Posted by Simcha on September 15, 2010, at 23:50:00
In reply to Re: CBT made me much worse, actually., posted by morgan miller on September 15, 2010, at 15:19:52
My orientation as a therapist is highly relational and transpersonal. So there's my bias up front.
In actual practice, most therapists have an underlying orientation and can pull in techniques used in other orientations when appropriate. I use cbt and dbt as appropriate. I like using cbt techniques with my empathic style of relational therapy. It gives cbt what I believe it lacks, depth and an acknowledgment that thoughts and feelings are connected and one doesn't necessarily give birth to the other. The human psyche is much more complex in my humble opinion than the vision that cbt portrays.
My bias is that a good therapist can use whatever tools work from no matter what orientation according to each individual client's needs. And the really excellent therapists know when to refer a client to another therapist if you as a therapist aren't able to connect well enough to help a particular client.
Insurance companies love cbt because it's brief and therefore costs them less money. So cbt therapists and insurance companies have partnered to create "evidence" that cbt is the perfect treatment for just about anything. Therefore cbt therapists like to claim that their form of therapy is entirely scientific and "evidence based" and all other forms of therapy are not evidence based. Of course this is all very political and another good illustration of why health care shouldn't be for-profit.
Most of us therapists are for whatever works for any particular client.
poster:Simcha
thread:961212
URL: http://www.dr-bob.org/babble/20100908/msgs/962560.html