scholarly journals Suicidal behavior: theoretic model and practical implications in cognitive-behavioral therapy

2016 ◽  
Vol 24 (3) ◽  
pp. 144-163 ◽  
Author(s):  
A.B. Kholmogorova
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Suicide Prevention ◽  
Suicidal Behavior ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Theoretic Model ◽  
History Of Development ◽  
Psychosocial Model ◽  
History Of ◽  
Further Development

The article presents the data on suicide incidence in Russian Federation. The author discusses the necessity of developing prevention programs and carrying out complex team-based specialist work to ensure safe environment at schools. It is noted that prevention and postvention methods should be scientifically grounded. History of development of a special psychotherapeutic cognitive-behavioral protocol for suicide prevention and postvention is presented. The author examines the problem of diathesis (predisposition) to suicidal behavior and formulates the main principles of cognitive-behavioral psychotherapy of patients predisposed to suicidal behavior. Key stages of cognitive-behavioral therapy of suicidal behavior, techniques and approaches to working with such clients are described. Various targets that should be taken into account during crisis interventions are discussed. The article presents empirical research data of the effectiveness of cognitive psychotherapy of suicidal behavior and the results of the empirical study of factors of suicidal behavior in students based on multi-factor psychosocial model of affective spectrum disorders. It is emphasized that individual psychotherapy should be combined with other methods of suicide prevention and postvention. Perspectives of further development of methods of working with suicidal behavior are outlined.

Epilepsy Specialist Nurse, 10 years’ experience, UK

2020 ◽  
pp. 162-164
Author(s):  
Markus Reuber ◽  
Gregg H. Rawlings ◽  
Steven C. Schachter
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Functional Disorder ◽  
Specialist Nurse ◽  
Diagnostic Certainty ◽  
False Sense ◽  
History Of ◽  
The Right ◽  
Dissociative Seizures

This chapter discusses the experience of an Epilepsy Nurse with a patient with Dissociative Seizures. The patient had been brought up in social care and had a history of abuse of all kinds. She developed seizures as a teenager, which presented as blank spells and periods of “being absent.” She was then referred to a Neurologist, who diagnosed her with a Functional Disorder. The Neurologist told her this was due to anxiety, and there was no need for further investigation. The chapter then highlights the importance of keeping such individuals within the epilepsy services until they have been given access to the right pathway, or have at least engaged with appropriate services such as Cognitive Behavioral Therapy (CBT). Although the authority of an epilepsy clinic can lead to a false sense of diagnostic certainty, it does protect patients within a service that knows their story. Later, the Epilepsy Nurse met the patient once again when he had been admitted after he had experienced five seizures at work. The Epilepsy Nurse hoped that the previous course of CBT had provided a quick fix and helped her to recover from a debilitating condition. What had happened, however, was the transference of her own symptoms to her partner.

Cognitive-Behavioral Therapy for Eating Disorders

2017 ◽  
Author(s):  
G. Terence Wilson
Keyword(s):  
Eating Disorders ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Cost Effective ◽  
Cognitive Behavioral ◽  
Dissemination And Implementation ◽  
Research Priority ◽  
Self Help ◽  
Effective Dissemination ◽  
Further Development

This chapter discusses cognitive-behavioral therapy (CBT) as applicable to all eating disorders in adults and adolescents. It reviews the most recent manual-based enhanced CBT (CBT-E), which not only appears to be more effective than the previous protocol but also is applicable to all eating disorders and enhances individualizing treatment even within specific diagnoses. The chapter considers the effectiveness of CBT compared to behavior weight loss treatment, pharmacotherapy, and interpersonal psychotherapy (IPT). It considers patient access to evidence-based CBT and discusses effective dissemination and implementation of competently administered CBT-E as a research priority. It describes and considers the effectiveness of a guided self-help form of CBT (CBTgsh), which provides a brief, cost-effective, acceptable, and scalable intervention. It describes possible further development of CBTgsh as a scalable e-therapy (using Internet and mobile devices) given that it is a program-based intervention that can be widely implemented by nonspecialists.

scholarly journals Digital cognitive behavioral therapy for insomnia promotes later health resilience during the coronavirus disease 19 (COVID-19) pandemic

SLEEP ◽  
2020 ◽  
Author(s):  
Philip Cheng ◽  
Melynda D Casement ◽  
David A Kalmbach ◽  
Andrea Cuamatzi Castelan ◽  
Christopher L Drake
Keyword(s):  
Global Health ◽  
Cognitive Behavioral Therapy ◽  
Life Events ◽  
Stressful Life Events ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Stressful Life ◽  
Sleep Education ◽  
History Of ◽  
Insomnia Symptoms

Abstract Study Objectives Stressful life events contribute to insomnia, psychosocial functioning, and illness. Though individuals with a history of insomnia may be especially vulnerable during stressful life events, risk may be mitigated by prior intervention. This study evaluated the effect of prior digital cognitive-behavioral therapy for insomnia (dCBT-I) versus sleep education on health resilience during the COVID-19 pandemic. Methods COVID impact, insomnia, general- and COVID-related stress, depression, and global health were assessed in April 2020 in adults with a history of insomnia who completed a randomized controlled trial of dCBT-I (n = 102) versus sleep education control (n = 106) in 2016–2017. Regression analyses were used to evaluate the effect of intervention conditions on subsequent stress and health during the pandemic. Results Insomnia symptoms were significantly associated with COVID-19 related disruptions, and those who previously received dCBT-I reported less insomnia symptoms, less general stress and COVID-related cognitive intrusions, less depression, and better global health than those who received sleep education. Moreover, the odds for resurgent insomnia was 51% lower in the dCBT-I versus control condition. Similarly, odds of moderate to severe depression during COVID-19 was 57% lower in the dCBT-I condition. Conclusions Those who received dCBT-I had increased health resilience during the COVID-19 pandemic in adults with a history of insomnia and ongoing mild to moderate mental health symptoms. These data provide evidence that dCBT-I is a powerful tool to promote mental and physical health during stressors, including the COVID-19 pandemic. Clinical Trial Registration NCT02988375

Gay, Lesbian, and Transgender Issues in Psychiatry

2019 ◽  
Author(s):  
Jonathan R. Hester ◽  
Julie M. Praus
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Minority Stress ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Adverse Childhood Events ◽  
Adverse Childhood ◽  
Affirmative Therapy ◽  
Bisexual And Transgender ◽  
History Of ◽  
Minority Stress Model

This review is intended to give an overview of psychiatric considerations for the lesbian, gay, bisexual, and transgender (LGBT) population. The history of LGBT-related diagnoses in the DSM is discussed along with the epidemiology of various mental disorders in the LGBT population, with several diagnoses having a higher incidence including depression, anxiety, substance use disorders, self-harm, and suicidal ideation or attempt. To explain these discrepancies, several theories and models are explored, specifically the minority stress model and adverse childhood events. Additionally, recommendations for clinical psychiatric practice are explored including affirmative therapy and transgender-affirming cognitive behavioral therapy, two interventions specifically studied in the LGBT population as well as overall goals of treatment when treating patients struggling with their gender identity. This review contains 5 tables, and 35 references.  Key Words: adverse childhood events, affirmative therapy, bisexual, gay, lesbian, LGBT, minority stress, transgender, transgender-affirming cognitive behavioral therapy

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