CBT,Can,Help,Beat,the,Blues,an health CBT Can Help Beat the Blues and Anxiety
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In the UK, there is afairly broad consensus among general practitioners that the besttreatment for non-manic mental disorders such as depression andanxiety is counselling backed up by medication when immediate reliefor improvement to such conditions is required. And, the counsellingwhich tends to be employed in the UK more often than not is cognitivebehavioural therapy (cbt) due to empirical research proving itsefficacy. Using social anxiety disorder as an example, cbt aims tochallenge though processes which provoke certain feelings or emotionswhile also using exposure therapy to change behaviours whichexacerbate underlying feelings. Counsellors find withsocial anxiety disorder that sufferers tend to have unrealisticsocial goals, for example, thoughts of needing to be perfect, such asperforming the best in a social situation, whether that is being thefunniest person or most popular. Cbt aims to strip awayand challenge such though processes enabling patients to try to selfcorrect their thinking in such situations by asking simple questions,such as is it realistic to always expect yourself to be popular witheveryone? Why is it important to be liked by everyone? Is is fair toyourself to put pressure like this upon yourself? Over time, thisrational, cognitive based approach aims to broker change by helpingthe social anxiety sufferer to have more realistic goals in socialsituations, such as' I can only be myself and some people may like meor not'. They also challenge a key aspect of social anxiety disorderthinking, which is the aspect of 'mind-reading'. Most sufferers tend tothink they may have performed badly or be unpopular based not on whatanyone has said or done but on their perceptions. These perceptionsare examples of faulty thinking, as they cannot possibly read minds. This is a key aspect ofcbt, not to get the patient to think positively but morerealistically. In addition, to realise that projected negativethoughts from others is simply a projection of their own negativethoughts about ourselves. A behavioural challengeto social anxiety sufferers is to use mirror tests or audio and videotests, as social anxiety sufferers tend to perceive themselves morenegatively when looking in the mirror or when seeing pictures ofthemselves or hearing or watching themselves think. The challenge cbt givesto social anxiety suffers is not only to exchange unrealistic socialgoals for objective verification goals, but also to challenge'catastrophic thinking'. This is when the socialanxiety sufferer overplays the consequences of perceived poorperformance in social situations. Rather than theextremes of rejection and humiliation that may results from blushing,or forgetting trains of though in presentations, nothing really thatcatastrophic happens. Again, cbt practitioners try to probe withquestions that challenge faulty thinking, such as ' when thishappened in the social situation: did you lose your job, or were youpublicly ridiculed, or did nothing really change apart from what youfelt?' This challenge tofaulty thinking will be bolstered by behavioural challenges, such asasking the patient to go into a shop, ask for something and then say, 'sorry, I've forgotten my wallet'. Typically, this is at theextreme end of what sufferers fear so by completing such a task andseeing no terrible consequences, it will help understanding thattheir fears were part of false thoughts. This illustration ofhow cbt works with social anxiety is a cursory and slight example ofhow cbt operates, but helps to demonstrate how challenging beliefsand assumptions, which form the basis of many thoughts, helps toundermine the hold of many minor mental disorders on patients.
CBT,Can,Help,Beat,the,Blues,an