Cognitive Behavioral Therapy for Insomnia
Cognitive behavioral therapy, unlike psychodynamic therapies, which focus on the unconscious thoughts and emphasize catharsis, set out to change behaviors and thoughts, rather than give the patient the opportunity to simply unload their feelings. It is oriented toward the present, we investigate the current operation and no further explorations of the past, though of course it is a history and is emphasized in the current dysfunctional patterns of thinking and behavior, although lately some cognitive therapists, the emphasis of CBT is rank in the “What I have to do to change” in the “Why”. Many times, specifically to explore and learn what are the reasons for what happens to us is not enough to provide a solution and not enough to make a difference. It is used short-term therapies. An emphasis on quantification, and one can measure the progress made since the first session were given questionnaires and forms in which assesses specific symptoms, their frequency, duration, intensity and characteristics. This measurement is repeated periodically until the final session, to get an idea of the changes obtained. The therapist-patient relationship is collaborative and educational approach. Patient and therapist are committed to working toward a common goal. Patients can make suggestions and participate in the design of homework. In many cases, use of bibliotherapy, which involves the therapist recommends or provide books, pamphlets or notes about the problem for the patient to report what happens. It tends to promote patient independence. Since this type of therapy aims to achieve an independent operation, it is emphasized learning, behavior modification, self-help tasks and skills training intersession. Furthermore, it reinforces the independent behavior. It focuses on the symptoms and their resolution. The goal of therapy is to increase or decrease specific behaviors, such as certain feelings, thoughts or dysfunctional interactions. The place to promote, define specific objectives to achieve and in this way is much easier to evaluate or modify specific symptoms and know clearly what you want to get from or where points of therapy. Rejects the principle of substitution of symptoms. The false idea of replacement was issued by the psychodynamic school, which sees a symptom, which sees a symptom as an economical solution, the only way out of an underlying neurotic process will emerge that deleting others, and is challenged by this methodology. The goal of CBT is to eliminate, or at least reduce the symptoms, and argues that if they disappear, for instance, for example, symptoms of panic, immediately there will also be an improvement in other areas, without other symptoms that replacement. Emphasizes the change. Patient is asked to practice new behaviors and cognitions in the sessions, and generalize out as part of the task. Challenges the position of the patient, their behaviors and beliefs. Actively confronting it with the idea that there are alternatives to their thoughts and habitual patterns of conduct, promotes the self-questioning. It focuses on solving problems. At the beginning of each session the therapist inquires about the problems that the patient focused its work and what needs to resolve at that time. At the conclusion of the session, asks if she has made some progress in this regard. Use treatment plans. Generally, the therapy uses specific treatment plans for each problem, using a format not “unique” to the various consultations. It proposes a thematic continuity between sessions. Each session will review the tasks set for the week before, we study what the problem is current and planned activities for the following week. He demystifies therapy. The treatment plan and the therapeutic process removed the “veil of mystery that covers almost all the psychotherapies, by allowing the patient free access to theoretical or methodological information through bibliotherapy. It has an empirical basis and works with the active participation of the patient. The cognitive-behavioral theory has been widely tested for its effectiveness in treating a variety of disorders. That is more than just saying it works, is proven to work