Cognitive Behavioural Analysis in Edinburgh and Online
Cognitive behavioural analysis is the use of analysis focusing on perception (cognitive) and behavioural outcomes. This is extremely useful in cases where the client is stuck in long term trends of hopelessness, depression and low function. There are a number of variations on this model including CBASP (cognitive behavioural analysis system of psychotherapy) and CAT (cognitive analytic therapy). Stuart was trained in a form of analysis which combined cognitive behavioural analysis and more traditional psychoanalysis.
Cognitive Behavioral Analysis System of Psychotherapy (CBASP) is a type of therapy specifically developed to treat chronic depression. It’s unique in that it combines elements of cognitive behavioral therapy (CBT), interpersonal therapy, and psychodynamic therapy.
Core Principles
CBASP is based on the idea that people with chronic depression often have difficulty connecting with their environment and others due to early traumatic experiences. This leads to:
- Interpersonal problems: Struggles with forming and maintaining healthy relationships.
- Emotional detachment: Feeling disconnected from others and their own emotions.
- Negative thought patterns: Holding pessimistic beliefs about themselves and the world.
CBASP aims to help individuals:
- Identify and change maladaptive interpersonal patterns: Recognize how their behavior impacts others and learn new ways of interacting.
- Develop emotional awareness and regulation: Become more in tune with their emotions and develop skills to manage them.
- Challenge negative thoughts and beliefs: Reframe negative thoughts and develop more realistic and positive perspectives.
How CBASP Works
CBASP therapists use a variety of techniques, including:
- Situational Analysis: A structured method for analyzing interpersonal situations to understand the impact of one’s behavior on others and identify alternative ways of responding.
- Interpersonal Discrimination Exercises: Help individuals differentiate between past traumatic relationships and current relationships to reduce interpersonal avoidance and improve communication.
- Disciplined Personal Involvement: The therapist takes an active role in the therapy, providing direct feedback and challenging maladaptive behaviors.
- Cognitive Techniques: Identifying and challenging negative automatic thoughts and developing more balanced thinking patterns.
- Behavioral Techniques: Encouraging individuals to engage in activities that bring pleasure and mastery to counteract withdrawal and avoidance.
What CBASP Can Help With
CBASP has been shown to be effective in treating:
- Chronic Depression: Particularly helpful for individuals who have not responded well to other treatments.
- Early-onset Depression: Depression that begins in childhood or adolescence.
- Treatment-Resistant Depression: Depression that has not improved with medication or other therapies.
Benefits of CBASP:
- Addresses the root causes of chronic depression: Focuses on the impact of early trauma and interpersonal difficulties.
- Tailored to individual needs: The therapist adapts the treatment to the specific challenges and experiences of each person.
- Promotes lasting change: Helps individuals develop skills and strategies to manage their depression long-term.
Important Considerations:
- Specialized Training: CBASP requires specialized training, so it’s important to find a therapist with expertise in this approach.
- Active Therapy: CBASP is an active form of therapy that requires commitment and participation from the individual.
- Combined Treatment: CBASP is often used in conjunction with medication for optimal results.
What can cognitive analysis assist?
Forms of cognitive analysis are some of the most heavily researched forms of psychoanalysis and some of the research can be found HERE via one style: CBASP.
Combining ongoing medical support and appropriate medication from the GP with cognitive behavioural support has been shown to be more effective than either intervention alone. A study of the Keller (2000) showed success rates in a study for one or either treatment (antidepressants or therapy) in the fifty percent range, whereas combined success rose to over 80%.
[Keller, M. et al. A Comparison of Nefazodone, the Cognitive Behavioural-Analysis System of Psychotherapy, and Their Combination for the Treatment of Chronic Depression. New England Journal of Medicine Volume 342:1462-1470 May 18, 2000.]
In cognitive behavioural analysis the development of the client is seen as key, in particular learnt developmental lessons, ability to make interpersonal relationships work productively, learnt maladaptive behaviours and faulty perceptions or interpretations.
A range of mental health conditions are seen as relating to depression and development, such as Bipolar, severe anxiety and other mood disorders.
What do I need to do to receive cognitive behavioural analysis?
Since the Keller study has indicated that the best outcomes come from joint meditation and therapy, clients are strongly advised to maintain good contact with their medical doctor and maintain appropriate medication as prescribed by their medical professional.
Analysis can be arranged in Edinburgh, Stirling and Falkirk with Stuart by emailing stuart@scotlandtherapy.co.uk or using the contact form on this site, or the easier one at www.scotlandtherapy.org
Who provides the cognitive behavioural analysis?
Stuart trained in analysis, stress management counselling and clinical hypnotherapy 1993-1996 and was assessed on over 200 clients (over 1,000 client hours) in order to complete his externally accredited diploma (externally NVQ accredited and assessed diploma course and CNHC accreditation route via SSM). Since then he has completed post qualification training in a range of counselling, psychotherapy, psychology and complementary health models including integrative counselling, psychotherapy, mindfulness and a MSc Psychology. He has also completed the NACHP assessment process in counselling, hypnotherapy and psychotherapy.
Stuart has specialised for the last eight years in assisting with Bipolar, mood disorders, eating disorders, personality disorders, Depression and Anxiety cases and used cognitive behavioural based psychological therapies as recommended by NICE at the core of his treatment and management provision.
Stuart also uses Chain analysis (psychoanalysis) of the styles used in DBT and active mindfulness, which are forms of behavioural chain analysis.
He is a fellow practitioner member of the National Association of Counsellors, Hypnotherapists and Psychotherapists, the only UK charity representing all three professions. NACHP is a CNHC voluntary regulation (hypnotherapy) qualification routes. He is also PVG disclosure Scotland registered for working with vulnerable adults and young people.
New Specifically Trauma related site NEW! HERE
Negt et al (2016) identified evidence of CBASP style of CBA being effective in chronic depression through a large meta study.
Philip Negt Eva‐Lotta Brakemeier, Johannes Michalak, Lotta Winter, Stefan Bleich, and Kai G. Kahl (2016) “The treatment of chronic depression with cognitive behavioral analysis system of psychotherapy: a systematic review and meta‐analysis of randomized‐controlled clinical trials”https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4864084/
Where can I receive cognitive behavioural analysis?
Stuart has a main clinic based in Edinburgh
Key words:
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Contact via the contact us page HERE