{"id":298,"date":"2021-03-22T17:03:42","date_gmt":"2021-03-22T17:03:42","guid":{"rendered":"https:\/\/courses.lumenlearning.com\/suny-hvcc-healthpsychology\/?post_type=chapter&p=298"},"modified":"2021-03-22T17:03:43","modified_gmt":"2021-03-22T17:03:43","slug":"cognitive-behavioral-therapy-cbt","status":"publish","type":"chapter","link":"https:\/\/courses.lumenlearning.com\/suny-hvcc-healthpsychology\/chapter\/cognitive-behavioral-therapy-cbt\/","title":{"raw":"Cognitive Behavioral Therapy (CBT)\u00a0","rendered":"Cognitive Behavioral Therapy (CBT)\u00a0"},"content":{"raw":"

<\/h2>
\"Brain<\/a>
<\/div><\/div><\/div><\/div>Cognitive Behavioral Therapy<\/a> (CBT) is a method that can help manage problems by changing the way patients would think and behave. It is not designed to remove any problems but help manage them in a positive manner [14]<\/a><\/sup> [15]<\/a><\/sup>. According to Monticone et al., (2013), CBT is classified as a psychological management to be used in the case of chronic pain. This is usually done in conjunction with other physical modalities and exercise forms.[16]<\/a><\/sup> The purpose of CBT is to incorporate behavioral and cognitive elements that occurs in the pain experience by the patient.[17]<\/a><\/sup> This therapy concerns for the individuals' social functioning, quality of life and overall physical function. [17]<\/a><\/sup> It utilize many principles to assist the patient to redefine the concept of pain, and allow room to shift the perception of negative and threatening thoughts into something understandable. Therapists will work from this established personal aims and goals to lay out possible realistic treatments plan to assist the patient in achieving their goals and overcoming the cognitive and behavioral problems that they may experience in the process.[18]<\/a><\/sup>\n\nCBT is created to make changes to how an individual think, it challenge pain related beliefs and therefore influencing the patient's perception. The therapy process is broken down into parts (for example: behavioral changes implementations and cognitive reconditioning). [17]<\/a><\/sup>\n\n

The Six Phases of CBT<\/span><\/h2>There are six phases involved in CBT: 1. Assessment (assess patient's information through self-reported questions and observations), 2.Reconceptualisation (patient will require to keep a self-report diary with the intention to assist patients with questions regarding to negative and\/or manipulative thoughts) , 3. Skills acquisition and consolidation (the therapist will use cognitive and behavioral techniques to educate patient to deal with challenged that affect their day to day lives, this may include, problem solving and relaxation skills), 4. Skills consolidation and application (where patients are given tasks to assist them to reinforce the skills they have been taught to handle their thoughts), 5. Generalization and maintenance (where review of patient's tasks and skill practice will be given, they will be given evaluation of their progress in order to successfully enhance their coping skills) and 6. Post-treatment and follow up (the therapist will review the patients progression in entirety and how well the patient can apply the CBT in their day to day living activities).[19]<\/a><\/sup>\n\nBehavior therapy (BT) was developed in the 1950\u2019s independently in three countries: South Africa, USA and England [20]<\/a><\/sup>. It was further developed to Cognitive Therapy (CT) in the 1970\u2019s by Dr Aaron Beck with its main application on people with depression, anxiety and eating disorders [14]<\/a><\/sup> [21]<\/a><\/sup>. However, the main evidence today focuses on CBT, after the merging of BT and CT in the late 80\u2019s [22]<\/a><\/sup>.\n\n
\"Fig.2<\/a><\/div><\/div>

Fig.2 - Breakdown of CBT theory\n\n

\"CBT<\/a><\/div><\/div>

Fig.3 - Factors involved within the Cognitive Behavioral Therapy Model\n\nAaron Beck and Christine Padesky first recognized this CBT model in the 1970s [23]<\/a><\/sup>.\n\nHow it is used:\n\n