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Worries, ruminations,
difficulty controlling worries ▪ Anxiety, panic attacks, fear of various situations ▪ Compulsive thoughts and compulsive behaviors ▪ Traumatic re-experiences and numbness of emotions ▪ Shyness, anxiety in social situations, social phobia ▪ Sadness, meaninglessness, hopelessness, depression ▪ Avoidance of negative thoughts, feelings and impulses ▪ Low self-confidence and self-esteem ▪ Lack of trust in oneself and other people ▪ Dissatisfaction with oneself, other people and the future ▪ Difficulties handling negative thoughts of oneself and others ▪ Relationship difficulties and problems with sex and intimacy ▪ Conflicts with other people, difficulties with asserting oneself ▪ Stress, burnout, exhaustion depression ▪ Crisis and grief processing ▪ See also problem areas |
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The most important initial basis of cognitive
behavior therapy is its focus on the problem that the client seeks help
for. This is the starting point of the analysis. The psychotherapist is
however not restricted to focus only on these issues which means that an
independent analysis is conducted. The departing point of view is to
first conduct a CBT analysis that results in conclusions about which
areas are the most important ones to focus on. It is very important that
both the client and the therapist agrees upon the primary focus of the
cognitive behavior therapy. Then the psychotherapist presents and
discuss with the client the theories and treatment methods for the
specific problems that have been identified in the initial analysis. It
is important that the therapist helps to explain everything that is
being presented and to discuss this with the client. To reap the
greatest benefit from the therapy it is advantageous that
the client cooperates in several ways with the therapist. Firstly, to be
active and goal-oriented during the sessions. Secondly, to conduct
homework based upon the content of the sessions in order to reinforce
the efficacy of the therapy. This is not an absolute demand. A client
can benefit from CBT without being active between the sessions. However,
in such circumstances one cannot ordinarily expect that the therapy will
be as effective as if one is active between the sessions. Expected or
unexpected obstacles can appear during the implementation of CBT
methods. If unexpected obstacles are encountered it may be important to
conduct a new CBT analysis to see if it is justified to change the goals
of the cognitive behavior therapy. If a change in goals of the
psychotherapy is deemed necessary it is important that the client agrees
upon this. Sometimes it occurs that clients don't reveal all of their
problems. In some cases clients don't reveal all about their most
important problems. This may for example be due to that one is ashamed
of talking about ones problems or that one is afraid to be judged by the
therapist. Whatever the case may be it is always possible to change the
focus of the cognitive behavior therapy if the client reveals new
information that seems therapeutically very relevant.