Cognitive Behavioral Therapy

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Cognitive Behavioral Therapy

Research shows that CBT (Cognitive Behavioral Therapy) is the fastest and most effective for the conditions most of us deal with today – being unkind to ourselves and inviting negative, constant thinking to sabotage our happiness.

A large part of the effectiveness of CBT comes from the worksheets which are designed first very simply so you get a very good feel for the basic premise and then become more specific. The idea is to give you insights which we can then discuss, if appropriate, and use those to effect change. They are not designed to be raced through but rather to give some thought as to exactly when and in how many areas they apply to you. I urge you to daily incorporate the STOP method into your life, a small part of which I helped develop and I promise you it works.

The first thing is to catch an unhelpful thought (meaning you have to be mindful and breathing deeply enough for your brain to get enough fresh oxygen to make great decisions), then vividly imagine a red, octagonal STOP sign and shout STOP! If you are around others, I’d advise you to shout silently, but w/some emotion. That should short-circuit your problem thought for 2 to 6 seconds, so you need to immediately substitute it with an entirely different, positive thought, or even a problem such as, “Where did I leave the keys to ___?”

Why don’t you take your most troubling thought right now? When you have troubling thoughts it is often a great opportunity to practice CBT (Cognitive Behavioral Therapy). Originally introduced to treat depression it is now used for a variety of issues, such as negative thoughts, anxieties, fearful thoughts, unnecessary worry and a host of other troublesome automatic thinking patterns. The thought record is one of the fundamental tools in CBT.

The underlying principle can be summarized as “what do you believe, and why do you believe it and are you aware of the feeling/emotion in your body when you think this thought?”. A columned thought record can be used to:
•identify negative automatic thoughts (NATs)
•help clients understand the links between thoughts and emotions
•examine the evidence for and against a selected NAT – is it true, what can be done about it

In therapy clients often need assistance and practice in identifying the link between thoughts and emotions before they move on to challenging thoughts and substituting more helpful thoughts for less helpful ones. Some clients might find it helpful to practice identifying NATs using a Simple Thought Record before introducing the complexity of evidence-gathering and thought challenging. The principle stems from Socratic Reasoning (is it true, is it always true, then is it false, is it always false)

The simplest version is:
What is your core belief (negative thought)?
List 3 reasons why it is true (or why I want it):
1.
2.
3.
List 3 reasons why it might not be true (or why it would not be good for me):
1.
2.
3.
What could you do to improve or eliminate this situation:
1.
2.
3.

Our thoughts control how we feel about ourselves and the world around us. Positive thoughts lead to us feeling good and negative thoughts can put us down. Sometimes our thoughts happen so quickly that we fail to notice them, but they can still affect our mood. These are called automatic thoughts. They are often negative or at least not useful. They can even apply to ruminations about romantic partners lost or present.

Oftentimes, our automatic thoughts are negative and irrational – sometimes not but can still be intrusive and unwanted. Identifying these negative automatic thoughts and replacing them with new rational thoughts can improve our mood.

Sharon Valentino, MA, ChT, CA LMFT, Psychotherapist, Behavioral Health
Calif. Licensed Marriage and Family Therapist, MFC51746
Masters Level Registered Addiction Specialist (MRAS) & Level IV Certified Addiction Treatment Counselor (CATC IV), Masters Counseling Psychology
Addressing: Stress, Anxiety, Relationships, Depression, PTSD, Trauma, Pain, Memory Issues, Addiction, Adult Children of Alcoholics/Substance/Anger Abusers (ACA’s), Tech Execs & Engineers, Creatives & Designers – Private Online Therapy (Telemedicine) is available via HIPPA provider’s security.
Ph: 415.215.5363, e: sv@valentinotherapy.comweb: www.valentinotherapy.comehello@sobercoachandfamilysupport.comweb: www.sobercoachandfamilysupport.com
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About Valentino Therapy

Psychotherapist (California Licensed Marriage and Family Therapist), artist, animal lover, SF Giants fan...I write mostly about daily life and psychology matters, concerns and disorders and how to get help or help yourself. I write about life and often laugh at it but I also write about very serious matters that affect our lives. I'm a psychotherapist (Licensed Marriage and Family Therapist) with a speciality in addiction, anxiety, depression, achievement, relationships and several other areas, which is work I particularly enjoy but the nature of it requires that I also enjoy other creative and physical pursuits. Personal: I love animals beyond a reasonable measure (reptiles excluded).
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