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What is Cognitive Behaviour Therapy (CBT)?

Cognitive Behaviour Therapy (CBT) is a psychological therapy focused on thoughts, emotions and behaviour to enable the person to overcome psychiatric problems (Depression, anxiety, Somatisation, conversion disorder and certain symptoms of psychoses). This therapy is also very effective in enabling people to improve their self-esteem, confidence building, enhancing academic and vocational performance, marital harmony etc. In CBT, the therapist identifies faulty patterns of thought processes, interpretations, emotional reactions and dysfunctional behaviour. Then the therapist clarifies implications of such thought patterns, emotional reactions and interpretations and suggests ways and means for overcoming the problem.

Role of Patients

CBT is not a talk therapy where the patient becomes alright after listening to the counsellor's advice. In CBT, the patient has to perform many physical, emotional and behavioural exercises between sessions. Performing the exercises will enable the patient to go to the next level in the subsequent session. Cognitive behavioural approach is collaborative in nature and is largely self-help. The therapist aims to help the client develop skills to overcome not only the current problems but also any similar ones in the future. The therapist will emphasise the role of homework assignments, clearly indicating that the major part of therapy takes place in everyday life, with the client putting into practice what has been discussed in treatment sessions. The client is expected to participate actively by collecting information, giving feedback on the effectiveness of techniques, and making suggestions about new strategies.

Therapy Sessions

Patients will be seen by prior appointment only and are requested to fix up appointments two weeks in advance. Each therapy session will be approximately 40 minutes. Depending upon the nature of the problem, the number of sessions in a week will vary.

Please do not insist on speaking to the therapist when you do not have an emergency.

What is Cognitive Rehabilitation Therapy?

Cognitive Rehabilitation Therapy is a manual and computer assisted brain exercises programme offered to patients with damage to the brain due to infract or haemorrhage to improve their brain functioning i.e. concentration, memory calculation, decision-making, speaking, reading etc.

There are three ways of treating cognitive deficits:
1. To stimulate the cognitive function through an imported computer assisted programme.
2. Compensation techniques such as developing simple strategies like using a scribbling pad as a reminder about tasks.
3. If one part of the brain is totally damaged, then training another part of the brain to execute similar functioning. Ex. Braille for the blind.

One of the major problems facing the families is marital disharmony, increasingly among newly wedded couples and, surprisingly, even among older couples. It is important to sort out the differences through structured marital therapy, rather than living in distress.

Marital therapy is designed out of the principles of cognitive therapy. The couple will be helped to identify individual attitudes and behaviour contributing to conflicts. Then both will be given independent and joint tasks to overcome such differences.

The therapy will sensitize the couple to the emotional needs of the partner and to engage in emotionally fulfilling interactions.

The therapy will also focus on enhancing the communication between the couples, as most of the problems arise through bad or no communication.

If your family is facing the following frequently, then they probably need family therapy!



Frequent interpersonal Problems/conflictsPhysical or verbal violence among family membersMembers of the family having frequent mental health problems
Emotional AbuseConstant disagreementExtra marital affairs

Dementia is a progressive disorder of the brain, leading to increasing loss of the brain functions (memory, orientation, communication, language, calculation), activities of daily living (eating, bathing, walking around the house, dressing) and personality (anger, abusive behaviour, stubborn, unco-operative).



What is dementia?Treatment for dementiaOrganising Care-givingTaking joint responsibilityAvoiding Burden
Utilising resourcesUtilising Health ServicesFinancial issues of caringBereavementInformation leaflets on dementia
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