Abstract
Cognitive behavioral therapy (CBT) is an effective, well-studied, and widely implemented psychological intervention for most of the diagnoses encountered in community mental health settings. It is a powerful tool that is practical, is adaptable, can be offered in groups and individually, and is widely available in most healthcare settings. CBT is recovery based, emphasizes improving functional capacity over diagnostic rigidity, requires active participation by both recipient and clinician, is compatible with psychopharmacology and complementary interventions (mindfulness, exercise), and gives primary focus to individualized treatment planning and the encouragement of hopefulness and positive goals. The basis of CBT is recognizing how thoughts and beliefs impact our interactions with the world and how examining them and considering alternative explanations can lead to change. It incorporates mindfulness and behavioral challenges and practice. This chapter covers CBT for depression, bipolar disorder, anxiety and panic, insomnia, and suicide.
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References
Beck AT: A 60-year evolution of cognitive theory and therapy. Perspectives on Psychological Science 14:16-20, 2019
Beck AT, Grant P, Inverso E, et al: Recovery-Oriented Cognitive Therapy for Serious Mental Health Conditions, 1st Edition. New York, NY, The Guilford Press, 2020.
Beck AT, Rush AL, Shaw BF, et al: Cognitive Therapy of Depression. New York, NY, The Guilford Press, 1987
Beck AT, Steer RA, Brown GK: Beck Depression Inventory, 2nd Edition. San Antonio, TX, Psychological Corporation, 1996
Beck JS: Cognitive Behavior Therapy: Basics and Beyond, 2nd Edition. New York, NY, The Guilford Press, 2011
Bhaskar S, Hemavathy D, Prasad S: Prevalence of chronic insomnia in adult patients and its correlation with medical comorbidities. J Family Med Prim Care 5:780-784, 2016
Bryan CJ, Peterson AL, Rudd DM: Differential effects of brief CBT versus treatment as usual on posttreatment suicide attempts among groups of suicidal patients. Psychiatr Serv 69:703-709, 2018
Burns, DD: When Panic Attacks: The New Drug-Free Anxiety Therapy That Can Change Your Life. New York, NY, Harmony, 2007
Carpenter JK, Andrews LA, Witcraft SM, et al: Cognitive behavioral therapy for anxiety and related disorders: a meta-analysis of randomized placebo-controlled trials. Depress Anxiety 35:502-514, 2018
Chatterton ML, Stockings E, Berk M, et al 2017: Psychosocial therapies for the adjunctive treatment of bipolar disorder in adults: network meta-analysis. Br J Psychiatry 210:333-341
Chernyak Y: A practical application primer on cognitive behavioral therapy for insomnia for medical residents. MedEdPortal, 2019
Chiang KJ, Tsai JC, Dresses L, et al: Efficacy of cognitive-behavioral therapy in patients with bipolar disorder: A meta-analysis of randomized controlled trials. PLoS One 12:e0176849, 2017
Cipriani A, Furukawa TA, Salanti G, et al: Comparative efficacy and acceptability of 21 antidepressant drugs for the acute treatment of adults with major depressive disorder: a systematic review and network meta-analysis. Lancet 391:1357-1366, 2018
Cuijpers P, Noma H, Karyotaki E, et al: Effectiveness and acceptability of cognitive behavior therapy delivery formats in adults with depression: a network meta-analysis. Jama Psychiatry 76:700-707, 2019
D’Anci KE, Uhl S, Giradi G, et al: Treatments for the prevention and management of suicide: a systematic review. Ann Intern Med 171:334-342, 2019
David D, Kangas M, Schnur JB, et al: REBT depression manual; managing depression using rational emotive behavior therapy. Romania, Babes-Bolyai University, 2004
Furokawa TA, Weitz ES, et al: Initial severity of depression and efficacy of cognitive-behavioral therapy; individual-participant data meta-analysis of pill-placebo-controlled trials. Br J Psychiatry 210:190-196, 2017
GBD 2020 Diseases and Injuries Collaborators: Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet 396:1204-1222
Granholm EL, McQuaid JR, Holden JL, et al: Cognitive-Behavioral Social Skills Training for Schizophrenia: A Practical Treatment Guide. New York, NY, The Guilford Press, 2016
Hayes SC, Strosahl KD, Wilson KG: Acceptance and Commitment Therapy, 2nd Edition. New York, NY, The Guilford Press, 2016
Jones SH, Smith G, Mulligan LD, et al: Recovery-focused cognitive-behavioural therapy for recent-onset bipolar disorder: randomised controlled pilot trial. Br J Psychiatry 206:58-66, 2014
Kingdon DG, Turkington D: The Case Study Guide to Cognitive Behavior Therapy of Psychosis. Chichester, West Sussex, England. 2002.
Koffell E, Bramoweth AD, Ulmer CS: Increasing access to and utilization of cognitive behavioral therapy for insomnia (CBT-I): a narrative review. J Gen Intern Med 33:955-962, 2018
Kessler RC, van Loo HM, Wardenaar KJ, et al: Using patient self-reports to study heterogeneity of treatment effects in major depressive disorder. Epidemiology and Psychiatric Sciences. 26:22-36, 2017
Linehan MM: DBT Skills Training Manual, 2nd Edition. New York, NY, The Guilford Press, 2021
Locke AB, Kirst N, Shultz CG: Diagnosis and management of generalized anxiety disorder and panic disorder in adults. Am Fam Physician 91:617-624, 2015
Lopez-Lopez JA, Davies SR, Caldwell DM, et al: The process and delivery of CBT for depression in adults: a systematic overview and network meta-analysis. Psychological Medicine 49:1937-1947, 2019
Martinez-Ales G, Keyes KM: Fatal and non-fatal self-injury in the USA: critical review of current trends and innovations in prevention. Current Psychiatry Reports 21, 2019
Morin CM, Benca R: Chronic insomnia. Lancet 379:1129-1141, 2012
NIMH: Panic disorder: when fear overwhelms (NIMH web site). 2016. Available at: https://www.nimh.nih.gov/health/publications/panic-disorder-when-fear-overwhelms/index.shtml
Qaseem A, Kansagara D, Forceia M, et al: Management of chronic insomnia disorder in adults: a clinical practice guideline from the american college of physicians. Ann Intern Med 165:125-133, 2016
Sateia MJ: International classification of sleep disorders third edition. Contemporary Reviews in Sleep Medicine 146:1387-1394, 2014
Segal SV, Williams JMG, Teasdale JD, et al: Mindfulness-Based Cognitive Therapy for Depression, 2nd Edition. New York, NY, The Guilford Press, 2012
Stanley B, Brown GK, Brenner LA, et al: Comparison of the safety planning intervention with follow-up vs. usual care of suicidal patients treated in the emergency department JAMA Psychiatry 75:894-900, 2018
Takaesu Y, Utsumi T, Okajima I, et al: Psychosocial intervention for discontinuing benzodiazepine hypnotics in patients with chronic insomnia: A systematic review and meta-analysis. Sleep Medicine Reviews 48, 2019
Wu JQ, Appleman ER, Salazar RD, et al: Cognitive behavioral therapy for insomnia comorbid with psychiatric and medical conditions: a meta-analysis. JAMA Intern Med 175:1461-1472, 2015
Zhang A, Franklin C, Jing S, et al: The effectiveness of four empirically supported psychotherapies for primary care depression and anxiety. Journal of Affective Disorders 245:1168-1186, 2019
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Burkholder, M.P. (2022). Cognitive Behavioral Therapy. In: Sowers, W.E., McQuistion, H.L., Ranz, J.M., Feldman, J.M., Runnels, P.S. (eds) Textbook of Community Psychiatry. Springer, Cham. https://doi.org/10.1007/978-3-031-10239-4_22
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DOI: https://doi.org/10.1007/978-3-031-10239-4_22
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