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In the 1960s, Aaron Beck developed cognitive behavior therapy (CBT) or cognitive therapy. Since then, it has been extensively researched and found to be effective in a large number of outcome studies for psychiatric disorders including depression, anxiety disorders, eating disorders, substance abuse, and personality disorders. It also has been demonstrated to be effective as an adjunctive treatment to medication for serious mental disorders such as bipolar disorder and schizophrenia. CBT has been adapted and studied for children, adolescents, adults, couples, and families. This activity reviews the efficacy of CBT in both psychiatric and non-psychiatric disorders and the role of the interprofessional team in using it to improve patient outcomes. Objectives: Identify the key concepts of cognitive-behavioral therapy. Describe the indications for cognitive behavioral therapy. Outline the structure of cognitive behavioral therapy sessions. Review the clinical significance of cognitive-behavioral therapy and its efficacy in treating common psychiatric illnesses. Access free multiple choice questions on this topic.
In the 1960s, Aaron Beck developed cognitive behavior therapy (CBT) or cognitive therapy. Since then, it has been extensively researched and found to be effective in a large number of outcome studies for some psychiatric disorders, including depression, anxiety disorders, eating disorders, substance abuse, and personality disorders. It also has been demonstrated to be effective as an adjunctive treatment to medication for serious mental disorders such as bipolar disorder and schizophrenia. CBT has been adapted and studied for children, adolescents, adults, couples, and families. Its efficacy also has been established in the treatment of non-psychiatric disorders such as irritable bowel syndrome, chronic fatigue syndrome, fibromyalgia, insomnia, migraines, and other chronic pain conditions.[1][2][3]
CBT is a valid and proven form of psychological therapy for a range of mental health disorders. It is important for physicians and nurses to understand that CBT is often used in conjunction with pharmacological therapy to achieve the best outcomes. Moreover, CBT has been shown to provide additional benefits or similar outcomes compared to medication alone. Patients with psychiatric disorders should be referred to a mental health nurse who can educate the patient on treatment options. Primary care physicians are encouraged to develop collaborative relationships with behavior therapists and introduce and monitor the progress of cognitive-behavioral therapy. An interprofessional team approach will result in the best outcomes.[16][17][15]