Cognitive Behavioral Therapy (CBT) is an umbrella term for modalities and techniques that share a focus on:
- thoughts and behaviors that maintain symptoms
- trying out new behaviors
- changing how we relate to our internal and external experiences (e.g., reducing judgment)
- between-session practice of skills
CBT is goal-oriented and tends to be short-term, although treatment duration is dependent on many factors such as severity of symptoms, degree of impairment, and consistency of between-session practice.
Cognitive behavioral therapy for insomnia is a structured program that helps you identify and replace thoughts and behaviors that cause or worsen sleep problems with habits that promote sound sleep. Unlike sleeping pills, CBT-I helps you overcome the underlying causes of your sleep problems. The American College of Physicians (ACP) recommends CBT-I as the first line treatment in a new evidence-based clinical practice guideline published today in Annals of Internal Medicine.
Acceptance and Commitment Therapy concentrates on increasing willingness to experience emotional pain, especially when avoidance of this pain prevents one from living a fulfilling and meaningful life. This pattern of avoidance creates suffering and leads to other long-term, negative consequences. The focus of ACT is on promoting alternative ways of relating to emotional pain while clarifying what matters to you and increasing valued behaviors.
Developed by Dr. Marsha Linehan, Dialectical Behavioral Therapy focuses on learning skills to increase emotional regulation, distress tolerance, mindfulness, and interpersonal effectiveness. It is particularly useful for individuals who experience negative emotions that are excessively prolonged, frequent, intense, and unpredictable. I do not offer a full DBT program at this time but utilize many of these skills to help clients respond to life stressors in more adaptive ways.