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what to expect in CBT?

hey everyone,
along with taking my klonopin, i've decided to make an app. to do CBT this week. i've dont talk therapy & it did nothing for me.
what can i expect? like what does the therapist do that helps anxiety/panic.
im going on a trip in 2 months & i want to beable to make it without having a panic attack. do you think 2 months in CBT would help at least a little, and then when i get back i can continue?
2 Responses
547573 tn?1234655710
Namaste,
Cognitive-behavioral therapy does not exist as a distinct therapeutic technique. The term "cognitive-behavioral therapy (CBT)" is a very general term for a classification of therapies with similarities.  There are several approaches to cognitive-behavioral therapy,

However, most cognitive-behavioral therapies have the following characteristics:

1. CBT is based on the Cognitive Model of Emotional Response.
    Cognitive-behavioral therapy is based on the idea that our thoughts
    cause our feelings and behaviors, not external things, like people, situations,
    and events.  The benefit of this fact is that we can change the way we think to
    feel / act better even if the situation does not change.

2. CBT is Briefer and Time-Limited.
    Cognitive-behavioral therapy is considered among the most rapid in terms of
    results obtained.  The average number of sessions clients receive (across all
    types of problems and approaches to CBT) is only 16.  Other forms of
    therapy,  like psychoanalysis,can take years.  What enables CBT to be briefer
    is its highly instructive nature and the fact that it makes use of homework
    assignments.  CBT is time-limited in that we help clients understand at the
    very begining of the therapy process that there will be a point when the formal
    therapy will end.  The ending of the formal therapy is a decision made by the
    therapist and client.  Therefore, CBT is not an open-ended, never-ending
    process.

3. A sound therapeutic relationship is necessary for effective therapy, but
    not the focus.
    Some forms of therapy assume that the main reason people get better in
    therapy is because of the positive relationship between the therapist and
    client.  Cognitive-behavioral therapists believe it is important to have a good,
    trusting relationship, but that is not enough.  CBT therapists believe that the
    clients change because they learn how to think differently and they act on that
    learning.  Therefore, CBT therapists focus on teaching rational self-counseling
    skills.

4. CBT is a collaborative effort between the therapist and the client.
    Cognitive-behavioral therapists seek to learn what their clients want out of life
    (their goals) and then help their clients achieve those goals.  The therapist's
    role is to listen, teach, and encourage, while the client's roles is to express
    concerns, learn, and implement that learning.

5. CBT is based on aspects of stoic philosophy.
    Not all approaches to CBT emphasize stoicism.  Rational Emotive
    Behavior Therapy, Rational Behavior Therapy, and Rational Living
    Therapy emphasize aspects of stoicism.  Beck's Cognitive Therapy is not
    based on stoicism.    

    Cognitive-behavioral therapy does not tell people how they should feel.
    However, most people seeking therapy do not want to feel they way they have
    been feeling. The approaches that emphasize stoicism teach the benefits of
    feeling, at worst, calm when confronted with undesirable situations.  They also
    emphasize the fact that we have our undesirable situations whether we are
    upset about them or not.  If we are upset about our problems, we have two
    problems -- the problem, and our upset about it.  Most people want to have the
    fewest number of problems possible.  So when we learn how to more calmly
    accept a personal problem, not only do we feel better, but we usually put
    ourselves in a better position to make use of our intelligence, knowledge,
    energy, and resources to resolve the problem.

6. CBT uses the Socratic Method.
    Cognitive-behavioral therapists want to gain a very good understanding of
    their clients' concerns.  That's why they often ask questions.  They also
    encourage their clients to ask questions of themselves, like, "How do I
    really know that those people are laughing at me?"  "Could they be laughing
    about something else?"

7. CBT is structured and directive.
    Cognitive-behavioral therapists have a specific agenda for each session.
    Specific techniques / concepts are taught during each session.  CBT
    focuses on the client's goals.  We do not tell our clients what their goals
    "should" be, or what they "should" tolerate.  We are directive in the sense that
    we show our clients how to think and behave in ways to obtain what they
    want. Therefore, CBT therapists do not tell their clients what to do -- rather,
    they teach their clients how to do.

8. CBT is based on an educational model.
    CBT is based on the scientifically supported assumption that most emotional
    and behavioral reactions are learned.  Therefore, the goal of therapy is to
    help clients unlearn their unwanted reactions and to learn a new way of
    reacting.  

    Therefore, CBT has nothing to do with "just talking".  People can "just talk"
    with anyone.

    The educational emphasis of CBT has an additional benefit -- it leads to
    long term results.  When people understand how and why they are doing
    well, they know what to do to continue doing well.

9. CBT theory and techniques rely on the Inductive Method.
    A central aspect of Rational thinking is that it is based on fact. Often, we
    upset ourselves about things when, in fact, the situation isn't like we think it
    is.  If we knew that, we would not waste our time upsetting ourselves.

    Therefore, the inductive method encourages us to look at our thoughts as
    being hypotheses or guesses that can be questioned and tested.  If we find
    that our hypotheses are incorrect (because we have new information), then we
    can change our thinking to be in line with how the situation really is.

10. Homework is a central feature of CBT.
      If when you attempted to learn your multiplication tables you spent only one
      hour per week studying them, you might still be wondering what 5 X 5
      equals.  You very likely spent a great deal of time at home studying your
      multiplication tables, maybe with flashcards.

      The same is the case with psychotherapy.  Goal achievement (if obtained)
      could take a very long time if all a person were only to think about the
      techniques and topics taught was for one hour per week.  That's why CBT
      therapists assign reading assignments and encourage their clients to
      practice the techniques learned.

Sorry for the length of this post, but all of these factors are involved in CBT. Most importantly, however, is that you'll only get as much out of it as you put in.
As far as you fear of a panic attack during your vacation, CBT may or may not be helpful. I would talk with my doctor about a back-up plan, such as a small quantity of a fast acting benzo, like Xanax.

Michael

  










  

460185 tn?1326077772
I know very little about CBT; in fact, the post above describes it better than most google sites.

Therapy, IMHO tends to be "trendy" - different schools of thought at different points in time.  Rogerian therapy worked for me; so did bio-energetics but I don't know if they are used anymore.

Ultimately, it's the client who does the work.  The therapist is a guide. I had to feel safe and have a rapport with my therapist AND I needed long-term therapy.

Just my opinion with no offense intended to anyone.


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