Psychotherapy

Article

How Mindfulness Training Works

Mindfulness training (MT) helps to counter individuals’ tendency toward rumination about the past and future.

What the Research Reveals About Mindfulness-Based Therapy

Approximately half of Americans will have a psychiatric disorder that will meet DSM-IV criteria in their lifetime, with the first onset usually occurring in childhood or adolescence (Kessler RC et al, Arch Gen Psychiatry 2005;62(6):593–603). While there have been many pharmacological and psychotherapeutic advances in treating psychiatric disorders, there remains a significant need for improvement.

Acceptance and Commitment Therapy: A Different Approach

Western thinking about mental illness, modeled after physical disease, assumes that psychological suffering is abnormal. For example, the DSM-IV uses “clinically significant distress or impairment” to draw the boundary between normal and abnormal. Psychopathology then becomes a target for therapy.

Research Update

Victimization Increases Thoughts of Suicide in Adolescents

Can exposure to victimization—specifically, being victimized by peers, witnessing family violence, experiencing community violence, sexual assault, or maltreatment by a parent or caregiver—lead to thoughts of suicide in adolescents?

The Latest Antidepressant Controversy

Two recent papers based on a large dataset from published and unpublished antidepressant trials provided by the manufacturers of fluoxetine (Prozac; 19 trials), venlafaxine (Effexor; 21 trials) and the National Institute of Mental Health (one trial) concluded that antidepressants reduce suicidality more than placebo among adult patients and do not increase suicidality among youth.

Expert QA

Cognitive Behavioral Therapy for Insomnia (CBT-I)

In our study of CBT-I, we assigned participants with chronic and primary insomnia to either CBT-I, temazepam, a combination of the two, or placebo. We found that combination therapy was more effective than either treatment alone—in our study, the percentage reduction of time awake after sleep onset was highest for the combined condition (63.5%), followed by CBT (55%), temazepam (46.5%), and placebo (16.9%).

Cognitive Behavioral Therapy: Not Just for Depression

Good cognitive therapists use a different formulation for each psychiatric disorder, and we use this formulation in conceptualizing the individual patient. This individualized approach leads to a good therapeutic relationship, setting the right goals for the right patient, planning treatment, and selecting the best interventions.

Free Article

How You Can Use Positive Psychology in Your Practice [Free Article]

he Carlat Behavioral Health Report (TCRBH), November 2012, Positive Psychology

Positive psychology is a relatively new branch of psychology that is getting more attention. The positive psychology movement has gained momentum, both within the psychology profession and in the broader culture.

Promoting Empowerment in Clinical Practice [Free Article]

Recovery and Empowerment - The Carlat Behavioral Health Report - May 2012

Empowered clients see—and believe— themselves to be capable of making decisions about their treatment, and are confident that their decisions will help them effectively manage their mental illnesses.

Cognitive Behavioral Therapy Versus Medications for Depression: How Do They Compare? [Free Article]

Cognitive Behavioral Therapy Versus Medications for Depression

Dozens of trials compare cognitive behavior therapy (CBT) to a waiting-list control group, and hundreds of trials examine how antidepressants compare to placebo. Yet not many trials directly compare CBT to antidepressant medication.

EMDR in Children and Adolescents [Free Article]

EMDR stands for “Eye Movement Desensitization and Reprocessing.”

The Psychotherapy of Bipolar Disorder and the Moment of Truth [Free Article]

If you treat patients with bipolar disorder, then you have reached what I call the moment of truth. Your patient has been doing so well, she’s not even sure she still has a psychiatric problem. This is one of the many opportunities for psychotherapy in bipolar disorder—in this case, helping your patient to come to terms with her illness.