disorder, characterized by extreme mood swings ranging from mania to extreme depression, accurate and timely diagnosis as well as both CBT and psycho-pharmaceutical interventions are critical to best care practices. Disclosures from celebrities like Mariah Carey help to increase awareness and can encourage individuals who are suffering to seek help.

In addition to making an effort to destigmatize mental illness, ABCT also has a "Find a Therapist" page with an extensive list of therapists and their areas of expertise to help those who are beginning the journey toward mental health and wellness.

To learn more about Bipolar Disorder, see read more


The Persistent Effects of Childhood Trauma

Junot DÍaz, an award-winning author, opens up about his long struggle with the experience of childhood trauma read more

He describes how his experience of childhood sexual assualt led to severe depression, suicidal behaviors, and difficulties in relationships for decades. He finally was able to begin removing the “mask” of trauma with the help of a dedicated therapist.

Cognitive-behavioral therapy for PTSD can help individuals recover after a traumatic experience. Learn more about PTSD and its treatment by visiting the VA’s National Center for PTSD website read more

You can also read more about the effects of and treatment for Childhood Sexual Abuse read more


Facing Fears

"Courage is what we display when we face our fears and anxieties and take the risks of tackling the challenge despite those feelings."

Philip Eil describes his own experience with, as well as treatment for, anxiety. He describes anxiety as "a kind of ingenious, shape-shifting villain that knows the things I care about, and attacks them," and how Exposure Therapy helped him cope better by facing his fears.

Read the full article here read more

To find out more about anxiety, see the following fact sheet read more

For information on how to choose a therapist, click here read more


Warning Signs in Kids

A new study warns that kids who self-harm are at a much higher risk for suicide. Violent self-harm may even be the indication of a failed attempt. However, the lead author of the study points out that forms of CBT, especially DBT, or dialectical behavior therapy, can teach kids positive coping skills, thereby reducing risk.

For more on the study, see read more

For more on self-harm, see on YouTube read more or read here read more


Confronting OCD

There's a great review of a scientific paper that explains the mechanism by which therapists help those suffering from OCD confront it and, one hopes, reduce its hold. They explain "exposure" and how it works, which is requiring the person to confront precisely what he, or she, has been working so hard to avoid. Exposure is done in a controlled way, so, for instance, a person with a snake phobia isn't thrown, a la Indiana Jones, into a pit of pythons.

 

To read more, see read more

For those interested in learning more about OCD, see read more

And to find a CBT therapist to help guide you to a freer life, see read more


Campus Mental Health

Recent surveys a have identified a significant increase in college mental health problems, according to a recent article published in Time Magazine. In a 2015 report, The Center for Collegiate Mental Health noted a 30% increase in college students seeking mental health services on campus, and according to a survey conducted by the American College Health Association, this past year saw a definitive increase in college students’ symptoms of depression, suicadality, and anxiety. This important article highlights a rising mental health crisis in a vulnerable population, and discusses several proposed solutions, including the work of past ABCT president Anne Marie Albano.

Read to find out more about this problem and how we as clinicians can be involved in providing college students with evidence-based mental health care

For more information on depression and anxiety, see DEPRESSION and ANXIETY DISORDERS


Cost of Popularity

Teens will get as much from this article as their parents, as the Washington Post explores various notions of popularity, ways to think about, its cost, and even some of the effects later in life. Not surprisingly, ABCT members feature prominently in this article on parenting and problem solving.

www.washingtonpost.com

 


Anxiety's Cost

In "The Day I Realized I Couldn't Handle My Anxiety Alone," Author Andrea Peterson discusses the difference between feeling worried and having anxiety eat away at your life. She experiences physical symptoms of anxiety and worried thoughts. Through a combination of Cognitive Behavior Therapy, medication, and exercise, she gets her life back on track. To read the original article, click here

For more information about Anxiety Disorders, see the following fact sheet

For information on what to expect from Cognitive Behavior Therapy, click here

To find a CBT therapist in your area, click here


"Everyone is Going Through Something"

NBA player Kevin Love opens up about having a panic attack in the middle of a basketball game, and his search for treatment. Read the full article here

Panic attacks are defined as a sudden rush of intense fear or dread, which usually goes along with several physical symptoms and thoughts. Panic attacks can be treated through a variety of Cognitive Behavioral Therapy techniques.

To read more about panic attacks and their treatment, see the following fact sheet


Body Dysmorphia

"In the Mirror, A Fractured Reflection"

Country star Lindi Ortega talks about her experience with Body Dysmorphic Disorder (BDD) in a personal piece about her struggles with this condition related to OCD, the effects of social media, and how facing the condition, therapy and exposing herself to be in the spotlight has was been transformative. Read the full article here

BDD is condition related to OCD, characterized by intrusive thoughts and unwanted preoccupations with imagined or slight defect in appearance. BDD can be treated with CBT techniques. To read more about OCD and related conditions like, BDD and treatment, see the following fact sheet


Online cognitive bias modification

The internet offers a promising way to deliver therapeutic skills with lower barriers than in traditional clinic-based practice. Bethany Teachman describes a new program developed by her lab that seeks to train individuals to have more healthy (nonthreatening) interpretations of ambiguous stimuli. Individuals are presented with short scenarios via their computer, phone, or tablet; the descriptions include an ambiguous element that is resolved at the end of the description. The individual completes a word fragment in the scenario to “cement” the positive interpretation, then completes a comprehension question.

To see the article:

Internet-based programs such as this one, as well as more comprehensive programs ( see ) may help to provide critical, evidence-based skills to the millions of people worldwide who suffer from psychological disorders.

Teachman’s group is actively testing their interpretation training programs to help determine how the training works and for whom; participation is available at: https://mindtrails.virginia.edu


Just Relax?

Fighting anxiety doesn't always mean trying to relax. ABCT members Simon Rego and Mary Alvord speak to Real Simple magazine about why the classic advice to "just relax" when you're anxious doesn't work.

They discuss how to use effective techniques to fight anxiety and stress without calming yourself down, including facing your anxiety head on, and redefining relaxation in a way that speaks to you.

Read the full article

For more on anxiety, see   and stress, see

To find a CBT therapist who can help you fight back, see


Depression's Toll

One in five Americans suffer from mental illness. This article highlights one family's experience with depression, as well as the toll it can take when suffered in silence.

The good news is that CBT can help

For more information on depression, see ; to learn more about what therapy is see

You can also scan some of our recommended self-help books on depression, including


Anxious Child

Parenting, CBT, and the Anxious Child

The Wall Street Journal and New York Times feature the role of CBT in treating childhood anxiety.

The Wall Street Journal talks to CBT experts Anne Marie Albano, Eli Lebowitz, Andrea Chronis-Tuscano, and Jill Eherenreich-May about the role of parenting in maintaining and treating childhood anxiety. They discuss the role of helping parents reduce problematic behaviors related to their child's anxiety, while teaching parents to deal with their own feelings.

The full article is available here

The New York Times highlights CBT as an effective treatment for childhood anxiety. They talk to ABCT member Stephen Whiteside about his metanalysis published in JAMA comparing CBT to medication. "The most helpful form of therapy, Dr. Whiteside said, according to the evidence, is exposure-based cognitive behavioral therapy, which involves helping kids face their fears in a supportive environment."

Read the full article here

For more information on anxiety, see

for more on how CBT can help in parenting, see

to hear Anne Marie Albano explain more about childhood social phobias, hear her on YouTube

And for a list of CBT therapists, see


Fear of Rejection

Overcoming Social Anxiety

Past President of ABCT, Stefan Hofmann, describes how to tackle social anxiety: "put people in their worst-case scenario, where they are guaranteed to be repeatedly rejected... . “No one is going to fire you or divorce you or arrest you if you do these things,” Hofmann explains. He compares himself to a neurotic movie director who helps script very specific scenarios for patients, getting straight to the core of their greatest social fear. The treatment is dramatically effective: an 80% response rate.

To read more read more
For more on social anxiety, see read more
To learn more about what to expect from psychology, see read more
For a list of CBT therapists who deal with social anxiety and other concerns, see Find a CBT Therapist read more


the CBT for Depression

A Psychology Today blog featured a discussion of living with depression, including dealing with the early stages. The bottom line is that the author states that depression can often be managed with professional assistance, and he recommends CBT as one of the most effective approaches.  He also highlights his own book, which he found in ABCT's Self-Help Book Recommendations directory. For the full article, see https://www.psychologytoday.com/blog/think-act-be/201705/can-you-be-depressed-without-knowing-it-i-was.  For our Self-Help Book directory, see http://www.abct.org/SHBooks/; for more on depression, see http://www.abct.org/Information/?m=mInformation&fa=fs_DEPRESSION, and, for a directory of therapists who use CBT, see http://www.findcbt.org/xFAT/.


Photo courtesy of Pedro Ribeiro Simões, modified by Sertion.

Conquering Negative Thinking The New York Times recently ran an article discussing the origins of, and cures for, negative thinking. We are, the article postulates, "built to over learn from negative experiences... and under learn from positive ones" as an effective way of avoiding saber tooth tigers, and more recently, poisonous plants and wasp nests. Most of this, though, is now maladaptive behavior. One psychologist cautions that merely trying NOT to worry is precisely the wrong approach, saying "worry and obsessions get worse when you try to control your thoughts." Think Pink Elephants. Now, don't. They go on to suggest mindfulness and acceptance as effective techniques, and offer another piece of advice: Actively FIND the positive. To read the article, see http://www.nytimes.com/2017/01/03/well/mind/the-year-of-conquering-negative-thinking.html?rref=collection%2Fsectioncollection%2Fwell&_r=0. For more on Worry, see http://www.abct.org/Information/?m=mInformation&fa=fs_WORRY; for more on obsessions, see http://www.abct.org/Information/?m=mInformation&fa=fs_OBSESSIVE_COMPULSIVE; to find a CBT Therapist, see http://www.findcbt.org/xFAT/; and to learn more about the therapeutic experience and how you can benefit from it, see http://www.abct.org/Information/?m=mInformation&fa=fs_GUIDELINES_CHOOSING


More ZZZZs Consumer Reports, in its February issue of this year, the "Sleep Issue," covered various fixes for sleep problems. Most sleeping pills fared poorly in doing what they're prescribed to do, and come with all kinds of side effects, including auto accidents whose rates match those driving under the influence. But CBT has none of those side effects, provides more sleep time, on average, than the pills, and can even be used to wean you off those pills if you want a longer sleep and clearer morning.


Photo courtesy of Sasikiran 10

CBT on Campus

Florida's public university system is planning to add psychological resources to aid their anxious students. They'll be emphasizing CBT instead of self-medication or, worse, leaving problems unaddressed. Says one therapist, whose patients are primarily those who mirror the university population, "CBT is an effective treatment for college students with anxiety disorders, depression, insomnia, OCD, body-dysmorphic disorder, bulimia nervosa and binge-eating disorder, among other conditions." To read more, see http://folioweekly.com/The-Kids-are-NOT-All-Right,16559. To better understand anxiety, see http://www.abct.org/Information/?m=mInformation&fa=fs_ANXIETY; ; and to get a better handle on how to find a CBT Therapist, see http://www.abct.org/Information/?m=mInformation&fa=fs_GUIDELINES_CHOOSING. Need a CBT therapist, check out http://www.findcbt.org/xFAT/


photo courtesy of BjØrn Som Tegner.

Better CBT

The Wall Street Journal reported that doing therapy in the morning, taking a nap afterward or adding a medication that enhances learning are just a few of the methods scientists use to make cognitive behavioral therapy work better.

http://www.wsj.com/articles/for-better-talk-therapy-try-napping-1480352207. Thinking of therapy, see our directory of therapists at http://www.findcbt.org/xFAT/ and see how to choose your therapist at http://www.abct.org/Information/?m=mInformation&fa=fs_GUIDELINES_CHOOSING


Congratulations Dr. Craske

Professor Michelle G. Craske at UCLA is the recipient of the 2017 the Society for a Science of Clinical Psychology (SSCP) Distinguished Scientist Award. This award is made to individuals who have made an extremely important career contribution to the science of clinical psychology and represents the highest award that SSCP can give. Michelle is the immediate past-president of ABCT, a former president of SSCP, and chaired the Anxiety Disorders subgroup for DSM-5. She is an acknowledged leader in the psychopathology and treatment of the anxiety disorders and in recent years has extended her work to depression as well. She is without question one of the best and the brightest in the field and we are honored to make this presentation.


Photo courtesy of Joe Mabel.

CBT Helps Psychosis

New study finds that, When added to medication management visits, CBT interventions improve the therapeutic alliance, reduce stigma associated with psychosis, build skills to self-monitor and manage symptoms, reduce reliance on medication, and promote recovery.These interventions reinforce skills learned by patients Psychiatrists will find the extra few minutes spent with the patient to be personally enriching and professionally satisfying while improving outcomes and satisfaction for patients and their families. http://www.psychiatrictimes.com/special-reports/brief-cognitive-behavioral-therapy-interventions-psychosis.


The Portland Tribune featured an article on childhood anxiety, trying to find a way to walk the line between normal worry, you know, about school, clothes, what Suzy thinks, and anxiety that interferes with their functioning and their joy. There are some good tips here, including one on social media: "Social media has been particularly rough on children, especially when it’s being utilized negatively.... Not only is it important to monitor your child's online activities; it's also important to watch how they react to what they are doing online." to read the entire article, see: http://portlandtribune.com./pt/244-health/321707-197973-worried-about-your-childs-mood-or-behavior-. For more on anxiety, see our fact sheets on anxiety http://www.abct.org/Information/?m=mInformation&fa=fs_ANXIETY, bullying http://www.abct.org/Information/?m=mInformation&fa=fs_BULLYING and how to choose a CBT therapist http://www.findcbt.org/xFAT/.


Dealing with Social Anxiety

It's two months of parties coming up with the holidays, what with turkeys and wreaths and that ball that drops once a year. For those of us with social anxiety, that's scarier than the holiday just passed. One magazine has a number of tips from several experts in the field. And, as you'll read in the final recommendation, all the experts recommend CBT if that anxiety is getting in the way of your life: http://www.shape.com/lifestyle/mind-and-body/how-overcome-social-anxiety-without-alcohol. For more information on anxiety, social anxiety, and CBT, see http://www.abct.org/Information/?m=mInformation&fa=fs_ANXIETY, http://www.abct.org/Information/?m=mInformation&fa=fs_SHYNESS" and http://www.abct.org/Information/?m=mInformation&fa=fs_GUIDELINES_CHOOSING. Or, to find a threapist to help, see http://www.findcbt.org/xFAT/.


Photo courtesy of James Kim.

CBT reduces anxiety, panic

Targeted CBT reduces anxiety and panic. An article in the Irish Times, posits that "The first insight is that anxiety pathways in our brain can be reshaped by our mind – a process called neuroplasticity. This is best done with the harnessed use of our mind. Targeted CBT exercises can reshape our anxious mind and, in turn, the very anxiety pathways creating the problem." There's much more in http://www.irishtimes.com/life-and-style/health-family/how-can-you-deal-with-panic-attacks-and-social-anxiety-1.2817907


Addiction Interdiction

A new preventative antidrug program identifies the traits that put children and adolescents at risk for addiction. Teachers and students are taught CBT skills to cope with the underlying emotional issues related to increased risk of addiction. The New York Times article explores the traits and how they are often not the ones that seem apparent. Read more:


Photo courtesy Faisal Akram, Dhaka, Bangladesh

BT for Sleep

Behavior Therapy was shown to be a better first choice for help in reducing sleeplessness than pills. The results and details can be found in an article in Psychiatric News


Oil on canvas, "Peanut Butter, The Binges," by Maria Raquel Cochez

Binge-eating disorder can be treated with talk therapy or drugs

Reuters followed up on a meta-analysis published in the Annals of Internal Medicine, and reported that a research team led by Kimberly Brownley of the University of North Caroline at Chapel Hill conducted a meta-analysis of studies using CBT, second-generation antidepressants and the amphetamine, lisdexamfetamine (Vyvanse) for treatment of binge-eating disorder, all of which have been deemed effective. Researchers highlight the success of CBT in changing the associated thoughts and resulting behaviors of binge-eating disorders.


Classified

POSTDOCTORAL FELLOWSHIP, POST-TRAUMATIC STRESS DISORDER


CBT and Job Stress

Fox 55 in Springfield, Illinois urges its audience members who are stressed about the job search process to consider CBT. The article discusses the importance of challenging thoughts that could lead to anxiety and depression which can in turn result in maladaptive behaviors that interfere with the job search process (e.g., avoidance). Frustration/distress intolerance, global ratings of worth, and catastrophizing are cited as the primary culprits. "Talk Therapy" Helps Job Hunters. for more information on stress, see a full range of books that might help at our self-help book directory, including this one on stress, http://www.abct.org/SHBooks/?shTab=1&action=11&vBookID=236, or this on overcoming worry, http://www.abct.org/SHBooks/?shTab=1&action=11&vBookID=204, and see our fact sheet on stress: http://abct.org/docs/Members/FactSheets/ANXIETY.pdf.


Therapuetic Approaches for Insomnia

Psychiatric Times discusses a therapeutic approach that combines elements of common treatment approaches for bipolar disorder. Referred to as CBT-IB (cognitive-behavior therapy for insomnia & bipolar disorders), this approach combines elements of CBT for insomnia, social rhythm therapy, chronotherapy, and motivational interviewing. To break it down, this therapy incorporates sleep hygiene, regular sleep and wake routines, integration of therapeutic light and darkness to address circadian rhythms. The article acknowledges the limited research dedicated to this combined approach, but is still worth a read. CBT-IB: A Bipolar-Specific, All-Around Psychotherapy. For more on insomnia and how sleep is affected, see our excellent fact sheet on Circadian Rhythms: http://www.abct.org/Information/?m=mInformation&fa=fs_SLEEP_CIRCADIAN


Gerald Patterson, in Memoriam

Gerald Roy Patterson left us on August 22nd, 2016, surrounded by his family. Jerry was born in North Dakota to a family that worked on the railroad and in the iron mines; he grew up in northern Minnesota, where his love for nature developed. After receiving his doctorate from the University of Minnesota, Dr. Patterson became one of the first investigators to develop empirical measurements of family interactions and propose and test new theories and evidence-based treatments for troubled families with that data.

Dr. Patterson's many awards include a Presidential Citation and the Distinguished Scientist Award from the American Psychological Association, the Outstanding Achievement Award from the University of Minnesota, an honorary doctorate from the University of Norway, a Lifetime Achievement Award from the International Society for Research in Aggression, and a Merit award from the National Institute of Mental Health for excellence in research.

ABCT and APA past president Dr. Alan Kazdin said, "... Gerald R. Patterson's contributions to psychology include widely-cited coercion theory, early leadership in the behavior therapy movement, ground-breaking and paradigmatic research on aggression and antisocial behavior, and the development and empirical testing of parent management training."

He is the founder of the Oregon Social Learning Center in Eugene, where he continued to work until the last. He has devoted more than 40 years to the study of processes that disrupt family functioning and the development of "coercion theory," a data-based schema that explains these processes.

His books on parenting, "Families, Living with Children" and "Parents and Adolescents" have been read by millions. He has published over 200 hundred peer-reviewed articles, dozens of book chapters, and books on parenting, the outdoors, as well as poetry.

Jerry is survived by his wife, Marion Forgatch; his five children; and five grandchildren.


Three things I learned about anxiety by giving a TED talk about anxiety

Steve Hayes shares his experience, and his pain, while showing his TED talk read more

Suicide Rates Increasing

NPR features an article that highlights increasing suicide rates. Their article focuses on troubling increasing rates, especially heartbreaking among adolescent girls. It also points to the need to increase access to services for youth of all ages and socio-economic strata. And it speaks to screening for early intervention and prevention, which is not something that we do regularly, consistently, or comprehensively in the US. It speaks to the continued stigmatization of persons with mental health problems that prevent them from seeking help. And, it speak to the lack of evidence-based treatments, like CBT and DBT, being available in the community. To see the article read more

CBT for ADHD Getting More Play

The implications of treating kids with ADHD with CBT first is getting lots of play in more specialty conduits well beyond CBT's traditional reach. The topic got lots of play when Ben Carey of the New York Times highlighted a pair articles that demonstrated the utility of CBT in treating ADHD. What's fascinating is that other areas, like a site dedicated to kids with learning disorders, has picked it up: read more

The blog ends with this cutting remark: �I think this is a very important study, and the take-home is that low-cost behavioral treatment is very effective,� said Mark Stein, a professor of psychiatry and pediatrics at the University of Washington, �but the irony is that that option is seldom available to parents.�

CBT Reduces ADHD Effects...

The New York Times' Benedict Carey talks about several studies investigating CBT's effects on ADHD symptom outcomes. He writes that those students who began treatment with CBT all had better outcomes, regardless of the types of treatment used later on. Further, he found that by using CBT as a treatment approach in the beginning, treatment costs were reduced annually by an average of $700, when factoring in direct and indirect costs.
To see the article, click here read more

Get Some Sleep

CBT for Insomnia (CBT-I) has been shown to be at least as good as, and sometimes better than, medication in fighting insomnia.

Read why, and how. Then sleep on it read more

Social Phobia

Stefan Hofmann provides insights into Social Anxiety, its relative commonness, and techniques CBT therapists might use to help sufferers confront it effectively read more

For more information see read more

Depressed Millennials?

Depression rates are holding steady and suicide rates are decreasing, so why do folks think Millennials are more prone to both?

Mitch Prinstein and others join NPR in exploring this read more

Manage Fatigue

Patients with multiple sclerosis suffering from fatigue can benefit from an online CBT-based fatigue management program. Other benefits from the program include improvements in anxiety and subjective cognitive impairment.

For more on this, please see read more

Money for Clinical Research in CBT

Dr. Richard Friedman, a well-known psychiatrist in New York, recently published an Op-Ed article in the New York Times, which made a strong case for increasing federal funding for research on psychotherapeutic interventions.

Read more

Opportunity Hidden

NPR's All Things Considered had a program about how people who consider suicide also consider the means, and one means is guns.

With September as Suicide Prevention Month, maybe it's time to remove triggers to your loved ones' realized suicide.

See:    For more on suicide, see    and

CBT and Depression

The New York Times' article, covering a replication study of Paxil's effects is in stark contrast to CBT's long-term effectiveness in treating depression, its long-lasting positive effects, and its absence of negative side-effects.

To learn more about CBT and depression, see also read more

Reducing Anxiety Over the Internet

An internet-based Cognitive Behavioral Therapy (ICBT), structured to simulate face-to-face treatment, may be a suitable option for adolescents with anxiety disorders

For more information on Anxiety, see

To learn more about what questions you might ask the therapist, see

Examining Emotion in Procrastination

An article in the Wall Street Journal discusses the role of emotion in procrastination. Impulsivity and poor negative emotion tolerance may be just as important as poor time management strategies in facilitating procrastination. Exposing procrastinators to stressful feelings or thoughts is linked to decreased procrastination read more

BT Helps Insomnia

Cognitive Behavior Therapy shown to reduce insomnia symptoms and sleep disturbance in individuals with co-existing psychiatric symptoms: here read more

 

Online Therapy

Huffington Post discusses how online therapy may bring down barriers to therapy and help bring therapy to those who otherwise couldn't, or wouldn't, use it.

An online CBT program may help those clients who normally wouldn't receive treatment due to financial constraints or those with limited access to therapists: read more

CBT for Panic

What's the best way to treat panic?

CBT according to an article in the Journal of Clinical Psychiatry. The next best thing is staying in treatment.

For more, see and for more on Panic, see

Fresh Start

Many of us look at college as a new adventure, and as a way to leave the past behind, but, not surprisingly, who we are tends to follow us.

Join Anne Marie Albano as she gives us ideas for helping in smooth transitions read more

Being Black and Anxious

A recent Longest Shortest Time podcast from NPR featured a young mother discussing her anxiety in relation to her pregnancy, her young infant, and more. In addition, she worries about what she calls being the "model minority." And like all great pieces on anxiety, ABCT is listed as one of the resources. Photo from NPR read more

For more on anxiety, see read more and for those looking for a CBT therapist to help with anxiety or other issues, see read more

After The Crash

The recent Metro-North crash reminds us the trauma that passengers, family, and even onlookers, such as those waiting in their cars at the crossing, experience in the aftermath of a horrendous tragedy. For some, the trauma is now; others may experience difficulties later, suffering from the delayed symptoms common in PTSD sufferers. No, it's not confined to soldiers at war; not even confined to those hurt. For information on PTSD and Trauma, please see our Fact Sheets. For those who might want to talk to a CBT therapist, please see our Find a CBT Therapist directory.

www.nytimes.com read more

The Secret History Of Thoughts

A new NPR program, Invisibilia, explores some of how thoughts work, and how they become maladaptive. Alix and Lulu then look at how CBT and some third wave treatments approach maladaptive thinking, centering on one person's fear he was going to kill his wife.

To hear the podcast, listen read more

Healthy eating or disordered eating?

Eating healthy is great, but when the quality and composition of meals becomes a time consuming preoccupation interfering with daily functioning of causing malnutrition, we may be dealing with orthorexia, a type of eating disorder, fortunately, this disorder appear to respond well to CBT approaches that are typically used for eating disorders and obsessive compulsive disorder. Link: read more

For more information on eating disorders, see our fact sheet read more

Exposure therapy helps heal prolonged grief

Prolonged grief disorder (PGD) is a potentially disabling condition that affects approximately 10% of those who lose a loved one.

New research (link read more) shows that cognitive behavior therapy (CBT) that includes exposure therapy to promote emotional processing of memories of the death is superior to CBT alone in reducing PGD severity.

For more on bereavement and grief, see read more

What Is Your OCD IQ?

How much do you really know about obsessive-compulsive disorder (OCD)? OCD is often misconstrued or made light of in the popular media. In truth, it is a chronic condition that affects 2-3% of the U.S. population and is associated with marked functional impairment and quality of life deficits. Fortunately, treatments such as cognitive behavior therapy and certain medications have been found effective.
Look at coverage in the New York Times, [link read more], or, for more information on OCD, see read more

Internet-CBT equal to face-to-face group CBT for chronic tinnitus

Chronic tinnitus (a condition that causes ringing or buzzing in the ears) can be debilitating.

A new study [link read more] compared fact-to-face group CBT with Internet-delivered CBT and found that both groups showed equally large improvements in measures of tinnitus severity and interference relative to waitlist control.

CBT Trumps Medications for Social Anxiety Disorder

A huge meta-analysis (link read more) of 101 studies with more than 13,000 social anxiety disorder participants found that CBT had larger effect sizes than medications and other talk therapies. The authors� conclusion? CBT "should be regarded as the best intervention for initial treatment".
For more information on shyness and social anxiety, see read more

Childhood trauma could lead to adult obesity

A new meta-analysis, [link read more], including over 100,000 adults, finds that childhood abuse greatly increases the risk of developing obesity as an adult.

For more information on child abuse, see read more:

or for information on obesity, see read more

CBT for Sleep May Benefit Psychiatric Disorders

Results from a new study [link read more] show that CBT for insomnia is effective for veterans with sleep disorders.

Moreover, CBT for insomnia lead improved symptoms of comorbid psychiatric disorders as well. For more information on sleep disorders, see read more

Most People Have Unwanted Thoughts, International Study Finds

What if I hit someone with my car? What if I contracted HIV? What if I left the iron on and my house burns down? If you have ever had thoughts like this, you�re not alone. A new study [link read more] finds that these kinds of unwanted, intrusive thoughts are actually quite common, even among people who don�t have obsessive-compulsive disorder (OCD).

For more on OCD, see read more

CBT greatly reduced anxiety in grade school children

Childhood anxiety is very common and has been found to increase the risk of mental health problems in adulthood. A new study [link read more] found that CBT greatly reduced anxiety levels in schoolchildren ages nine to 10 years old. This finding is important because strategies that can effectively reduce anxiety early on have potential for decreasing the huge social and economic burden associated with anxiety disorders over the lifespan.

Learn more about childhood phobias, social anxiety, and school refusal: [link 1read more] and [link 2 read more]

CBT for conversion disorder reduces psychogenic nonepileptic seizures

Psychogenic nonepileptic seizures are a conversion disorder that affect up to 400,000 people in the US. A new clinical trial [link read more] found that CBT, with or without sertraline, led to a reduction in seizures and an improvement in comorbid symptoms, such as depression and anxiety, in patients with psychogenic nonepileptic seizures.

 

Online Psychotherapy Gains Fans and Critiques

The demand for online psychotherapy is growing rapidly. Research on the efficacy of delivering treatment online and guidelines to protect patients and therapists are racing to catch up. NRP�s morning edition covers the story.

Link read more

ADHD Medication Not Related to Suicidal Behavior

A new study [link] published in the British Journal of Medicine found that ADHD medication does not increase suicide attempts or suicide, as was previously feared.

For more on ADHD, see read more

What it scrupulosity?

ABCT member Dr. Abramowitz discusses religious OCD, or scrupulosity, with CNN [link]. Scrupulosity is a form of obsessive-compulsive disorder in which obsessions have moral or religious connotations.

For more on OCD, see

Fighting the war within

60 Minutes gets an inside look at how two specific types of CBT (prolonged exposure and cognitive processing therapy) can help veterans suffering from PTSD.

Link:
Learn more about Trauma:
Learn more about PTSD:

Kids with OCD benefit from family-based exposure therapy

A new study found that family-based exposure and response prevention (EX/RP) was effective in reducing symptoms of obsessive-compulsive disorders (OCD)and improving daily functioning in young children between the ages of five and eight with OCD. The results indicate that with appropriate parental support, even younger children can benefit from EX/RP:
see read more

Bullying

The scars of childhood bullying are still evident 40 years later
New research shows that the effects of childhood bullying are still evident nearly 40 years later. Individuals who were bullied during childhood had poorer physical and psychological health and were at an increased risk of depression, anxiety disorders, and suicidal thoughts.

Therapy Apps

Need Therapy? There's an app for that.

A quick look at the latest research from the intersection of CBT and mobile technology.

NPR on CBT:

Diabetes Help

CBT can improve physical and psychological well-being

A new study found that CBT for depression and diabetes management effectively improved blood sugar control and relieved depression symptoms in patients with poorly-controlled type 2 diabetes.

Link to press release
For more information on depression, please see

Youth Anxiety

CBT Provides Lasting Benefits to Anxious Kids and Teens
A recent study found that CBT (with and without a medication for anxiety) was an effective treatment for youth with moderate to severe anxiety disorders. Moreover, the benefits of treatment were maintained 6 months after treatment with the help of monthly booster sessions.
To read more, see ; and for more information on childhood phobias and social anxiety,
see this and this one

Body Dysmorphia

CBT Benefits Patients with Body Dysmorphic Disorder

Body Dysmorphic Disorder (BDD) is an under-recognized body-image disorder that affects an estimated 1.7 percent to 2.4 percent of the population. In an recent randomized-controlled trial, researchers found that CBT significantly improved patients' BDD symptoms and level of disability, and was associated with high levels of patient satisfaction.
To read more, see
For additional help, we have many self-help books, including this one

Help For Chronic Pain

New Study Finds Mindfulness Effective For Chronic Pain

Prescription opioid medications are a leading treatment for chronic pain, which affects nearly one-third of Americans. Misuse of prescription painkillers can lead to addiction or overdose. Now, new research published in the Journal of Consulting and Clinical Psychology shows that Mindfulness-Oriented Recovery Enhancement, or MORE, can significantly reduce pain and opioid misuse in chronic pain patients.
To read more about the study, see
to find out more about Chronic Pain, see

CBT helps cancer patients get a good night�s rest

Cancer patients often struggle with sleep problems. A new study at University of Pennsylvania Perelman School of Medicine found that mindfulness-based stress reduction and CBT for insomnia can help patients get a much-needed good night�s rest
for more information, see our fact sheet on insomnia

OCD patients show greater improvement with CBT than with medications
"OCD patients on serotonin reuptake inhibitors (SRIs) should be offered EX/RP before being offered an addition of antipsychotic medications, given the greater efficacy and safety of EX/RP. We hope that these data will impact clinical practice and help more patients with OCD achieve wellness." Lead Author, Dr. Blair Simpson

Study summary: read more
To read more about OCD see read more
To find a therapist to help you confront your OCD see read more

Seminal ADHD study is re-evaluated by its authors
ADHD, the second most prevalent diagnosis in children, has long been treated primarily through drugs, a treatment that was fueled, in part by the study, Multimodal Treatment Study of Children With A.D.H.D. Now, according to the New York Times, the study�s authors are suggesting perhaps CBT�s value was understated. Says one of the study�s authors, �I hope it didn�t do irreparable damage. The people who pay the price in the end is the kids. That�s the biggest tragedy in all of this.� To read the full Times article, see
and to read more about ADHD, see

"Cognitive-Behavioral Therapy: Proven Effectiveness"
by Robert L. Leahy, Ph.D. in Anxiety Files November 23, 2011
A debate continues to rage on the efficacy of CBT and psychoanalytic psychiatry. The most recent salvo can be found on Bob Leahy�s Psychology Today blog in which he responded to David Allen, M.D,'s blog regarding the limits of CBT. The direct link to Bob�s post is at http://www.psychologytoday.com/blog/anxiety-files/201111/cognitive-behavioral-therapy-proven-effectiveness or you may want to visit the ABCT facebook page to see a discussion of the discussion.

"The Forgotten Patients" Forbes.com September 3, 2010
Roughly 35,000 Americans commit suicide each year; another 1.1 million make attempts; while 8 million have suicidal thoughts. But Forbes Magazine details a treatment approach, DBT, developed by one of our members, Marsha Linehan, that has changed�and saved�lives. Read more ... read more

Edna Foa Long-time member Edna Foa is named TIME Magazine Time 100� for her work in treating PTSD

"Bipolar: Tips for Life" WWW.WEBMED.COM

In the second segment of Tips for Life, Bob Leahy, ABCT�s President, offers tips to help bipolar sufferers deal with the financial repercussions, giving examples of techniques and strategies that work.

"Prevent Depression in Teens With Cognitive Behavioral Therapy" US News.com June 4, 2009.

Serious depression afflicts 2 million teenagers each year and puts them at greater risk of suicide and depression throughout life. But Cognitive behavioral therapy can prevent teenagers from becoming clinically depressed, even if their parents are depressed, too.

Depression Leads to Misperceptions of Criticism from Spouses
People who are feeling depressed or who are having marital problems often complain that their spouses are critical of them. Read more ... read more

One Session Exposure Therapy May Work for Reducing Anxiety
One-Session Treatment (OST) is a form of exposure therapy for the treatment of fears and phobias. Read more ... read more

CBT plus Zoloft is "gold standard" treatment for child anxiety
In the combined treatment group, 81 percent of children were much improved by three months, compared with 60 percent in the therapy-only group, 55 percent in the sertraline-only group, and 24 percent in the placebo group. Read more ... read more

"More and More, Favored Psychotherapy Lets Bygones Be Bygones." The New York Times. February 14, 2006.

This New York Times article documents the radical shift in psychotherapeutic techniques that has taken place over the past 20 years. Traditional psychoanalysis and psychodynamic therapies have become "totally eclipsed by cognitive behavioral approaches."

"Dump the Couch! And Ditch the Zoloft: A new therapy revolution is here." Forbes. April 9, 2007.

Forbes magazine hails CBT as part of "a new therapy revolution." Read the article to learn why CBT treatment is preferred over traditional "talk therapy" and medication.

"A Change of Mind: Thanks to managed care, evidence-based medical practice, and changing ideas about behavior, Cognitive Therapy is the talking cure of the moment." The Washington Post. September 3, 2002.

The Washington Post calls CBT "the fastest growing and most rigorously studied kind of talk therapy, the subject of at least 325 clinical trials evaluating its efficacy in treating everything from depression to schizophrenia� one whose benefits can persist and enhance one's life."

"Press Release: NICE guidelines to improve the treatment and care of people with depression and anxiety." National Institute for Clinical Excellence. December 6, 2004.

The British National Health Service (NHS) now recommends CBT over medication as the first-line treatment for most types of depression and anxiety.

"Dr. Oz Goes to Obsessive-Compulsive Disorder Camp." The Oprah Winfrey Show. May 21, 2008.

Dr. Jonathan Grayson is a special guest on the Oprah Winfrey Show. Dr. Grayson, a leading OCD specialist, demonstrates the dramatic success of a CBT technique called exposure and response prevention (ERP) therapy with a group of 6 individuals attending "OCD Boot Camp."

"A Clutter Too Deep for Mere Bins and Shelves." The New York Times. January 1, 2008.

Dr. David Tolin, director of the anxiety disorders center at the Institute of Living in Hartford, is featured in a New York Times story on compulsive hoarding. The article write that "cognitive behavioral therapy may help: a recent study of hoarders showed that six months' therapy resulted in a marked decline in clutter in the patient's living space."

"Clutter and Hoarding." Voices in the Family, WHYY-National Public Radio. March 3, 2008.

At the conclusion of this radio program, Dr. Tolin compares the failures of traditional talk therapy to alleviate the "locked in" plight of compulsive hoarders to the delivery of results through in-house CBT treatment.

"Virtual reality program could help veterans cope with PTSD." The Hartford Courant. December 4, 2007.

This article describes Dr. Melissa Norberg and Dr. David Tolin use of virtual reality simulations as a supplement to CBT treatment to help Iraq War veterans recover from PTSD. According to Dr. Tolin, "cognitive behavioral therapy holds the only hope of a lasting reduction of symptoms of PTSD."

"Worried in America: Facing Fears." ABC News. April 3, 2008.

  • Dr. Robert Leahy, director of the American Institute for Cognitive Therapy, and other CBT therapists appear on this special news program. People suffering from severe, even crippling anxiety are taught how to cope with their fears in a dramatically short amount of time.
  • "The Worry Cure' Book." The Early Show, CBS News. December 6, 2005.

    Dr. Leahy shared some advice and insight from his book, "The Worry Cure: Seven Steps to Stop Worrying from Stopping You", with Early Show co-anchor Harry Smith. Dr. Leahy's book outlines CBT-based strategies to help people suffering from anxiety take back control of their lives:

    "Taking Anxiety Down a Notch." The New York Times. October 30, 2005.

    The New York Times calls Dr. Leahy's book a "lucid, practical� manual for the psyche� [which] engaging and persuasively coaxes self-tormentors to have mercy on themselves."

    "Cold Feet." Weekend Today Show, NBC.

    Watch NBC's Weekend Today Show host, Lester Holt, face down his phobia of snakes with the help of Dr. Michael Otto, exposure therapy, and a trip to the zoo.

    "Teen Faces Down Anxiety Disorder." Good Morning America, ABC News. May 20, 2006.

    This article recounts how an adolescent struggling with a lifelong panic disorder received "new hope" after beginning intensive CBT treatment at the Center for Anxiety and Related Disorders at Boston University.

    "Lotus Therapy." The New York Times. May 27, 2008.

    In this recent article, Dr. Steven Hayes discusses Acceptance and Commitment Therapy (ACT), which is a form of CBT treatment that incorporates the ancient practice of Eastern mediation to alter fundamental psychological processes.

    "Ease anxieties with a capsule?" The New England Cable Network. August 13, 2008.

    The New England Cable Network (NECN) recently reported on the preliminary success of a 4-year, federally funded study that aims to treat severe anxiety in as few as 5 sessions of CBT. The study, which is conducted by researchers at Boston University's Center for Anxiety and Related Disorders (CARD), uses talk therapy in conjunction with an experimental medication.

     

    Depression Leads to Misperceptions of Criticism from Spouses

    People who are feeling depressed or who are having marital problems often complain that their spouses are critical of them. Are these reports of excess criticism due to perceptual biases on the part of distressed spouses or are they relatively accurate reflections of genuinely hypercritical spouses? Results of this study suggest that people who are more depressed, or who are experiencing marital discord, over-perceive spousal criticism, while those who are not experiencing these difficulties under-perceive criticism. Over- versus under-perceiving of criticism was indexed relative to "actual" criticism, based on independent ratings of observed criticism and partner reports of intended criticism, during a videotaped couple interaction. Over- or under-perceiving biases accounted for a substantial proportion of perceived criticism. Interventions for depression or martial discord may benefit from not only reducing the amount of actual spousal criticism though communication training but also addressing cognitive biases toward over-perceiving comments as critical.

    Smith, D.A., & Peterson, K.M. (2008). Overperception of spousal criticism in dysphoria and marital discord. Behavior Therapy, 39, 300-312.

     

    CBT plus Zoloft is "gold standard" treatment for child anxiety

    By LINDSEY TANNER, AP Medical Writer Lindsey Tanner, Ap Medical Writer - Thu Oct 30, 2:31 pm ET

    CHICAGO - A popular antidepressant plus three months of psychotherapy dramatically helped children with anxiety disorders, the most common psychiatric illnesses in kids, the biggest study of its kind found.

    The research also offers comfort to parents worried about putting their child on powerful drugs - therapy alone did a lot of good, too.

    Combining the drug sertraline, available as a generic and under the brand name Zoloft, with therapy worked best. But each method alone also had big benefits, said Dr. John Walkup, lead author of the government-funded research. It's estimated that anxiety disorders affect as many as 20 percent of U.S. children and teens.

    In many cases, symptoms almost disappeared in children previously so anxious that they wouldn't leave home, sleep alone, or hang out with friends, said Walkup, a Johns Hopkins Hospital psychiatrist.

    "What we're saying is we've got three good treatments," he said.

    Sertraline is among antidepressants linked with suicidal thoughts and behavior in children with depression.

    In this study, only a handful of the more than 200 kids using it had suicide-related thoughts and there were no suicide attempts, Walkup said. Suicidal tendencies are more common in depression than in anxiety, he said.

    Zoloft, mostly used to treat adult depression and anxiety, is approved for treating obsessive-compulsive disorder in kids, but not anxiety. Some doctors use it for that, however. And some smaller, less rigorous studies have suggested it and other antidepressants can help.

    The new study, paid for by the National Institute of Mental Health, is the largest examining treatment of childhood anxiety disorders, said co-author Dr. John March of Duke University,

    Dr. Thomas Insel, the institute's director, said the study provides strong evidence that combined treatment is "the gold standard," but that sertraline or therapy alone can be effective.

    Dr. Sharon Hirsch, a University of Chicago psychiatrist not involved in the study, said it echoes benefits she's seen in her own young anxiety patients on both treatments. But she note that the study shows that therapy alone is also good news for parents who don't want to put their children on an antidepressant.

    The study, published online in the New England Journal of Medicine, was scheduled for presentation Thursday at an American Academy of Child and Adolescent Psychiatry meeting in Chicago.

    Several study authors reported receiving consulting fees or other compensation from drug companies, including antidepressant makers.

    The study involved 488 children aged 7 to 17 treated at six centers around the country. They were randomly assigned to one of four 12-week treatments: up to 200 milligrams daily of sertraline; 14 hour-long sessions of psychotherapy alone; both treatments together; or dummy pills.

    In the combined treatment group, 81 percent of children were much improved by three months, compared with 60 percent in the therapy-only group, 55 percent in the sertraline-only group, and 24 percent in the placebo group.

    Improvement, measured on a psychiatric scale, meant that anxiety had lessened so much that kids could do things they'd refused to do before, such as sleep in their own beds, go to school and socialize.

    There was only one serious "adverse event" considered possibly linked to treatment - worsening behavior in a child on drug treatment only.

    While many kids have occasional fears or anxiousness, those with full-fledged anxiety disorders are almost paralyzed by these feelings. Three types of disorders were studied: separation anxiety, generalized anxiety and social phobia, Walkup said.

    Affected kids may be so worried that something bad will happen to their parents that they repeatedly refuse to go to school. Or they'll be so afraid of thunderstorms that they get chronic stomachaches, even when it's not stormy. Those with social anxiety disorder may just seem shy, but they are so self-conscious that they won't seek out friends or take part in class so their grades suffer, Walkup said.

    "These kids were really miserable at the start of the study," and many ended up "really happy," March said.

    The therapy used in the study was cognitive behavior therapy, which emphasizes that thoughts can be irrational and cause troubling feelings. It encourages patients to focus on positive thinking that allows them to develop ways of confronting fearful situations.

    Read more about this story.

     

    One Session Exposure Therapy May Work for Reducing Anxiety

    One-Session Treatment (OST) is a form of exposure therapy for the treatment of fears and phobias. Through a collaboration between the patient and therapist, OST combines exposure, participant modeling, cognitive challenges, and reinforcement into a single session, maximized to three hours. Clients are gradually exposed to feared objects or situations with the therapist�s guidance and support through �behavioral experiments� which progress at a gradual pace. A number of studies on OST exist; however, little has been done to summarize this research. In this review, the empirical support for OST is reviewed with an emphasis on the types of stimuli, samples, and methodologies utilized. Research generally supports OST�s efficacy, although replication by independent examiners using adult and child samples is needed as is the use of more rigorous comparison groups. Overall, OST continues to be a promising treatment for specific phobias; however, a great deal more investigation is needed.

    Zlomke, K., & Davis, T. E. (2008). One session treatment of specific phobias: A detailed description and review of treatment efficacy. Behavior Therapy, 39, 207-223.

     

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