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Cognitive Behavioral Therapy

Counselors employ cognitive behavioral therapy (CBT) to help individuals overcome negative thoughts and self-destructive attitudes. If the axiom, "You are what you eat" is true, then we are also what we think; and positive thoughts enable the mind, body and psyche to heal emotionally and physically. But developing a habit of negative perceptions and thinking patterns conversely hinders the process of physical and mental healing. Therapists who employ cognitive behavioral therapy not only assist patients struggling with depression, anxiety, substance abuse, compulsive eating disorders, or stress management overcome obstacles to mental health; but also those who suffer from chronic pain. The goal of counselors is to re-program the mind to think and react positively to life's situations and circumstances to facilitate healing.

Negative, compulsive or self-destructive behavior patterns usually develop as a result of environmental or social factors. Perceptions, attitudes, and how we feel and think about things are a result of years of developing coping mechanisms or responses to physical or social stimuli, most of which are deeply rooted in childhood. People are not born with bad habits, but they cultivate certain behaviors in response to factors beyond their control. In an effort to enforce discipline, parents may resort to name calling or faultfinding, which reinforces negative self-perceptions in children. Parents thoughtlessly yell,"You'll never be any good!" And "You are so bad, no one wants you!" The result is that some children grow up thinking so poorly of themselves that negative perceptions become their reality.

On the other hand, individuals that experience repeated disappointment and failures often develop a mindset that it is impossible for them to succeed in life. But the goal of cognitive behavioral therapy is to first determine why people think negatively; and then re-train them to forego poor thought patterns through gradual behavior modification. "For as a man thinketh in his heart, so is he:" (Proverbs 23:7a). Group or private psychotherapy sessions help counselors discover the root cause of negative thinking to help individuals correct wrong perceptions and reprogram the mind to think more positively and realistically.

Whether the goal is to help people manage stress and depression, control compulsive eating, or cope with pain; the process for cognitive behavioral therapy is similar. Counselors must allow individuals to openly and candidly discuss bad thoughts or behavior and do some soul searching to determine how those patterns developed. People struggling with depression or stress may want to jot down bad thoughts and examine the validity of each one. If patients verbalize self-degrading thoughts such as, "I'll never amount to anything;" counselors will try to engage them in a dialogue which confronts self-accusation and self-denigration to discover commendable attributes, accomplishments, and character and promote exemplary yet realistic self-images. Therapists employ specific techniques to gradually dismantle years of poor self-assessment and rebuild positive patterns of perceptions which can increase an individual's feelings of self-worth.

Patients who endure years of chronic pain may realize a cessation of symptoms by exercising techniques taught through cognitive behavioral therapy. Some that have battled debilitating long term illnesses may develop a dread of medical treatment, a fear of needles, or a disdain for tests which could improve health. Fear, dread, apprehension, and anxiety create stress, which immobilizes patients and causes the body to release harmful chemicals, impediments to physical healing. By retraining patients' minds to think more positively about treatment and the potential to successfully manage pain, more successful outcomes can be realized. The body perceives a lack of fear and feelings of optimism and translates positive emotions into life-sustaining healing. "For God hath not given us the spirit of fear; but of power, and of love, and of a sound mind" (II Timothy 1:7). Oncologists frequently employ cognitive behavioral therapy to help cancer patients undergoing chemotherapy tolerate side effects, such as nausea or loss of appetite. Alternative therapies include guided imagery, journaling, meditation, prayer, and moderate physical exercise, combined with medicines to provide a holistic approach to facilitate healing.

Teens and women with compulsive eating disorders find that cognitive behavioral therapy enables them to confront fears and overcome self-defeating habits. Counselors will seek to retrain the minds of those with distorted body images or a fear of becoming fat, so that patients gradually develop a realistic perception of beauty and their own bodies. Young ladies that starve themselves in an effort to emulate runway models or silver screen idols come to accept and love their bodies, as well as develop a healthy attitude about healthy eating. By working with young females and the parents of compulsive eaters, counselors are able to address environmental, medical, and psychological factors which impact illness and distorted imagery. Parents are solicited to provide environments more conducive to nurturing and acceptance; while teens are allowed to share in private or group psychotherapy sessions to uncover false perceptions and gradually replace erroneous beliefs with the infallible truth that they are beautiful creations of God, regardless of dress size.

People who have difficulty dealing with the stress of everyday living can better cope after enrolling in cognitive behavioral therapy programs. Counselors can help individuals retrain their minds to think positively about adversity and put issues in the proper perspective. A negative outlook tends to color every aspect of life with a mottled gray; whereas adopting an upbeat attitude, even when faced with disappointments and failures, can help people overcome obstacles to happiness. CBT program participants are taught how to face problems head on without going into a tailspin and how to reject negative thoughts which can loom large in a persons mind. By envisioning ultimate success rather than imminent failures, individuals can begin the process of expecting to win and not lose in the game of life.

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