Intensive Cognitive Therapy for PTSD may be a promising alternative to traditional CBT

Background: Cognitive Behaviour Therapy (CBT) of anxiety disorders is usually delivered in weekly or biweekly sessions. There is evidence that intensive CBT can be effective in phobias and obsessive compulsive disorder. Studies of intensive CBT for posttraumatic stress disorder (PTSD) are lacking. Method: A feasibility study tested the acceptability and efficacy of an intensive version of Cognitive Therapy for PTSD (CT-PTSD) in 14 patients drawn from consecutive referrals. Patients received up to 18 hours of therapy over a period of 5 to 7 working days, followed by 1 session a week later and up to 3 follow-up sessions. Results: Intensive CT-PTSD was well tolerated and 85.7 % of patients no longer had PTSD at the end of treatment. Patients treated with intensive CT-PTSD achieved similar overall outcomes as a comparable group of patients treated with weekly CT-PTSD in an earlier study, but the intensive treatment improved PTSD symptoms over a shorter period of time and led to greater reductions in depression. Conclusions: The results suggest that intensive CT-PTSD is a feasible and promising alternative to weekly treatment that warrants further evaluation in randomized trials.

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Emotional Disorders and Metacognition: Innovative Cognitive Therapy. By A. Wells. (Pp. 236; £34.95.) John Wiley & Sons: Chichester. 2001.

Psychological Medicine ◽

10.1017/s0033291702225702 ◽

2002 ◽

Vol 32 (04) ◽

Author(s):

LEYLAND C. SHEPPARD

Keyword(s):

Cognitive Therapy ◽

Emotional Disorders

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Medicare Covers Cognitive Therapy

ASHA Leader ◽

10.1044/leader.bml.11072006.3 ◽

2006 ◽

Vol 11 (7) ◽

pp. 3-14

Author(s):

Mark Kander

Keyword(s):

Cognitive Therapy

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New Cognitive Therapy Code Debuts in 2018

ASHA Leader ◽

10.1044/leader.pa1.22102017.22 ◽

2017 ◽

Vol 22 (10) ◽

pp. 22-24

Author(s):

Neela Swanson

Keyword(s):

Cognitive Therapy

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Achtsamkeitsbasierte kognitive Therapie

Zeitschrift für Klinische Psychologie und Psychotherapie ◽

10.1026/1616-3443/a000280 ◽

2014 ◽

Vol 43 (4) ◽

pp. 233-240 ◽

Cited By ~ 1

Author(s):

Thomas Heidenreich ◽

Christoph Grober ◽

Johannes Michalak

Keyword(s):

Cognitive Therapy ◽

Stress Reduction ◽

Kognitive Therapie ◽

Mindfulness Based Stress Reduction ◽

Praktische Umsetzung

Unter den im Zentrum dieses Sonderhefts stehenden Neuentwicklungen nehmen achtsamkeitsbasierte Verfahren eine bedeutsame Rolle ein: Während die „Achtsamkeitsbasierte Stressreduktion” (mindfulness-based stress reduction, MBSR) bereits in der zweiten Hälfte der 1970er Jahre entwickelt wurde ( Kabat-Zinn, 1990 ), erlangte insbesondere die von Segal, Williams und Teasdale (2002) speziell für die Rückfallprävention bei rezidivierender depressiver Störung entwickelte „Achtsamkeitsbasierte Kognitive Therapie” (mindfulness-based cognitive therapy, MBCT) eine zunehmende Bedeutung im Bereich kognitiv-behavioraler Ansätze. Der vorliegende Beitrag geht zunächst auf den historischen und theoretischen Hintergrund der Achtsamkeitsbasierten Kognitiven Therapie ein. Im Anschluss daran wird die praktische Umsetzung des Gruppenkonzepts vorgestellt und der Stand der Forschung anhand aktueller Metaanalysen referiert. Der Beitrag schließt mit einer kritischen Diskussion einer allzu verkürzten Anwendung von Achtsamkeit in der klinischen Praxis.

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Perceptions of Adjunctive Mindfulness-Based Cognitive Therapy to Prevent Suicidal Behavior Among High Suicide-Risk Outpatient Participants

Crisis ◽

10.1027/0227-5910/a000519 ◽

2018 ◽

Vol 39 (6) ◽

pp. 451-460 ◽

Cited By ~ 2

Author(s):

Megan S. Chesin ◽

Beth S. Brodsky ◽

Brandon Beeler ◽

Christopher A. Benjamin-Phillips ◽

Ida Taghavi ◽

...

Keyword(s):

Cognitive Therapy ◽

Suicidal Behavior ◽

Group Treatment ◽

Suicide Risk ◽

Qualitative Data ◽

Descriptive Analysis ◽

Treatment Engagement ◽

Suicidal Thinking ◽

Prevention Interventions ◽

Risk Patients

Abstract. Background: Few investigations of patient perceptions of suicide prevention interventions exist, limiting our understanding of the processes and components of treatment that may be engaging and effective for high suicide-risk patients. Aims: Building on promising quantitative data that showed that adjunct mindfulness-based cognitive therapy to prevent suicidal behavior (MBCT-S) reduced suicidal thinking and depression among high suicide-risk patients, we subjected MBCT-S to qualitative inspection by patient participants. Method: Data were provided by 15 patients who completed MBCT-S during a focus group and/or via a survey. Qualitative data were coded using thematic analysis. Themes were summarized using descriptive analysis. Results: Most patients viewed the intervention as acceptable and feasible. Patients attributed MBCT-S treatment engagement and clinical improvement to improved emotion regulation. A minority of patients indicated that factors related to the group treatment modality were helpful. A small percentage of patients found that aspects of the treatment increased emotional distress and triggered suicidal thinking. These experiences, however, were described as fleeting and were not linked to suicidal behavior. Limitations: The sample size was small. Conclusion: Information gathered from this study may assist in refining MBCT-S and treatments to prevent suicidal behavior among high suicide-risk patients generally.

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