A highlight from The Antidepressant Calendar: How to Just Do It

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Toward depression. He knew that cognitive behavioral therapy. Cbt was very effective for depression but he wondered if all the effort spent on changing cognition was really necessary after all the couples had seen had made significant gains when they accepted their differences and move toward more positive actions with each other through behavioral approach. What if people with depression accepted all the noise in their head the automatic negative thoughts and move toward more meaningful action in their lives instead of weighing all the evidence to figure out how likely it is that they were unlovable therapist. Get in touch with how they were living day to day get them out of their heads into their lives doing things that were in line with their goals values or at least might bring a chance of pleasure to answer this question. The great marital therapist would have to initiate a divorce separating the cognitive part of cbt from the behavioral side in what is called dismantling study. He and his colleagues randomly assigned one hundred fifty patients with major depression to one of three therapies. I was pure cognitive therapy here. The focus was on challenging negative thoughts and the core beliefs. That are behind those thoughts. Second was behavioral therapy with a touch of cognitive work in this therapy. They focused on getting the patient active with behavioral activation. But the therapist also were to change the patients. Negative thoughts a little without working on the core beliefs behind those thoughts and the third therapy was the new one. Pure behavioral therapy using. What's come to be known as behavioral activation here. The focus is on what the patient is doing every hour of the day. Are they it to avoid painful emotions or doing it to create something positive in their lives. After six months there was detectable difference in the three therapies. All worked equally well at treating depression and it changing depressive cognition the study which was published in nineteen ninety. Six became a classic in psychology. It launched a new way of thinking about therapy. Sometimes code contextual psychology. Oh third wife behavior therapy along with like minded a purchase like mindfulness dialectical behavior therapy and acceptance and commitment therapy all of these share in common. The idea that people don't need to change their beliefs thoughts to improve the mental health. They can accept all that stuff and focus on how their action shape their lives on the other hand. You could argue. If all of these therapies worked equally well why not stick with cvt. Why rock the boat. Doctor jacobson believed that behavioral activation was simpler. It was easier for therapists to learn and easier for patients to do. And we agree if you're working with medications and short visits you'll get a lot more mileage out of these behavioral steps than you will try to challenge automatic thoughts. The behavioral approach also makes sense for patients with severe depression who might have cognitive impairments that make it harder for them to engage in traditional. Cbt that might explain why behavior activation were better than cognitive therapy in a two thousand six trial of severe depression. If you'd like to learn this therapy a good introduction is behavioral activation jonathan canter in the cb distinctive feature series. He gives a down to earth explanation of the philosophy behind the therapy which is basically everything. We do is behavior out actions but also thought emotions that might sound odd that emotions behaviors. I mean we choose our actions but we don't choose emotions and we don't have much control over. I thought well. I've got news for you. There's no proof that any of this is willful behavior therapists interested in what happens and what reinforces it in other words. What makes it habitual when a police officer pulls up behind you you start driving more carefully and you start to feel a little anxious because it reminds you of the times that the red lights flashed and you gotta take it both your actions behind the wheel and the inside. Your chest are reinforced by the same thing. Amd behavior therapists were to figure out. What's reinforcing. That clients behaviors so they can help them change.

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