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Cognitive behavioral therapy (CBT) is a type of psychotherapeutic treatment that helps patients understand the thoughts and feelings that influence behaviors. CBT is commonly used to treat a wide range of disorders, including phobias, addictions, depression, and anxiety.
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began helping patients identify and evaluate these automatic thoughts. He found that by doing so, patients were able to think more realistically. As a result, they felt better emotionally and were able to behave more functionally. When patients changed their underlying beliefs about themselves, their world and other people, therapy resulted in long-lasting change. Dr. Beck called this approach “cognitive therapy.” It has also become known as “cognitive behaviour therapy.”
His theory states that childhood experiences provided by the family and the society develop CORE SCHEMAS or systems which include beliefs and action patterns in the individual. Thus a client who was neglected by the parents as a child , develop core schemas of “ I am not wanted.” During the course of life , a critical incident occurs in her/his life. He/she is publicly ridiculed by the teacher in school. This critical incident triggers in core schema of “I am not wanted” leading to the development of negative automatic thoughts.
Negative thoughts such as “nobody loves me” , “I am ugly” , “I am stupid” , “I will not succeed” etc. are characterised by cognitive distortions. Cognitive distortions are ways of thinking which are general in nature but which distort the reality in a negative manner. These pattern of thought are called DYSFUNCTIONAL COGNITIVE STRUCTURE.
Repeated occurrence of these thoughts leads to development of feelings of anxiety and depression. The therapist uses questioning , which is gentle , non- threating disputation of client’s beliefs and thoughts. An example of such questions would be ,” Why should everyone love you?” , “ What does it mean to you to succeed?” the questions make the client think in direction opposite to that of negative automatic thoughts whereby she/he gains INSIGHT into the nature of her/his dysfunctional schemas and is able to alter her/his cognitive structure. The aim of therapy is to achieve this cognitive restructuring which in turn reduces anxiety and depression.