Cognitive Behavioral Therapy: Mental Health Awareness Month 2022

May is mental health awareness month and in honor of that, we’re dedicating the next four episodes to different treatments for depression, a major mental health issue across the globe. We’ll cover medications – approved and unapproved – but we’re kicking things off with an evidence-based, non-pharmacological treatment: Cognitive Behavioral Therapy.

Related HCT episodes:
You Can’t Actually Starve Cancer: https://youtu.be/JBSn76YOUwg
Tick Bites Can Make you Allergic to Red Meat: https://youtu.be/-wZZEg83Mlc

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Credits:
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28 Comments

  1. I love this… Hope there will be a shout out between CBT, metacognitive-therapy, medicines and there combination, how effective they are and how bad the potential side effects are (probability and severity) .

  2. Ever since my GF and I started doing CBT together our relationship is stronger than ever. It's a little painful at first, but you learn to love the process. I'll never again be the same man I was before CBT!

  3. I believe that the therapy I had as a six-year-old dealing with grief and emotion dysregulation (most notably anger issues) was CBT. It might have helped me to be a more functional member of society and lash out less, but it very much screwed up my relationship with my own emotions. "Stop the negative thoughts and replace them with positive thoughts" became interpreted as "negative emotions are bad and shameful and I should repress them." Took over a decade to unlearn those habits and find a kinder, more self-validating approach. It's hard to say if it was taught poorly by my particular therapist, targeted poorly to a six-year-old with limited emotional intelligence, or just CBT being a flawed approach, but I'm definitely very wary of it as a result. If it works for some people, that's great, but it damaged me, and it's definitely important to be careful with any form of therapy or treatment where different people have different needs and responses.

  4. I will never not giggle at "CBT", because it means other things in other circles.

    That said, can we develop a depression treatment that involves wiring my brain to a small computer permanently that can moderate neurotransmitter levels on the fly? That'd be cool.

  5. I think this was published in a scholarly article titled "Research Summary of the Therapeutic Relationship and Psychotherapy Outcome," but it's important to remember only 15% of what makes therapy useful is the actual therapeutic technique used. 40% of what makes therapy useful is the therapeutic relationship, which is why most therapists are still talk psychodynamic and humanistic approaches.
    CBT is great because it's very easy to break down into specific prescriptions, tell a client to do, and study in a randomized controlled trial. Cognitive behavioral therapy is not THE answer to ALL of life's problems, but it is a powerful tool.

  6. Working well for my social anxiety, though I also think CBT fits my brain very well. I like processes that have steps to follow. Structure is my brain's friend.

  7. I've had CBT a couple of times, but didn't find it terribly helpful. Eventually, I did a couple of courses of person-centred counselling and they were amazing! Because in my case most of my issues were caused by me not being able to access and process my emotions, and that I was repressing the hell out of the fact I was transgender, which all festered under the surface and caused undirected feelings of anxiety and inadequacy. So when the CBT therapist asked me what negative self-beliefs or catastrophic predictions were making me anxious about meeting other people, I couldn't tell her cause I didn't have any. I just had a vague feeling of discomfort and a feeling of wrongness that got worse when I was around other people. The most specific I could get was an amorphous feeling that I would "make some terrible mistake" and that would be the end of my world. But what that mistake might be I had no idea, and how my world could be ended by some social fopar I also couldn't explain. Logically working through how unlikely such an eventuality is did nothing at all to reduce my fear of it. And the feeling that I was having to hide something about myself and that if people got to know the real me they would reject me. But again I couldn't articulate in cognitive terms what that was. Turns out my fear of getting things wrong was caused by unprocessed trauma from when I was bullied by teachers in school who didn't believe dyslexia was real and belittled me in class for making mistakes in reading and writing. And the feeling of having to hide a socially unacceptable truth about myself was obviously the fact I was trans, which I was hiding so well I was successfully hiding it from myself. Luckily I am so enormously blessed to have amazing family and friends because no one has reacted with anything other than love and acceptance to my coming out. And being able to interact with people as myself, instead of trying to pretend to be a "man" the whole time (without ever having a solid idea what being a man even meant), has meant I can interact with people soo much more naturally and effortlessly. And after learning methods of engaging with and processing painful memories and the emotions that arise from them the fears that were causing my terror of being seen to make some mistake in front of others just went away by themselves.

    It's like any treatment, you need to find the intervention that solves the underlying problem. If the problem is negative thought patterns causing difficult emotions then CBT can be great. But if the root of the problem is unprocessed emotions causing negative thoughts then you need something that can target the emotional intelligence, and not the cognitive intelligence

  8. Great episode, I'm a therapist that used to work in CBT and this is a pretty good overview of the treatment and research base in 4 minutes.
    There is also an argument that because CBT is often very manualised (i.e. a list of interventions that the therapist chooses from to work through with the client, sometimes with a loose script to follow) that it is well designed for RCTs and that's why it does so well in research, because it fits the way we do research really well which also contributes to why we have so many studies of it.
    – posting from the UK for context

  9. I saw a DBT therapist, which is a spinoff from CBT, for my depression and anxiety. I was referred to her because my primary care physician knew I absolutely hated therapy and he thought I'd like this therapist. He was right and I loved the therapy too. DBT is typically used for things like addiction or borderline personality disorder, but she very effectively helped me. Today, I highly suggest CBT to people for depression and anxiety.

  10. THIS IS PERHAPS A STUPID QUESTION.
    WHAT'S WRONG WITH A GUY WHO DOESN'T PREFER YOU LOOK AND FEEL NICE & CLEAN (NAILS & FEET UNDONE DIRTY, ASHY AND ALL)
    BUT HE WANTS YOU TO GO GET A MENTAL EVALUATION !
    OH IT'S ABOUT BUDGETING HOUSEHOLD EXPENSES RIGHT,
    WELL WHAT IF YOU'RE NOT GOING TO THE SALON REGULARLY AND YOU'RE SELF RELIANT ON YOUR OWN ABILITY TO SUCCESSFULLY PRACTICE YOUR OWN BEAUTY AND HEALTHCARE REGIMEN AT HOME !🤨 EXPLAIN PLEASE WHAT THE PROBLEM IS….. ARE WOMEN THESE DAYS JUST NOT ON THE SAME MENTAL HEALTH LEVEL AS THEIR PEERS AND MATES OR SPOUSES.
    ARE YOU DONE WITH RELATIONSHIPS,
    PLEASE BE HONEST AND PRECISE ABOUT YOUR THOUGHTS AND FEELING'S.
    THANKS.

  11. I am an avid #MentalHealthAwareness advocate and spoken word performer, and I love this so much. I travel the country trying to bring that awareness on stages, in classrooms, hospitals, and on my YouTube channel, so I get excited when I see other advocates. 💙❤

  12. CBT really highlighted to me how different depression can be for different people. I had two counselors who found that CBT was impossible to apply to my case because my depression does not come with maladaptive thought patterns. Rather, it comes with severe cognitive difficulties that cause there to be very few thoughts in general.

  13. WHAT DOES YOUR MENTAL EVALUATION SHEET SAY.
    WHEN'S THE LAST TIME YOU VISITED THE COUNSELING OFFICE.
    ARE YOU DONE DOING YOUR SPRING CLEANING, BUT EVERYTHING YOU KNEW YOU THREW OUT TURNED UP RIGHT BACK IN YOUR HOUSE.
    WHO'S DOING THAT TO YOU….. YOUR CHILDREN.
    WHY WOULD THEY ☹️
    PERHAPS YOUR HUSBAND DID IT BECAUSE HE TOLD YOU HE DIDN'T LIKE THE COLOR DEEP RED OR THE SMELL OF ROSES AND YOU KEEP BUYING THEM PUTTING THEM INTO ALL THOSE EXPENSIVE VASE THINGYS YOU BUY.
    YOUR HUSBAND DOESN'T SUPPOSE THAT YOU HEAR OR SEE VERY WELL,
    IT'S EITHER THAT OR HE HATES YOU, DOES YOUR FOOD SMELL AND TASTE THE SAME, ARE YOU DRIVEN TO HYSTERICS BECAUSE NO ONE IN YOUR HOME KNOWS EXACTLY WHAT YOU'RE TALKING ABOUT.
    WHAT DID YOU SAY YOUR PSYCH EVALUATION SHEET SAID AGAIN..
    SURELY THE DOCTOR DIDN'T FORGET TO WRITE IN THE NOTES.
    ARE YOU FEELING LIKE A FAILURE AS A WIFE AND CO-PARENT !
    MAKE IT MAKE SENSE !

  14. The research shows all therapy works fairly well. The mediating factor is best thought of as residing within the overall therapist’s skill itself, not their approach. 🙂

  15. My son has suffered autism spectrum since childhood and has battled with it all his life. But recently taking Dr Ehizogie herbs have helped him get rid of it completely, his speech is vital and his social skill is perfect. I'm so glad and happy now
    His channel is #drehizogie

  16. Mental health awareness? I'm aware that the culture I live in has usurped my hard won mental health.
    P.S. DBT is better than CBT. However it is simply no lucrative enough to train practitioners in it. There are long waiting lists. I am boycotting big pharma for medicalizing mental illness.

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