How does Cognitive Behavioral Therapy (CBT) Help?
The initial phase of CBT involves a thorough assessment of the thoughts, actions, and circumstances that influence the amount of stress that you experience. Based on our life history, we tend to interpret events and respond to them in characteristic ways. Typically, for people under stress, such interpretations involve a perception of danger or threat combined with a challenge to our ability to cope with the situation.
Based on the assessment, the therapist helps the patient develop a strategic plan to help better manage his/her stress. Such a plan will involve approaches to modify stress-producing thoughts and improve coping capabilities. Suppose someone who suffers from perfectionism (“I’m not good enough”) and spends evenings watching T.V. He or she could benefit from (1) therapeutic interventions to reduce the unrealistic expectations, (2) instruction in relaxation exercises, and (3) integration of an exercise regimen. Imagine another person who catastrophizes job set-backs (“I’m going to be fired!”) and engages in emotional eating. He or she could benefit from (1) exercises to challenge the automatic thoughts (e.g., examining the evidence for/against being fired to something) and (2) instructions in diaphragmatic breathing and mindful eating at meal times. As you can see, plans for stress management work best when they’re tailored to a person’s particular needs, issues, and resources. During treatment, the therapist and patient consistently evaluate the effectiveness of these different interventions and make adjustments as necessary.
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If you’re interested in learning more about stress management or meeting with a psychologist to discuss CBT options, please contact us at 212-308-2440.
Recommended Readings:
Anxiety Free: Unravel Your Fears Before They Unravel You by Robert L. LeahyThe Worry Cure: Seven Steps to Stop Worry from Stopping You by Robert L. Leahy
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Clinicians may find the following books on cognitive behavioral therapy to be helpful in treating anxiety:
Leahy, R. L., Holland, S. J., & McGinn, L. K. – Treatment Plans and Interventions for Depression and Anxiety Disorders (2nd ed.)Leahy, R. L. – Cognitive Therapy TechniquesSookman, D. and Leahy, R. L. – Treatment Resistant Anxiety Disorders: Resolving Impasses to Symptom Remission
Sample Chapters from Guilford Press
- Principles and Practice of Stress Management: Third Edition Edited by Paul M. Lehrer, Robert L. Woolfolk, and Wesley E. Sime
- Stress, Coping, and Development, Second Edition: An Integrative Perspective by Carolyn M. Aldwin
This excerpt is posted with permission of Guilford Publications, Inc. and is subject to copyright law and restricted from further use. No part of this excerpt may be reproduced, stored in a retrieval system or transmitted in any form or by any means (electronic, photocopying, recording or otherwise) without prior written permission of the publisher. To obtain permission please contact Guilford Publications, Inc. at the address below or e-mail: [email protected] This book may be ordered directly from Guilford Publishing at http://www.Guilford.com
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