Chiesa and Serretti (2011) reviewed the evidence of a more contemporary approach to Cognitive Therapy and found it was superior or at least as effective as drug-based therapies for treating depression, some anxiety disorders, and bipolar disorder. Cognitive-Behavioral Therapy more generally has had similar support from research, with the literature suggesting it is effective for treating a wide variety of psychological conditions. For example, Butler, Chapman, Forman, and Beck (2006) reviewed 16 meta-analysis studies and concluded that CBT was superior to antidepressants in the treatment of clinical depression and showed promising effectiveness for bulimia, obsessive-compulsive disorder, and even schizophrenia.
Behavioral therapy has its origins in American “behaviorism.” This theory assumes that human behavior is learned and can therefore be unlearned or learned anew. Behavioral therapy aims to find out whether certain behavioral patterns make your life difficult or intensify your problems. In the second step, you work on changing these behavioral habits. For example, people who have developed depressive thoughts often tend to withdraw and give up their hobbies. As a result, they feel even more unhappy and isolated. Cognitive therapy helps to identify this mechanism and find ways to become more active again.
Similarly, while the highly structured or client-empowering nature of Cognitive Therapy may be beneficial for some, it may not suit others, especially clients who have trouble managing responsibility or engaging with a program, or therapists who prefer to work within a looser theoretical framework. More specifically, this may be the case when the client has either a serious clinical issue that requires a more intense intervention or is dealing with complex trauma that defies a direct proximal link with superficial, automatic thought patterns. Cognitive Therapy, like CBT, is an empowering technique that places the client at the center of the therapeutic process, while also providing a highly structured framework where the therapeutic targets are clearly identified and tackled directly.
Furthermore, the emphasis of Cognitive Therapy is on helping the client help themselves, allowing a gradual and natural conclusion of the therapeutic process as the client becomes more independent and avoiding the need for the therapist to be more strongly prescriptive. However, as suggested by the techniques used in Cognitive Therapy, it can be a long process that requires a lot of discipline and practice from the client and therapist as they work to hone the necessary therapeutic skills. This may not be suited to the needs or preferences of the client or therapist.
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