Cognitive therapies for phobias


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CBT - set goals and then try to achieve them.
Aim: To help client identify their negative, irrational thoughts and replace them
with positive, rational ways of thinking
Negative + irrational thoughts = depression
Positive + rational thoughts = happy person STRENGTHS:
It's well structured, clear goals and measurable outcomes. It's popularly used
THERAPY (AO1):: by psychologists in the NHS because it's short term and cheap.
Includes both cognitive and behavioural with homework in between sessions
Not too threatening to use, empowers client by educating themselves into
Use different techniques to bring about changes for client. self-help strategies.
Barlow and Lehman found CBT to be more effective for generalised anxiety
disorder and social phobia.
Thorpe and Salkeviskis reported significant improvements in patients with
spider phobias after one session of CBT compared to no therapy. It has shown
helpful with people with social phobia and agoraphobia
Huppert et al - experienced therapists achieve better outcome measures with
clients with anxiety disorders than less experienced colleagues, even though
they have been fully trained.
CBT encourages people to be independent but patients become dependent
on the therapist.
Won't address the underlying cause
Works well when combined with exposure training and social skills training.

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Burke at al wanted to test whether CBT would work well with behavioural
techniques (SD). CBT doesn't assess the effectiveness of SD in the treatment
of agoraphobia.
Helps people to review their irrational beliefs and expectations and develop
more rational strategies for coping with anxiety
Based on the idea that a sudden distracting stimulus e.g. a loud noise will
interrupt unhelpful obsessional thoughts.
Doing this mentally to themselves as a way of guarding intrusive thoughts.…read more


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