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Chapter 7. Techniques of Cognitive-Behavioral Therapy

Richard A. Bermudes, M.D.; Jesse H. Wright, M.D., Ph.D.; David Casey, M.D.
DOI: 10.1176/appi.books.9781585623648.373980

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One of the distinguishing features of cognitive-behavioral therapy (CBT) is that it is a direct outgrowth of the basic theories and experimental findings on cognitive and behavioral pathology in specific psychiatric disorders (see Chapter 6, "Theory of Cognitive Therapy"). Thus, cognitive-behavioral therapists implement procedures that are wholly consistent with core theoretical constructs. For example, the cognitive restructuring and exposure and response prevention interventions used for panic disorder with agoraphobia are designed to reverse pathologies of 1) overestimates of risk or danger in situations; 2) underestimates of coping abilities; and 3) avoidance of feared situations. CBT methods are also distinguished by the large amount of empirical data that support their efficacy (see Chapter 8, "Applications of Individual Cognitive-Behavioral Therapy to Specific Disorders: Efficacy and Indications"). Many outcome studies have found positive results for CBT for depression, anxiety disorders, eating disorders, psychosis, and a variety of other conditions.

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