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Cognitive Therapy

Cognitive means focusing on your thoughts and what you are thinking.

Cognitive therapy focuses on changing a person's dysfunctional and chronic negative thought patterns. It is based upon the theory that people with psychological problems like depression and anxiety have maladaptive thoughts about themselves, the world, and the future.


Furthermore, it is assumed that by becoming aware and modifying these chronic negative thought distortions, a person could improve his/her mood and behavior.


Do you tend to think the following negative thoughts, such as: "I'm no good;" "Nobody likes me;" "Things will never get better;" and "I'm worthless"? If you do this on a chronic basis, you will probably experience a depressed mood. One of the assumptions of cognitive therapy is that what you think determines what you feel.

 

Dr. David Burns offers four basic assumptions about Cognitive Therapy:

1. Individuals Construct Their Own Reality. All humans are actively involved in constructing their own realities, in which they actively select, filter, and make interpretations of incoming sensory data.

2. You Feel the Way You Think.
Your feelings are created by your thoughts and not the actual event or situation. In other words, all of your experiences are interpreted by your brain and given a conscious meaning before you have an emotional response.

3. Most Negative Feelings Come From Negative, Distorted Thoughts.
Negative emotions such as depression, anxiety, guilt, shame, and hopelessness are triggered by one or more negative and distorted thoughts.

4. You Can Change the Way You Feel.
You can learn to be aware of your distorted thinking patterns, and learn to change them to more realistic and rational thoughts. As you make these thoughts modifications, you will change your mood and feelings.


Dr. David Burns points out that there are ten basic thought distortions that lead to depression and anxiety.

Cognitive therapy helps people to be aware of how their negative thoughts include one or more of the following thought distortions:

10 Basic Thought Distortions

1.  All-or-nothing thinking: You look at things in absolute, black-and-white categories.

2.  Overgeneralization: You view a negative event as a never-ending pattern of defeat.

3.  Mental Filter: You focus only on the negatives.

4.  Discounting the Positives: You insist that your accomplishments or positive qualities "don't count."

5.  Jumping to conclusions:

- Mind Reading: You assume that people are reacting negatively to you when there's no definite evidence for this.

- Fortune-Telling: You arbitrarily predict that things will turn out badly.

6.  Magnification or minimization: You blow things way up out of proportion or you shrink their importance inappropriately.

7.  Emotional reasoning: You reason from how you feel: "I feel like an idiot, so I really must be one." Or "I don't feel like doing this, so I'll put it off."

8.  "Should" statements: You criticize yourself or other people with "shoulds" or "shouldn'ts." "Musts," "oughts," and "have tos" are similar offenders.

9.  Labeling: You identify with your shortcomings. Instead of saying "I made a mistake," you tell yourself, "I'm a jerk," or "a fool," or "a loser."

10. Personalization and blame: You blame yourself for something you weren't entirely responsible for, or blame other people and overlook ways that your own attitudes and behavior might contribute to a problem.

Reference: Feeling Good: The New Mood Therapy, Dr. David D. Burns.  (See the book: Feeling Good)

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