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CBT - cognitive behavior therapy

Welcome to a psychotherapy practice specialized in cognitive behavior therapy (CBT) with a licensed psychotherapist in Stockholm city. Services that are offered include psychotherapy, supervision, consultation and lectures. CBT is based upon a wide range of scientifically supported cognitive and behavioral analyses, theories and treatment methods. Each clients problem is mapped out with cognitive and behavioral analysis methods. The psychotherapy is then guided by cognitive and behavioral theories and treatments that are based upon the initial analysis. The application of scientifically validated psychotherapy methods for each clients unique problem means that the concrete changes the client desires often have a high probability of being reached. The following examples are areas of problems that can be treated:

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


What is the basis of CBT?

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.


CBT analysis

As a first step it is important to conduct a thorough CBT analysis. The purpose is to carefully map out the interplay between thoughts, feelings, behaviors and the environment that causes suffering and impairment in everyday life. Then a suitable treatment is chosen. On the basis of the CBT-analysis it is decided which factors maintain the psychological suffering in the present situation. Firstly, negative thoughts and thought patterns often contribute to the maintenance of psychological suffering. The identification and cognitive processing of negative thoughts and thought patterns can enhance the psychological well-being and provide a coping method for future difficult situations. Sometimes a lack of emotional processing is the factor that maintains psychological suffering. Emotional processing often means that a client learns with the help of individually adapted methods  how to emotionally "digest" the experiences that prevents oneself from living a full life. Another factor that maintains psychological suffering are various behaviors. For example, avoidance behaviors of various sorts. Sometimes these behaviors are called avoidances, and sometimes safety behaviors. There are also other problematic behaviors that may pose an obstacle to an enhanced quality of life. Sometimes these behaviors are due to poor social skills that need to be enhanced.



The practice

Psychotherapy
Psychotherapy based upon cognitive behavior therapy (CBT) for various forms of psychological problems and disorders.

Consultation
This may include consultation about psychological problems for which advice or help is needed in order to be handled. Sometimes a person seeks only knowledge or information about some problem that one wants to handle oneself, and not formal psychotherapy.

Supervision
For example, treatment supervision, development of interventions, evaluations, staff support.

Lectures
First and foremost within areas related to cognitive behavior therapy. Such as treatment models, theories etc.


© Cognitive behavior therapy (CBT) specialist in Stockholm, 2005-2008, www.kbterapi.se