Cognitive Therapy Offers Cost-Effective Treatment Alternatives
Treatment Tends to be Brief and Focused
The treatment I provide has the cornerstone of increasing self-control and independence. Patients are asked to form a partnership with me in order to learn the strategies that bring success. Treatment is an active practice and homework is frequently prescribed. The sessions are interactive and often times light. Laughing is not uncommon, but it is a serious process than demands sustained, daily effort to overcome the challenges that patients are experiencing.
Therapy Is a Partnership Between the Individual and the Therapist
Cognitive therapies are not passive. They require active participation in your treatment. The role of the therapist is similar to that of a coach acting as a partner in helping you overcome obstacles. You may be given recommended tasks to complete between sessions to maximize the treatment effectiveness.
The Benefit of Keeping a Journal or Notebook
Those who choose to keep a notebook or journal tend to gain more from treatment. It is not a diary, but a collection of information from the sessions and insights gain while carrying out assignments or experiments with your own behavior. Books may be recommended and the notebook is a handy way to remember things that seem especially pertinent. Too often treatment looses its effectiveness because skills and insights fade from memory without review and practice.
Length of Treatment
I do not employ standard protocols or “cookbook solutions.” The length of treatment required depends on patient characteristics, the nature and complexity of the problem identified, and the individuals willingness to devote time to the process. Many treatments last a dozen sessions or less, some continue for years.
Frequency of Sessions
I begin each treatment with an assessment session in which I try to identify the goals that the individuals hopes to achieve and an explanation of how I propose to meet those goals. If the individual agrees with the approach I outline I ask that they commit to a “treatment trial” of four more visits. At the end of the trial treatment we assess progress, obstacles, need to change the approach and I try to estimate how long treatment may require. Sessions are usually scheduled weekly for about 45 minutes each. In rare cases I may start with more than one session per week. As treatment progresses the time between sessions is usually lengthened. At some point the time between visits is increased to a month or longer for ongoing followup and to ensure the treatment gains are maintained.