it's about pinpointing behaviours you deem unhealthy, and working towards reducing your reliance on them, generally by implementing healthier behaviours. In some cases it can be an effective form of therapy, but with certain conditions and disorders it can serve as a bandaid over a much more deeprooted issue. Ive seen some testimonials on tiktok of trauma patients who got worse after CBT, because their therapist was aiming to reduce coping mechanisms they deemed unhealthy, but the trauma survivors never assimilated healthier coping mechanisms effectively. Meaning they were stripped of the only coping mechanisms they'd been able to develop which, despite being ultimately unproductive, were helping them get by, putting them at higher risk for mental distress and self harm. that doesn't mean it can't be an effective and helpful form of therapy, just that it isn't the silver bullet some might see it as. But the same is true for any form of therapy, really.
Cock and ball torture (CBT) is a sexual activity involving application of pain or constriction to the male genitals. This may involve directly painful activities, such as genital piercing, wax play, genital spanking, squeezing, ball-busting, genital flogging, urethral play, tickle torture, erotic electrostimulation or even kicking. The recipient of such activities may receive direct physical pleasure via masochism, or knowledge that the play is pleasing to a sadistic dominant. Image: Electrostimulation applied on a penis Contents: Section 1: In Pornography Section 2: Ball stretcher Section 3: Parachute Section 4: Humbler Section 5: Testicle cuff Section 1: In pornography In addition to it’s occasional role in BDSM pornography, Tamakeri (literally Ball kicking) is a separate genre in Japan. One notable actress in tamakeri is Erika Nagai who typically uses her martial arts skills to knee or kick men in the testicles. Section 2: Ball stretcher A ball stretcher is a sex toy that is fastened around a man in order to elongate the scrotum and provide a feeling of weight pulling the testicles away from the body. While leather stretchers are most common, other models are made of steel rings that are fastened with screws causing additional mildly uncomfortable weight to the wearer. The length of the stretcher may vary from 1-4 inches, and the steel models can weigh as much as five pounds. Section 3: Parachute A Parachute is a small collar, usually made from leather, which fastens around the scrotum, and from which weights can be hung. Conical in shape, three or four short chains hanging beneath, to which weights can be attached. Used as part of cock and ball torture within a BDSM relationship, the parachute provides a constant drag, and squeezing effects on the man’s testicles. Moderate weights of 3-5 kg can be suspended, especially during bondage. Smaller weights can be used when the man is free to move, when the swinging effect of the weight can restrict sudden movements, as well as providing a visual stimulus for the dominant partner. Section 4: Humbler A humbler is a BDSM physical restraint device used to restrict the movement of a submissive male participant in a BDSM scene. The humbler consists of a testicle cuff device which clamps around the base of the scrotum, mounted in the center of a bar that passes behind the thighs at the base of the buttocks. This forces the wearer to keep his legs forward, as any attempt to to straighten the legs slightly pulls directly on the scrotum, causing from considerable discomfort to extreme pain. Section 5: Testicle cuff A testicle cuff is a ring-shaped device around the scrotum between the body and the testicles which when closed does not allow the testicles to slide through it. A common type has two connected cuffs, one around the scrotum and the other around the base of the penis. They are just one of many devices to restrain the male genitalia. A standard padlock may also be locked around the scrotum; without the key it cannot be removed. Some passive men enjoy the feeling of being "owned", while dominant individuals enjoy the sense of "owning" their partners. Requiring such a man wear testicle cuffs symbolizes that his sexual organs belong to his partner, who may be either male or female. There is a level of humiliation involved, by which they find sexual arousal. The cuffs may even form part of a sexual fetish of the wearer or his partner. However, these are extreme uses of testicle cuffs. More conventionally, the device pulls down the testicles and keeps them there during stimulation, which has a number of benefits: Making the penis appear longer. Pulling the testicles down and away from the base of the penis stretches the skin over the base of the penis and pubic bone, exposing the additional inch or so of penile shaft that is normally hidden from view. Improving sexual arousal. While some men may be aroused by the feeling of being "owned", the physical feeling of stretching the ligaments that suspend the testicles has an effect similar to the more common practice of stretching one's legs and pointing the toes. Preventing the testicles from lifting up so far that they become lodged under the skin immediately adjacent to the base of the penis, a condition which can be very uncomfortable, especially if the testicle is then squashed by the slap of skin during thrusting in sexual intercourse. Delaying or intensifying ejaculation by preventing the testicles from rising normally to the "point of no return". It is much harder to reach an orgasm.
I will never not giggle at "CBT", because it means other things in other circles. That said, can we develop a depression treatment that involves wiring my brain to a small computer permanently that can moderate neurotransmitter levels on the fly? That'd be cool.
Great video as always. Your comments about the “CBT is the best standard we currently have” commentary I think missed one point - which is that, yes, we like that CBT has research, but it has more research because a treatment that relies entirely on forms and “homework” is the easiest to study. Unfortunately, this leads to more research dollars going to CBT because it “shows results” when, for some patients, there are likely superior therapies available that need more rigorous research.
I think this was published in a scholarly article titled "Research Summary of the Therapeutic Relationship and Psychotherapy Outcome," but it's important to remember only 15% of what makes therapy useful is the actual therapeutic technique used. 40% of what makes therapy useful is the therapeutic relationship, which is why most therapists are still talk psychodynamic and humanistic approaches. CBT is great because it's very easy to break down into specific prescriptions, tell a client to do, and study in a randomized controlled trial. Cognitive behavioral therapy is not THE answer to ALL of life's problems, but it is a powerful tool.
I saw a DBT therapist, which is a spinoff from CBT, for my depression and anxiety. I was referred to her because my primary care physician knew I absolutely hated therapy and he thought I'd like this therapist. He was right and I loved the therapy too. DBT is typically used for things like addiction or borderline personality disorder, but she very effectively helped me. Today, I highly suggest CBT to people for depression and anxiety.
I believe that the therapy I had as a six-year-old dealing with grief and emotion dysregulation (most notably anger issues) was CBT. It might have helped me to be a more functional member of society and lash out less, but it very much screwed up my relationship with my own emotions. "Stop the negative thoughts and replace them with positive thoughts" became interpreted as "negative emotions are bad and shameful and I should repress them." Took over a decade to unlearn those habits and find a kinder, more self-validating approach. It's hard to say if it was taught poorly by my particular therapist, targeted poorly to a six-year-old with limited emotional intelligence, or just CBT being a flawed approach, but I'm definitely very wary of it as a result. If it works for some people, that's great, but it damaged me, and it's definitely important to be careful with any form of therapy or treatment where different people have different needs and responses.
CBT student here. I'd like to share a few thoughts, if I may. First off, thank you for sharing your experience. It seems to have been a very mixed experience. On one hand, having helped with anger management, and on the other, leaving you feeling as if your negative emotions are bad and unacceptable. Maybe event that having those emotions makes you a bad person. I'm not gonna sugarcoat this; that sucks. It really, really sucks that this was your first experience with therapy. You deserve to feel validated in all of your emotions, and it's sad to hear that instead, you were told that certain emotions aren't acceptable to have. This shouldn't have happened. As you say yourself, it's difficult to know exactly what went wrong here. Was a good treatment poorly communicated to you? Was the treatment itself flawed, outdated, or lacking a focus on self-validation and acceptance? Was this a standardized treatment, or something more custom that the therapist cooked up? In any case, the result was unfortunate, and not how we want treatments to end up. Your experience has left you a bit weary about therapy, which is completely reasonable. At the same time, I'd like to attempt to spark some hope, if I am able. After all, the first step to a good and truly helpfull treatment, is to dare to be open to therapy. Firstly, CBT is a lot of stuff. It's a big umbrella term, so it can look in many ways. CBT has also changed a lot over the years. One of the most interesting (in my opinion) changes, is an increased focus on acceptance-strategies, and a more nuanced perspective on the balance between self-acceptance and change. In Stockholm, where I study, i would today be well-within CBT to say "it's perfectly OK to feel anger or sadness. These are valuable signals for us to be mindful of. What we wish to work on is not to get rid of "bad" emotions, but instead to learn ways to handle these emotions, so they do not become an unwanted obstacle in your life." How much an individual therapist would naturally use this more acceptance-based approach however, I am unsure. If you go to therapy again, my guess is that your previous experience is actually a very valuable thing to bring up. Chances are that haviong been burned before, you'll be extra sensitive to having your emotions invalidated again. If your therapist knows how that has turned out previously, you can probably find a common language and strategy that avoids the pitfalls of the past. Thany you for your thought-provoking comment. Sorry for wall of text
I was already stuck in that pattern of repressing "negative" emotions and trying to overlay them with happy thoughts and logical thinking as a result of personal experiences I had as a child. So when I had CBT as an adult I found it rather unhelpful too. As it just asked me to focus on building my existing unhealthy coping stratages. Person centred counselling that focused on building my emotional intelligence and connecting me with myself on the other hand has been brilliant. I think people need to acknowledge that while CBT does work, it works on problems that are at their root cognitive. If the problems are caused by emotions or trauma then thinking logically and drawing diagrams and making action plans aren't going to help, and as seems in your case may even cause significant harm. You need to instead help the person understand what they are feeling with an nonjudgmental mindset and how to work through those feelings productively. These therapies are tools. You don't use a hammer to fix a leaking tap, any more than you use a wrench to tighten up a loose nail. Sadly CBT often seems to be seen as the "one scientifically proven therapy" and used on everyone as default
Hi, I've had months of experience receiving cognitive behavioral therapy and just want to add that, in my experience, the "Stop the negative thoughts and replace them with positive thoughts" mentality is not at all inherent to CBT. The approach as my therapist practices it is much more in line with "Both positive and negative thoughts can be helpful or unhelpful, what matters isn't whether you have them, it's whether they help you live according to your values". So my hunch is that your therapist, rather than CBT, was responsible for the harm caused to you. For more context, my therapist practices acceptance and commitment based, mindfulness based CBT and considers it the gold standard for treating depression and anxiety disorders.
@@ethan-loves Both my counsellors have practised mindfulness and radical acceptance as part of person centred counseling, and those aspects were extremely helpful for me too. They are both primary parts of person centred counselling, but they are not aspects of classical CBT. I had two courses of CBT from two different therapists several years apart from different services, before I had my first introduction to person-centred counseling. And they were both entirely focused on breaking negative thought patterns through interlectualising emotions and logical thinking. I'm happy that at least some CBT therapists have recognised that adding in approaches from other forms of therapy can be helpful, and I'm very glad you have found your treatment so beneficial. However, if you recommend people get CBT from someone other than your therapist, they most likely wont receive the same treatment you did.
@@WhichDoctor1 Thank you for adding to the conversation. For clarity, I was not recommending that people should get CBT, just showing that AnnikaOakinnA's experience is not always the case. But I think we should both recognize that our anecdotal experiences are insufficient for judging which therapeutic approaches might be better or worse. Ultimately, any approach can be practiced in a wide variety of ways, and we have only experienced the way a handful of therapists use them. When I was searching for a therapist, I looked for people who were capable of practicing several therapeutic approaches and committed to tailoring them to my specific needs. Then I sat down and talked with my top three picks to see who I felt most comfortable with and learn more about their preferred approaches. That is what I truly recommend.
I am an avid #MentalHealthAwareness advocate and spoken word performer, and I love this so much. I travel the country trying to bring that awareness on stages, in classrooms, hospitals, and on my UA-cam channel, so I get excited when I see other advocates. 💙❤
CBT really highlighted to me how different depression can be for different people. I had two counselors who found that CBT was impossible to apply to my case because my depression does not come with maladaptive thought patterns. Rather, it comes with severe cognitive difficulties that cause there to be very few thoughts in general.
Working well for my social anxiety, though I also think CBT fits my brain very well. I like processes that have steps to follow. Structure is my brain's friend.
I love this... Hope there will be a shout out between CBT, metacognitive-therapy, medicines and there combination, how effective they are and how bad the potential side effects are (probability and severity) .
Ever since my GF and I started doing CBT together our relationship is stronger than ever. It's a little painful at first, but you learn to love the process. I'll never again be the same man I was before CBT!
THIS IS PERHAPS A STUPID QUESTION. WHAT'S WRONG WITH A GUY WHO DOESN'T PREFER YOU LOOK AND FEEL NICE & CLEAN (NAILS & FEET UNDONE DIRTY, ASHY AND ALL) BUT HE WANTS YOU TO GO GET A MENTAL EVALUATION ! OH IT'S ABOUT BUDGETING HOUSEHOLD EXPENSES RIGHT, WELL WHAT IF YOU'RE NOT GOING TO THE SALON REGULARLY AND YOU'RE SELF RELIANT ON YOUR OWN ABILITY TO SUCCESSFULLY PRACTICE YOUR OWN BEAUTY AND HEALTHCARE REGIMEN AT HOME !🤨 EXPLAIN PLEASE WHAT THE PROBLEM IS..... ARE WOMEN THESE DAYS JUST NOT ON THE SAME MENTAL HEALTH LEVEL AS THEIR PEERS AND MATES OR SPOUSES. ARE YOU DONE WITH RELATIONSHIPS, PLEASE BE HONEST AND PRECISE ABOUT YOUR THOUGHTS AND FEELING'S. THANKS.
The research shows all therapy works fairly well. The mediating factor is best thought of as residing within the overall therapist’s skill itself, not their approach. :)
I think studies of CBT specifically, and therapies in general, really highlight the limitation of what today we call "the scientific method". You collect some numbers and describe how your trial is "randomized" and "controlled" and then treat what actually happens between the two people as a black box, and label it as "CBT" or "not CBT" based on whether the therapist was asked to do what they believe to be "CBT". When you're studying drugs, at least the thing applied to the different patients is more or less guaranteed to be the same thing. In subject areas that are less obsessed with looking at numbers and watching the line go up, this is where theory would come in to try to make more fine-grained distinctions: What, if anything, characterizes people for whom CBT doesn't work? What is the relationship between attributes of the THERAPIST and the effectiveness of CBT? How does the current practice square with existing behaviorist theories? How much does practice vary among practitioners? In researching CBT myself, I was amazed at how disparate the different explanations were coming from different "reliable" sources, not to mention how far they deviated from the theory they are supposed to be based on! Modern behaviorism as a general theory suggests that it would be much more constructive to teach people HELPFUL behaviors and habits they can engage in, instead of focusing on UNHELPFUL patterns they already engage in and building "awareness" of them. In the same way that an animal behaviorist should be focused on answering the question "What do you want the animal TO do?", even when their ultimate goal is to curb unwanted behaviors. Directly trying to reduce UNHELPFUL behaviors is, by definition (in the context of behavior science), a punishment-based technique. Because punishment is *defined* as any stimulus which reduces the likelihood of the behavior occurring again. And in behaviorism, we know all kinds of reasons that punishment-based techniques should be avoided and all kinds of ways of avoiding them. So it's really been shocking to me to realize just how much of CBT focuses on the punishment direction, AND how much slop and variation there is, even though it's all labeled as "CBT".
I litterally never thought of it that way. But you are totally right! CBT is, at least in my experience, mainly focused on identifying and thinking about negative thoughts. But obviously the more aware you become of your negative thoughts the more impact they can have on you. The more you might find yourself dwelling on them. Or feeling guilty for not being able to stop them (something I experienced personally)
There is a lot of research that has been done studying both the characteristics (i.e. Individual differences in biological, psychological, and social processes) and demographic (i.e. identity, social status, etc) which influence the effectiveness of CBT and other therapies. In statistical jargon, these are "moderation" or "moderated mediation" studies. In terms of "helpful" vs. "unhelpful", this is a myth of CBT; some of the most powerful techniques in CBT involve getting people involved in more rewarding and meaningful activities. It is called behavioral activation and is a powerful tool for many disorders, including depression and anxiety. In this way, we can still think of treating "unhelpful" behaviors that are characterized by behavioral inhibition (i.e. low motivation, positive emotional engagement, worry, and avoidance) by engaging in positive emotional experiences - focusing on providing reward rather than extinguishing punishment as you describe.
I've had CBT a couple of times, but didn't find it terribly helpful. Eventually, I did a couple of courses of person-centred counselling and they were amazing! Because in my case most of my issues were caused by me not being able to access and process my emotions, and that I was repressing the hell out of the fact I was transgender, which all festered under the surface and caused undirected feelings of anxiety and inadequacy. So when the CBT therapist asked me what negative self-beliefs or catastrophic predictions were making me anxious about meeting other people, I couldn't tell her cause I didn't have any. I just had a vague feeling of discomfort and a feeling of wrongness that got worse when I was around other people. The most specific I could get was an amorphous feeling that I would "make some terrible mistake" and that would be the end of my world. But what that mistake might be I had no idea, and how my world could be ended by some social fopar I also couldn't explain. Logically working through how unlikely such an eventuality is did nothing at all to reduce my fear of it. And the feeling that I was having to hide something about myself and that if people got to know the real me they would reject me. But again I couldn't articulate in cognitive terms what that was. Turns out my fear of getting things wrong was caused by unprocessed trauma from when I was bullied by teachers in school who didn't believe dyslexia was real and belittled me in class for making mistakes in reading and writing. And the feeling of having to hide a socially unacceptable truth about myself was obviously the fact I was trans, which I was hiding so well I was successfully hiding it from myself. Luckily I am so enormously blessed to have amazing family and friends because no one has reacted with anything other than love and acceptance to my coming out. And being able to interact with people as myself, instead of trying to pretend to be a "man" the whole time (without ever having a solid idea what being a man even meant), has meant I can interact with people soo much more naturally and effortlessly. And after learning methods of engaging with and processing painful memories and the emotions that arise from them the fears that were causing my terror of being seen to make some mistake in front of others just went away by themselves. It's like any treatment, you need to find the intervention that solves the underlying problem. If the problem is negative thought patterns causing difficult emotions then CBT can be great. But if the root of the problem is unprocessed emotions causing negative thoughts then you need something that can target the emotional intelligence, and not the cognitive intelligence
Great episode, I'm a therapist that used to work in CBT and this is a pretty good overview of the treatment and research base in 4 minutes. There is also an argument that because CBT is often very manualised (i.e. a list of interventions that the therapist chooses from to work through with the client, sometimes with a loose script to follow) that it is well designed for RCTs and that's why it does so well in research, because it fits the way we do research really well which also contributes to why we have so many studies of it. - posting from the UK for context
It depends on the person. That's certainly an unhelpfully sweeping statement; medication covers many different things and works better or worse for different people. My anxiety medication has been extremely helpful.
We get it, you're not interested in looking at the number of people in recovery or anything else. You just hate religion, despite the fact that religion is not a part of all AA rooms or the recovery of everyone in AA. You zealots are just as bad as the evangelicals, and either way don't give a shit about anybody else's sobriety.
I want a video about what CBT actually is. I've heard so much about it but they never seem to cover this.
An example cbt technique: when you feel anxious, list 5 things you see, 5 you hear, 5 you smell, etc. Things like this to interrupt spirals
it's about pinpointing behaviours you deem unhealthy, and working towards reducing your reliance on them, generally by implementing healthier behaviours. In some cases it can be an effective form of therapy, but with certain conditions and disorders it can serve as a bandaid over a much more deeprooted issue. Ive seen some testimonials on tiktok of trauma patients who got worse after CBT, because their therapist was aiming to reduce coping mechanisms they deemed unhealthy, but the trauma survivors never assimilated healthier coping mechanisms effectively. Meaning they were stripped of the only coping mechanisms they'd been able to develop which, despite being ultimately unproductive, were helping them get by, putting them at higher risk for mental distress and self harm.
that doesn't mean it can't be an effective and helpful form of therapy, just that it isn't the silver bullet some might see it as. But the same is true for any form of therapy, really.
I agree!
@@ArtArtisian that example helps bring a person into the moment.
Cock and ball torture (CBT) is a sexual activity involving application of pain or constriction to the male genitals. This may involve directly painful activities, such as genital piercing, wax play, genital spanking, squeezing, ball-busting, genital flogging, urethral play, tickle torture, erotic electrostimulation or even kicking. The recipient of such activities may receive direct physical pleasure via masochism, or knowledge that the play is pleasing to a sadistic dominant.
Image: Electrostimulation applied on a penis
Contents: Section 1: In Pornography Section 2: Ball stretcher Section 3: Parachute Section 4: Humbler Section 5: Testicle cuff
Section 1: In pornography
In addition to it’s occasional role in BDSM pornography, Tamakeri (literally Ball kicking) is a separate genre in Japan. One notable actress in tamakeri is Erika Nagai who typically uses her martial arts skills to knee or kick men in the testicles.
Section 2: Ball stretcher A ball stretcher is a sex toy that is fastened around a man in order to elongate the scrotum and provide a feeling of weight pulling the testicles away from the body. While leather stretchers are most common, other models are made of steel rings that are fastened with screws causing additional mildly uncomfortable weight to the wearer. The length of the stretcher may vary from 1-4 inches, and the steel models can weigh as much as five pounds.
Section 3: Parachute
A Parachute is a small collar, usually made from leather, which fastens around the scrotum, and from which weights can be hung. Conical in shape, three or four short chains hanging beneath, to which weights can be attached. Used as part of cock and ball torture within a BDSM relationship, the parachute provides a constant drag, and squeezing effects on the man’s testicles. Moderate weights of 3-5 kg can be suspended, especially during bondage. Smaller weights can be used when the man is free to move, when the swinging effect of the weight can restrict sudden movements, as well as providing a visual stimulus for the dominant partner.
Section 4: Humbler
A humbler is a BDSM physical restraint device used to restrict the movement of a submissive male participant in a BDSM scene. The humbler consists of a testicle cuff device which clamps around the base of the scrotum, mounted in the center of a bar that passes behind the thighs at the base of the buttocks. This forces the wearer to keep his legs forward, as any attempt to to straighten the legs slightly pulls directly on the scrotum, causing from considerable discomfort to extreme pain.
Section 5: Testicle cuff
A testicle cuff is a ring-shaped device around the scrotum between the body and the testicles which when closed does not allow the testicles to slide through it. A common type has two connected cuffs, one around the scrotum and the other around the base of the penis. They are just one of many devices to restrain the male genitalia. A standard padlock may also be locked around the scrotum; without the key it cannot be removed.
Some passive men enjoy the feeling of being "owned", while dominant individuals enjoy the sense of "owning" their partners. Requiring such a man wear testicle cuffs symbolizes that his sexual organs belong to his partner, who may be either male or female. There is a level of humiliation involved, by which they find sexual arousal. The cuffs may even form part of a sexual fetish of the wearer or his partner.
However, these are extreme uses of testicle cuffs. More conventionally, the device pulls down the testicles and keeps them there during stimulation, which has a number of benefits:
Making the penis appear longer. Pulling the testicles down and away from the base of the penis stretches the skin over the base of the penis and pubic bone, exposing the additional inch or so of penile shaft that is normally hidden from view. Improving sexual arousal. While some men may be aroused by the feeling of being "owned", the physical feeling of stretching the ligaments that suspend the testicles has an effect similar to the more common practice of stretching one's legs and pointing the toes. Preventing the testicles from lifting up so far that they become lodged under the skin immediately adjacent to the base of the penis, a condition which can be very uncomfortable, especially if the testicle is then squashed by the slap of skin during thrusting in sexual intercourse. Delaying or intensifying ejaculation by preventing the testicles from rising normally to the "point of no return". It is much harder to reach an orgasm.
I will never not giggle at "CBT", because it means other things in other circles.
That said, can we develop a depression treatment that involves wiring my brain to a small computer permanently that can moderate neurotransmitter levels on the fly? That'd be cool.
TLDR: any therapy is better than none.
Great video as always. Your comments about the “CBT is the best standard we currently have” commentary I think missed one point - which is that, yes, we like that CBT has research, but it has more research because a treatment that relies entirely on forms and “homework” is the easiest to study.
Unfortunately, this leads to more research dollars going to CBT because it “shows results” when, for some patients, there are likely superior therapies available that need more rigorous research.
I think this was published in a scholarly article titled "Research Summary of the Therapeutic Relationship and Psychotherapy Outcome," but it's important to remember only 15% of what makes therapy useful is the actual therapeutic technique used. 40% of what makes therapy useful is the therapeutic relationship, which is why most therapists are still talk psychodynamic and humanistic approaches.
CBT is great because it's very easy to break down into specific prescriptions, tell a client to do, and study in a randomized controlled trial. Cognitive behavioral therapy is not THE answer to ALL of life's problems, but it is a powerful tool.
I saw a DBT therapist, which is a spinoff from CBT, for my depression and anxiety. I was referred to her because my primary care physician knew I absolutely hated therapy and he thought I'd like this therapist. He was right and I loved the therapy too. DBT is typically used for things like addiction or borderline personality disorder, but she very effectively helped me. Today, I highly suggest CBT to people for depression and anxiety.
I like the casual sweater look Aaron's got going on in this episode
Can you do a video on ketamine treatment for depression? It changed my life!
He already did
Is there any research concerning the variance of quality of practitioners?
Will any of the planned videos cover ECT (electro convulsive therapy)?
I believe that the therapy I had as a six-year-old dealing with grief and emotion dysregulation (most notably anger issues) was CBT. It might have helped me to be a more functional member of society and lash out less, but it very much screwed up my relationship with my own emotions. "Stop the negative thoughts and replace them with positive thoughts" became interpreted as "negative emotions are bad and shameful and I should repress them." Took over a decade to unlearn those habits and find a kinder, more self-validating approach. It's hard to say if it was taught poorly by my particular therapist, targeted poorly to a six-year-old with limited emotional intelligence, or just CBT being a flawed approach, but I'm definitely very wary of it as a result. If it works for some people, that's great, but it damaged me, and it's definitely important to be careful with any form of therapy or treatment where different people have different needs and responses.
CBT student here. I'd like to share a few thoughts, if I may.
First off, thank you for sharing your experience. It seems to have been a very mixed experience. On one hand, having helped with anger management, and on the other, leaving you feeling as if your negative emotions are bad and unacceptable. Maybe event that having those emotions makes you a bad person. I'm not gonna sugarcoat this; that sucks. It really, really sucks that this was your first experience with therapy. You deserve to feel validated in all of your emotions, and it's sad to hear that instead, you were told that certain emotions aren't acceptable to have. This shouldn't have happened.
As you say yourself, it's difficult to know exactly what went wrong here. Was a good treatment poorly communicated to you? Was the treatment itself flawed, outdated, or lacking a focus on self-validation and acceptance? Was this a standardized treatment, or something more custom that the therapist cooked up?
In any case, the result was unfortunate, and not how we want treatments to end up.
Your experience has left you a bit weary about therapy, which is completely reasonable. At the same time, I'd like to attempt to spark some hope, if I am able. After all, the first step to a good and truly helpfull treatment, is to dare to be open to therapy.
Firstly, CBT is a lot of stuff. It's a big umbrella term, so it can look in many ways. CBT has also changed a lot over the years. One of the most interesting (in my opinion) changes, is an increased focus on acceptance-strategies, and a more nuanced perspective on the balance between self-acceptance and change. In Stockholm, where I study, i would today be well-within CBT to say "it's perfectly OK to feel anger or sadness. These are valuable signals for us to be mindful of. What we wish to work on is not to get rid of "bad" emotions, but instead to learn ways to handle these emotions, so they do not become an unwanted obstacle in your life."
How much an individual therapist would naturally use this more acceptance-based approach however, I am unsure. If you go to therapy again, my guess is that your previous experience is actually a very valuable thing to bring up. Chances are that haviong been burned before, you'll be extra sensitive to having your emotions invalidated again. If your therapist knows how that has turned out previously, you can probably find a common language and strategy that avoids the pitfalls of the past.
Thany you for your thought-provoking comment. Sorry for wall of text
I was already stuck in that pattern of repressing "negative" emotions and trying to overlay them with happy thoughts and logical thinking as a result of personal experiences I had as a child. So when I had CBT as an adult I found it rather unhelpful too. As it just asked me to focus on building my existing unhealthy coping stratages. Person centred counselling that focused on building my emotional intelligence and connecting me with myself on the other hand has been brilliant. I think people need to acknowledge that while CBT does work, it works on problems that are at their root cognitive. If the problems are caused by emotions or trauma then thinking logically and drawing diagrams and making action plans aren't going to help, and as seems in your case may even cause significant harm. You need to instead help the person understand what they are feeling with an nonjudgmental mindset and how to work through those feelings productively.
These therapies are tools. You don't use a hammer to fix a leaking tap, any more than you use a wrench to tighten up a loose nail. Sadly CBT often seems to be seen as the "one scientifically proven therapy" and used on everyone as default
Hi, I've had months of experience receiving cognitive behavioral therapy and just want to add that, in my experience, the "Stop the negative thoughts and replace them with positive thoughts" mentality is not at all inherent to CBT.
The approach as my therapist practices it is much more in line with "Both positive and negative thoughts can be helpful or unhelpful, what matters isn't whether you have them, it's whether they help you live according to your values". So my hunch is that your therapist, rather than CBT, was responsible for the harm caused to you. For more context, my therapist practices acceptance and commitment based, mindfulness based CBT and considers it the gold standard for treating depression and anxiety disorders.
@@ethan-loves Both my counsellors have practised mindfulness and radical acceptance as part of person centred counseling, and those aspects were extremely helpful for me too. They are both primary parts of person centred counselling, but they are not aspects of classical CBT. I had two courses of CBT from two different therapists several years apart from different services, before I had my first introduction to person-centred counseling. And they were both entirely focused on breaking negative thought patterns through interlectualising emotions and logical thinking. I'm happy that at least some CBT therapists have recognised that adding in approaches from other forms of therapy can be helpful, and I'm very glad you have found your treatment so beneficial. However, if you recommend people get CBT from someone other than your therapist, they most likely wont receive the same treatment you did.
@@WhichDoctor1 Thank you for adding to the conversation. For clarity, I was not recommending that people should get CBT, just showing that AnnikaOakinnA's experience is not always the case.
But I think we should both recognize that our anecdotal experiences are insufficient for judging which therapeutic approaches might be better or worse. Ultimately, any approach can be practiced in a wide variety of ways, and we have only experienced the way a handful of therapists use them.
When I was searching for a therapist, I looked for people who were capable of practicing several therapeutic approaches and committed to tailoring them to my specific needs. Then I sat down and talked with my top three picks to see who I felt most comfortable with and learn more about their preferred approaches. That is what I truly recommend.
I am an avid #MentalHealthAwareness advocate and spoken word performer, and I love this so much. I travel the country trying to bring that awareness on stages, in classrooms, hospitals, and on my UA-cam channel, so I get excited when I see other advocates. 💙❤
CBT really highlighted to me how different depression can be for different people. I had two counselors who found that CBT was impossible to apply to my case because my depression does not come with maladaptive thought patterns. Rather, it comes with severe cognitive difficulties that cause there to be very few thoughts in general.
Working well for my social anxiety, though I also think CBT fits my brain very well. I like processes that have steps to follow. Structure is my brain's friend.
This is the third thumbnail with a speling error I've seen on YT today. Must be something in the coffee at the YT editors campus..
I love this... Hope there will be a shout out between CBT, metacognitive-therapy, medicines and there combination, how effective they are and how bad the potential side effects are (probability and severity) .
Ever since my GF and I started doing CBT together our relationship is stronger than ever. It's a little painful at first, but you learn to love the process. I'll never again be the same man I was before CBT!
Is ACT the same as CBT?
THIS IS PERHAPS A STUPID QUESTION.
WHAT'S WRONG WITH A GUY WHO DOESN'T PREFER YOU LOOK AND FEEL NICE & CLEAN (NAILS & FEET UNDONE DIRTY, ASHY AND ALL)
BUT HE WANTS YOU TO GO GET A MENTAL EVALUATION !
OH IT'S ABOUT BUDGETING HOUSEHOLD EXPENSES RIGHT,
WELL WHAT IF YOU'RE NOT GOING TO THE SALON REGULARLY AND YOU'RE SELF RELIANT ON YOUR OWN ABILITY TO SUCCESSFULLY PRACTICE YOUR OWN BEAUTY AND HEALTHCARE REGIMEN AT HOME !🤨 EXPLAIN PLEASE WHAT THE PROBLEM IS..... ARE WOMEN THESE DAYS JUST NOT ON THE SAME MENTAL HEALTH LEVEL AS THEIR PEERS AND MATES OR SPOUSES.
ARE YOU DONE WITH RELATIONSHIPS,
PLEASE BE HONEST AND PRECISE ABOUT YOUR THOUGHTS AND FEELING'S.
THANKS.
The research shows all therapy works fairly well. The mediating factor is best thought of as residing within the overall therapist’s skill itself, not their approach. :)
your thumbnail says COGNIVITE not COGNITIVE
I think studies of CBT specifically, and therapies in general, really highlight the limitation of what today we call "the scientific method". You collect some numbers and describe how your trial is "randomized" and "controlled" and then treat what actually happens between the two people as a black box, and label it as "CBT" or "not CBT" based on whether the therapist was asked to do what they believe to be "CBT". When you're studying drugs, at least the thing applied to the different patients is more or less guaranteed to be the same thing.
In subject areas that are less obsessed with looking at numbers and watching the line go up, this is where theory would come in to try to make more fine-grained distinctions: What, if anything, characterizes people for whom CBT doesn't work? What is the relationship between attributes of the THERAPIST and the effectiveness of CBT? How does the current practice square with existing behaviorist theories? How much does practice vary among practitioners?
In researching CBT myself, I was amazed at how disparate the different explanations were coming from different "reliable" sources, not to mention how far they deviated from the theory they are supposed to be based on! Modern behaviorism as a general theory suggests that it would be much more constructive to teach people HELPFUL behaviors and habits they can engage in, instead of focusing on UNHELPFUL patterns they already engage in and building "awareness" of them. In the same way that an animal behaviorist should be focused on answering the question "What do you want the animal TO do?", even when their ultimate goal is to curb unwanted behaviors. Directly trying to reduce UNHELPFUL behaviors is, by definition (in the context of behavior science), a punishment-based technique. Because punishment is *defined* as any stimulus which reduces the likelihood of the behavior occurring again. And in behaviorism, we know all kinds of reasons that punishment-based techniques should be avoided and all kinds of ways of avoiding them. So it's really been shocking to me to realize just how much of CBT focuses on the punishment direction, AND how much slop and variation there is, even though it's all labeled as "CBT".
I litterally never thought of it that way. But you are totally right! CBT is, at least in my experience, mainly focused on identifying and thinking about negative thoughts. But obviously the more aware you become of your negative thoughts the more impact they can have on you. The more you might find yourself dwelling on them. Or feeling guilty for not being able to stop them (something I experienced personally)
There is a lot of research that has been done studying both the characteristics (i.e. Individual differences in biological, psychological, and social processes) and demographic (i.e. identity, social status, etc) which influence the effectiveness of CBT and other therapies. In statistical jargon, these are "moderation" or "moderated mediation" studies. In terms of "helpful" vs. "unhelpful", this is a myth of CBT; some of the most powerful techniques in CBT involve getting people involved in more rewarding and meaningful activities. It is called behavioral activation and is a powerful tool for many disorders, including depression and anxiety. In this way, we can still think of treating "unhelpful" behaviors that are characterized by behavioral inhibition (i.e. low motivation, positive emotional engagement, worry, and avoidance) by engaging in positive emotional experiences - focusing on providing reward rather than extinguishing punishment as you describe.
Thank you for correcting my views.
Whoever made the acronym must have known.
Oh hell yes. Ready for this series.
Are you going to cover DBT as well?
hehe CBT
hehe CBT (2)
❤💯
COGNIVITE 🤨
I'm leary about therapy, but I found this to be very helpful
I've had CBT a couple of times, but didn't find it terribly helpful. Eventually, I did a couple of courses of person-centred counselling and they were amazing! Because in my case most of my issues were caused by me not being able to access and process my emotions, and that I was repressing the hell out of the fact I was transgender, which all festered under the surface and caused undirected feelings of anxiety and inadequacy. So when the CBT therapist asked me what negative self-beliefs or catastrophic predictions were making me anxious about meeting other people, I couldn't tell her cause I didn't have any. I just had a vague feeling of discomfort and a feeling of wrongness that got worse when I was around other people. The most specific I could get was an amorphous feeling that I would "make some terrible mistake" and that would be the end of my world. But what that mistake might be I had no idea, and how my world could be ended by some social fopar I also couldn't explain. Logically working through how unlikely such an eventuality is did nothing at all to reduce my fear of it. And the feeling that I was having to hide something about myself and that if people got to know the real me they would reject me. But again I couldn't articulate in cognitive terms what that was. Turns out my fear of getting things wrong was caused by unprocessed trauma from when I was bullied by teachers in school who didn't believe dyslexia was real and belittled me in class for making mistakes in reading and writing. And the feeling of having to hide a socially unacceptable truth about myself was obviously the fact I was trans, which I was hiding so well I was successfully hiding it from myself. Luckily I am so enormously blessed to have amazing family and friends because no one has reacted with anything other than love and acceptance to my coming out. And being able to interact with people as myself, instead of trying to pretend to be a "man" the whole time (without ever having a solid idea what being a man even meant), has meant I can interact with people soo much more naturally and effortlessly. And after learning methods of engaging with and processing painful memories and the emotions that arise from them the fears that were causing my terror of being seen to make some mistake in front of others just went away by themselves.
It's like any treatment, you need to find the intervention that solves the underlying problem. If the problem is negative thought patterns causing difficult emotions then CBT can be great. But if the root of the problem is unprocessed emotions causing negative thoughts then you need something that can target the emotional intelligence, and not the cognitive intelligence
Great episode, I'm a therapist that used to work in CBT and this is a pretty good overview of the treatment and research base in 4 minutes.
There is also an argument that because CBT is often very manualised (i.e. a list of interventions that the therapist chooses from to work through with the client, sometimes with a loose script to follow) that it is well designed for RCTs and that's why it does so well in research, because it fits the way we do research really well which also contributes to why we have so many studies of it.
- posting from the UK for context
It didnt help me.
Cognivite???
Not sure if its working for me
Medication certainly doesn't work.
It depends on the person. That's certainly an unhelpfully sweeping statement; medication covers many different things and works better or worse for different people. My anxiety medication has been extremely helpful.
What studies back up your claim?
It is just like AA, but without the *lies*.
We get it, you're not interested in looking at the number of people in recovery or anything else. You just hate religion, despite the fact that religion is not a part of all AA rooms or the recovery of everyone in AA.
You zealots are just as bad as the evangelicals, and either way don't give a shit about anybody else's sobriety.
I’m here to referred you to #drobudu who genuinely help me to defeat HSV completely