CBT for IBS: A Frontline Treatment, Not Adjunct Therapy Cognitive behavioral therapy (CBT) for IBS is an effective way to target the brain-gut axis and improve symptoms, but few patients receive it.

We spoke to Jeffrey Lackner, PsyD, a pioneer in research on #cognitivebehavioraltherapy for #irritablebowelsyndrome (#IBS) to discuss barriers in access to treatment and the need for increased awareness. #IBSAwarenessMonth

Read more: www.gastroenterologyadvisor.com/features/cbt-for-ibs/

7 Cognitive Behavioral Therapy Exercises You Can Practice at Home #cognitivebehavioraltherapy #cbt #therapy 
www.couragetobetherapy.com/blogarticles/7-cognitive...

Stoicism & Therapy : What every provider should know ….

#stoicism #therapy #cbt #mentalhealth #cognitivebehavioraltherapy

#CBTtherapy #ACTtherapy #DBTtherapy #cognitivebehavioraltherapy #acceptanceandcommitmenttherapy #dialecticalbehaviortherapy #anxiety #mentalhealth #therapy #wellbeing

The Most Common Cognitive Distortions Explained #cognitivebehavioraltherapy #cbt #therapy 
www.couragetobetherapy.com/blogarticles/the-most-co...

The B in CBT. Why Behavior Matters More Than You Think. #cognitivebehavioraltherapy #therapytools #therapy 
www.couragetobetherapy.com/blogarticles/the-b-in-cb...

Examination of the Acceptability and #feasibility of a Virtually Delivered Facilitator-Led and Self-Directed Cognitive Behavioral Skills Intervention in a Sample of Physicians and Medical Learners: Mixed Methods Evaluation Background: The prevalence of various mental health conditions is higher among physicians and medical learners. One common barrier to receiving adequate care includes a lack of time to see a provider and follow treatment plans. As such, virtual forms of cognitive behaviour therapy with mindfulness (CBTm) were introduced to mitigate these barriers and provide care in an efficient and effective manner. Objective: The objective of this study was to determine the acceptability and #feasibility of a 5-session CBTm program, delivered in 2 virtual formats within a population of medical learners and physicians. Methods: Participants signed up to the program using an online link and were able to choose a preferred format to participate in the CBTm program. One option was a virtual, facilitator-led class that was held once a week for 5 weeks, in a group setting (CBTm facilitator-led). Another option included a self-directed course that had identical content to the live classes but was independently completed by the participant using an online platform (CBTm self-directed). Feedback forms were collected from participants after every class and analyzed using quantitative and qualitative methods. Thematic analysis was used to qualitatively analyze open-ended questions from participant feedback forms. In addition, the mean values of questionnaire items were used to determine participant satisfaction with the program. Results: The results indicated a good level of interest in both CBTm facilitator-led (n=15) and CBTm self-directed (n=94) groups. Of those who registered for the program, 13.8% (15/109) registered for CBTm facilitator-led and 86.2% (94/109) chose the self-directed version. The percentage of participants who participated in the majority of classes was 80% (12/15) for the CBTm facilitator-led group and 45.7% (43/94) for the CBTm self-directed group. The mean age of participants was 44.86 (SD 12.15 years), and the highest rate of uptake was among female physicians. Quantitative mean scores of participant feedback forms also showed a high level of satisfaction. For example, the Client Satisfaction Questionnaire 8 (CSQ-8) was analyzed, and the results indicated mean total scores of 28.00 (SD 3.24) and 26.46 (SD 3.55) for CBTm facilitator-led and CBTm self-directed, respectively. In addition, many themes emerged from thematic analysis and were subsequently categorized into 3 major categories. This included perceived strengths, perceived weaknesses, and suggested revisions to improve the program. Perceived strengths included improved mental health, helpful course content, and improved patient care. Perceived weaknesses included individual barriers to participation, content downfalls, and format-specific barriers. Suggested revisions included improving adherence to homework and virtual delivery of the program. Conclusions: In conclusion, the results indicate that the self-directed and facilitator-led versions of CBTm were acceptable and feasible in this population of physicians and medical learners.

JMIR Formative Res: Examination of the Acceptability and #feasibility of a Virtually Delivered Facilitator-Led and Self-Directed Cognitive Behavioral Skills Intervention in a Sample of Physicians and Medical Learners:… #MentalHealth #CognitiveBehavioralTherapy #CBT #Telehealth #HealthcareInnovation

#cbt #cbttherapy #cognitivebehavioraltherapy #typesoftherapy

The Long-Term Impact of Cognitive Behavioral Therapy and Cash Transfers on High-Risk Young Men in Liberia | IPA

A study in #Liberia showed #CognitiveBehavioralTherapy, #CBT, significantly reduced criminal #recidivism. A small stipend ($200/mo) reduced it even further.

(1/2)

shorturl.at/ZC4Jb

Cognitive Behavioral Therapy Techniques That Work #cognitivebehavioraltherapy #cbt #therapy 
www.couragetobetherapy.com/blogarticles/cognitive-b...

#cognitivebehavioraltherapy #cbt #cbttherapy

How CBT Works to Change Thoughts and Behavior #cognitivebehavioraltherapy #therapy #mentalhealth 
www.couragetobetherapy.com/blogarticles/how-cbt-wor...

The Effectiveness of Digital Cognitive Behavioral Therapy to Treat Insomnia Disorder in US Adults: Nationwide Decentralized Randomized Controlled Trial - PubMed ClinicalTrials.gov NCT05541055; https://clinicaltrials.gov/ct2/show/NCT05541055.

#Research Readings: The effectiveness of digital #CognitiveBehavioralTherapy to treat #insomnia disorder in US adults: Nationwide decentralized randomized controlled trial

https://pubmed.ncbi.nlm.nih.gov/41343796/

What is Behavioural Activation? Listen or Read Now! www.connorwhiteley.net/post/what-is... #behaviouralactivation #cbt #cognitivebehavioraltherapy #cognitivebehaviouraltherapy #behavioralactivation #clinicalpsychology #mentalhealth #mentalhealthsupport #psychology #psychologyfact #psychologystudents

He's being treated with Leqembi for cognitive failure. It's an infusion (hand bruising) and can cause brain swelling, monitored by regular MRI screening. Sleepiness is a side effect.
#DonaldTrump #cognitivebehavioraltherapy #cognitivefailure

Seen people talk about cognitive behavioral therapy or dialectical behavioral therapy? Learn how these commonly used therapy methods may benefit your therapy journey. #maff #madison #wisconsin #cognitivebehavioraltherapy #dialecticalbehavioraltherapy #therapyworks #mentalhealthmatters

Cognitive Behavioral Therapy for Anxiety #cognitivebehavioraltherapy #therapy #therapytools 
www.couragetobetherapy.com/blogarticles/cognitive-b...

Personalized Transdiagnostic Cognitive Behavior Therapy With Midtreatment Stepped Care to Improve Mental Health Among University Students in Sweden: #feasibility Study for a Randomized Controlled Trial Background: University students show a high prevalence of diverse mental health problems, requiring adaptable interventions to assist them in improving their mental health. Objective: This study aimed to evaluate the #feasibility of transdiagnostic internet-delivered cognitive behavioral therapy (ICBT) for anxiety and depression in preparation for a randomized controlled trial. ICBT incorporated 2 innovative approaches to increase precision: user-steered content personalization and within-treatment adaptive modification based on early symptom trajectory. Methods: This single-group, open-label study was conducted online in Sweden in the autumn of 2021, recruiting from students who had completed the World Health Organization (WHO) World Mental Health International College Student (WMH-ICS) mental health survey. Participants were eligible if they scored 5-19 on the Patient Health Questionnaire-9 (PHQ-9), or ≥5 on the Generalized Anxiety Disorder-7 (GAD-7), or both. Participants completed an 8-week ICBT program with therapist support. They initially personalized their program by selecting a primary problem orientation, anxiety or depression, and choosing additional elective modules, and could consult their therapist regarding these choices. At midtreatment, stepped care was piloted, in which participants without symptom improvement were randomized to adaptive enhancement of therapist support or to continue treatment as before. The main #feasibility outcomes included data on reach and uptake, intervention acceptability, stepped care procedures, and assessment retention up to 6 months. The GAD-7 and PHQ-9 were the primary outcome measures, with changes in scores calculated using mixed effects models. Results: Of 749 invited students, 55 (7%) completed the study screening, and 28 (4%) were included. The GAD-7 baseline score was 9.5 (SD 4.4), and the PHQ-9 baseline score was 11.2 (SD 5.2). Participants opened 6.2 (SD 2.2) out of the 8 treatment modules. The user-directed personalization yielded 27 unique treatment configurations across 28 participants. At week 4, 16/27 (59%) participants remaining in treatment were randomized in the stepped care procedure. Ratings on self-report measures showed acceptable to good therapeutic alliance and treatment satisfaction. Eleven participants reported increased stress associated with the treatment. Reductions in depression and anxiety symptoms were observed at postmeasurement and 6 months follow-up, with 43% attrition at those times. Conclusions: This pioneering study of personalized ICBT with adaptive change among university students demonstrated the overall #feasibility of the treatment. To enhance the design of a future definitive trial, modifications are necessary to mitigate assessment attrition and reduce treatment-related stress. Trial Registration: ClinicalTrials.gov NCT05509660; https://clinicaltrials.gov/study/NCT05509660

JMIR Formative Res: Personalized Transdiagnostic Cognitive Behavior Therapy With Midtreatment Stepped Care to Improve Mental Health Among University Students in Sweden: #feasibility Study for a Randomized Controlled… #MentalHealth #CognitiveBehavioralTherapy #StudentWellbeing #Anxiety #Depression

Starting the Year by Changing How You Think #therapy #cognitivebehavioraltherapy #therapytools 
www.couragetobetherapy.com/blogarticles/starting-th...

New Year Resolutions That Stick Using CBT #cbt #cognitivebehavioraltherapy #newyears resolution #therapy
www.couragetobetherapy.com/blogarticles/new-year-re...

Trump showing signs he’s battling major medical crisis, Democrat claims Rep. Sydney Kamlager-Dove, D-Calif., hinted that Trump is taking medication to treat Alzheimer's disease.

Some say Trump is being treated with Leqembi for cognitive failure and Alzheimer’s. www.al.com/politics/202... It's an infusion (hand bruising) and can cause brain swelling, monitored by regular MRI screening.
#DonaldTrump #cognitivebehavioraltherapy ##cognitivefailure

Challenge your inner critic by reframing negative thoughts. Question their truth and replace them with balanced, realistic perspectives. Change your mindset, change your life.
#CognitiveBehavioralTherapy #MindsetShift #SelfCompassion

Personalizing a Weight Loss Program Using Cognitive-Behavioral Phenotypes to Improve Engagement and Weight Loss in Adults With Overweight or Obesity: Quasi-Experimental Study Background: Obesity affects more than one-quarter of adults in the United Kingdom and is a leading cause of preventable disease and health care costs. Digital behavior change programs can provide scalable weight management support, but maintaining engagement is challenging, and engagement is strongly associated with weight loss success. Tailoring interventions to cognitive-behavioral phenotypes, distinct patterns of thinking and behavior, offers one strategy to improve adherence. Although such approaches show promise in controlled settings, evidence from real-world digital programs is limited. Objective: This study evaluated whether phenotype-tailored weekly advice improved engagement and weight loss in a national digital weight management program. Secondary aims were to assess correlations between advice use and outcomes, explore moderation by socioeconomic status, and capture participants’ perceptions of the advice. Methods: We conducted a quasi-experimental study among UK adults enrolled in a free 12-week program commissioned by the National Health Service. Eligible participants were aged 18-80 years with a BMI greater than 25 kg/m². The phenotype group (n=148; mean age 48 years; 127/148, 86% female; mean BMI 39 kg/m²) completed a 17-item questionnaire, were classified into one of 4 phenotypes, and received weekly tailored advice for 7 weeks. Comparators included a historical cohort enrolled 1 year earlier without phenotype advice (n=241; mean age 44 years; 171/241, 71% female) and nonresponders who did not complete the questionnaire (n=394; mean age 44 years; 299/394, 76% female). Primary outcomes were program engagement (any in-app activity such as meal logging, activity tracking, content reading, or coach messaging) and self-reported weight. Results: The phenotype group recorded a mean of 257 (SD 232) engagements over 7 weeks, significantly higher than both the historical cohort (mean 159, SD 187; P

JMIR Formative Res: Personalizing a Weight Loss Program Using Cognitive-Behavioral Phenotypes to Improve Engagement and Weight Loss in Adults With Overweight or Obesity: Quasi-Experimental Study #WeightLoss #CognitiveBehavioralTherapy #HealthEngagement #ObesityResearch #DigitalHealth

Clinical Efficacy, Therapeutic Mechanisms, and Implementation Features of Cognitive Behavioral Therapy–Based Chatbots for #depression and #anxiety: Narrative Review Background: Artificial intelligence (AI)-powered chatbots delivering cognitive behavioral therapy (CBT) are increasingly recognized as scalable solutions for addressing #MentalHealth concerns such as #depression and #anxiety. These fully automated interventions offer novel pathways for psychological support, particularly for individuals with limited access to traditional therapy. Objective: This narrative review aims to examine the clinical efficacy, therapeutic mechanisms, and technological features of CBT-based AI chatbots used to alleviate symptoms of #depression and #anxiety. Methods: Twelve peer-reviewed studies published between 2015 and 2025 were included based on predefined inclusion criteria. The studies were analyzed to extract information on intervention structure, therapeutic components, outcomes, and implementation characteristics. Results: Evidence from the included studies suggests that CBT chatbot interventions consistently result in significant short-term reductions in #depressive and #anxiety symptoms, particularly within 4 to 8 weeks. Moderate effect sizes were observed for #depression. Common therapeutic features included cognitive restructuring, behavioral activation, and mindfulness strategies. Technological components such as self-monitoring, real-time feedback, and goal tracking were also associated with enhanced user engagement and adherence. Conclusions: CBT-based chatbots represent a promising, scalable modality for delivering psychological support. However, heterogeneity in study design and the limited availability of long-term outcome data present challenges for generalizability. Future research should emphasize personalized interventions, long-term effectiveness, cross-cultural adaptability, and ethical considerations for real-world clinical integration.

JMIR Mental Health: Clinical Efficacy, Therapeutic Mechanisms, and Implementation Features of Cognitive Behavioral Therapy–Based Chatbots for #depression and #anxiety: Narrative Review #MentalHealth #CognitiveBehavioralTherapy #Chatbots #ArtificialIntelligence #Therapy

Leveraging No-Code Digital Platforms for Designing an Integrated Smartphone-Based Ecological Momentary Intervention With Cognitive Behavioral Therapy for Mental Health Care: Development and #usability Study Background: The rising burden of disease associated with mental disorders calls for evidence-based psychological interventions that can be swiftly scaled up. Blending smartphone-based mental health apps (MHapps) for delivering ecological momentary interventions (EMIs) with traditional in-person interventions may have the benefits of improving treatment adherence, the application of learned techniques into everyday life and, in turn, enhancing clinical response. However, previous work has shown that most existing MHapps were developed for specific research studies or for profit, thereby making them difficult to adapt, particularly in time-limited and resource-scarce settings. Objective: Using a phased approach, this study aimed to demonstrate how a person-centred and theory-informed MHapp could be developed in a timely and low-cost manner for use as part of blended care. Given the scarcity of digital mental health interventions for older adults, we adopted a participatory research approach to co-designing the blended intervention with two groups of older adults. Methods: In Phase 1, we reviewed existing MHapps with consideration of whether they can be adapted by individual researchers or clinicians, their key functions, and whether their efficacy has been tested. ‘No-code’ app builders were additionally reviewed, which may be alternatives if no MHapp can be utilised. In Phase 2, following the IDEAS framework, we built a prototype according to users’ needs, with its content informed by cognitive and behaviour theories (cognitive behavioural therapy [CBT] and the Health Action Process Approach [HAPA]). The prototype was then tested and refined over two rounds of 3-session co-design workshops with Peer Supporters (n = 8) and service users (n = 5) from a stepped-care intervention for older adults with depressive symptoms. #usability testing was conducted with both stakeholder groups in Phase 3. Results: Of the 149 MHapps identified, only 43 (28.9%) can be publicly downloaded. Four of them (8.3%) can be partially adapted, although no new content can be directly added. We therefore developed the MHapp using m-Path, which was the only existing no-code app development platform designed for mental health interventions. A prototype incorporating CBT-based homework and behaviour change techniques informed by the HAPA was built, with its refined version rated as highly easy to use and acceptable by both stakeholder groups. Conclusions: By integrating EMI with CBT, we demonstrated the #feasibility and acceptability of a novel blended care model for reference in future work. Preliminary findings suggest high #usability and clinical relevance, highlighting the potential of leveraging no-code platforms to facilitate scalable, theory-driven interventions that extend mental health support beyond traditional settings. Grounding the blended intervention in evidence-based psychological and health behaviour change theories, coupled with user involvement throughout the design process, may substantially improve clinical efficacy and reduce implementation barriers, which are areas for further investigations in future work.

JMIR Formative Res: Leveraging No-Code Digital Platforms for Designing an Integrated Smartphone-Based Ecological Momentary Intervention With Cognitive Behavioral Therapy for Mental Health Care: Development and… #MentalHealth #CognitiveBehavioralTherapy #DigitalHealth #NoCode #SmartphoneApps

Self-Directed CBT Proven Strategies for Resilience Without a Therapist.

medium.com/storyangles/...

Self-Directed CBT.
Proven Strategies for Resilience Without a Therapist.

#CBT #CBTtherapy #resilience #medium #stressrelief #stressmanagement #cognitivebehavioraltherapy

Can you treat a narcissist? | The-14 Can narcissists change? Therapy may help manage traits, but progress is slow and requires patience, skill, and a strong therapist–patient rapport.

Can you treat a narcissist?
#Health #Psychology #Narcissism #MentalHealth #Therapy #PersonalityDisorders #NarcissisticPersonalityDisorder #DarkTriad #Psychology #SelfImprovement #Science #EmotionalHealth #CognitiveBehavioralTherapy #MentalWellness #The14
the-14.com/can-you-trea...

Group Cognitive Behavioral Therapy With Virtual Reality Exposure Versus In-Vivo Exposure for Social #anxiety Disorder and Agoraphobia: Underpowered Results From the SoREAL Pragmatic Randomized Clinical Trial Background: Background: Social #anxiety disorder (SAD) and agoraphobia are common, impairing conditions often treated with cognitive behavioral therapy (CBT) conducted in groups. In CBT, exposure therapy is a core element. However, in-vivo exposure therapy is logistically challenging and aversive for both patient and therapist, especially in a group context, often leading to exposure being skipped all together in clinical practice. Virtual reality exposure (VRE), in which phobic stimuli is presented through immersive virtual reality technology, has shown promise as a flexible alternative to in-vivo exposure. We thus hypothesized that using VRE would result in more overall exposure and more individualized exposure, resulting in statistically significant symptom reduction compared with a group using in-vivo exposure. Objective: Objectives: This trial evaluated the efficacy of group CBT with VRE (VR-CBT) versus CBT with in-vivo exposure for treating SAD and agoraphobia in clinical settings. Methods: Methods: In this randomized, parallel-group, assessor-blinded trial, 177 participants with SAD (N =150) or agoraphobia (N=27) as a primary diagnosis were assigned to either VR-CBT (N =81) or traditional CBT (N=96) across five Danish #MentalHealth outpatient clinics. Both groups received 14 weekly group sessions. The difference between the two treatments was, that the VR-CBT group received exposure therapy via head-mounted displays (HMDs) displaying 360-degree videos of anxiogenic situations for individuals with SAD (E.g., presenting at work) and agoraphobia (E.g., faulty elevator), while the CBT group conducted traditional in-vivo exposure exercises (E.g., presenting to the group, using the clinic elevator). Primary outcomes were phobic #anxiety reductions, measured by the Liebowitz Social #anxiety Scale (LSAS) and the Mobility Inventory for Agoraphobia (MIA) at baseline, post-treatment, and 1 year-follow up (from baseline). Secondary outcomes included work and social functioning, #depressive symptoms, and quality of life. Results: Results: Both groups showed significant reductions in primary, secondary, and exploratory outcomes, with no significant differences between groups at post-treatment (d= -0.026) and 1 year follow-up (d=0.097). Baseline characteristics and attrition rates were balanced across groups. Conclusions: Conclusion: Due to insufficient recruitment and substantial missing data, no definitive conclusions can be drawn regarding group differences between VR-CBT and traditional CBT in group settings. The feasibility issues encountered suggest that careful consideration of the benefits and limitations of VR technology is essential before implementation in clinical practice. Clinical Trial: Clinicaltrials.gov NCT03845101; https://clinicaltrials.gov/study/NCT03845101?term=NCT03845101&rank=1

JMIR Mental Health: Group Cognitive Behavioral Therapy With Virtual Reality Exposure Versus In-Vivo Exposure for Social #anxiety Disorder and Agoraphobia: Underpowered Results From the SoREAL Pragmatic… #CognitiveBehavioralTherapy #SocialAnxiety #Agoraphobia #VirtualReality #ExposureTherapy

Our new guide explains how classical conditioning and phobias start, and how CBT rewires fear with real-world practice. 🧠✨

➡️nosa-cbt.com/classical-conditioning-a...

#cbt #phobias #anxietyhelp #mentalhealthuk #nosacbt #cognitivebehavioraltherapy #flyingphobia

Assessing the #usability of a Prescription-Based Mobile App for Patients With Panic Disorder and Its Management Console for Clinicians: Controlled User Study Background: Panic disorder is characterized by sudden panic attacks and persistent anticipatory anxiety. While pharmacotherapy remains effective, patients with panic disorder often experience residual symptoms and functional impairments. Lifestyle factors influence symptom severity but are often unaddressed in routine psychiatric care. Most current digital therapeutics for panic disorder have limited scope, lack integration with clinicians, and fail to consider behavioral patterns. To address these limitations, our research team developed a prescription-based app that supports structured cognitive behavioral therapy practice, real-life symptom management, and lifestyle modifications for patients with panic disorder, and a management console, a web-based platform that allows clinicians to monitor the patients’ engagement and progress and determine therapeutic options if necessary. Objective: This study tested the #usability of the app and management console by evaluating their interface, functionality, and user experience. The primary goal was to identify the strengths and areas for further improvement of these software devices, and to develop a list of modifications to improve the user experience and clinical applicability in updates to refine the devices for a future clinical trial. Methods: #usability data was collected by investigators at a medical device #usability research center without the involvement of the development research team, and the participants were 15 patients with panic disorder and 15 psychiatrists. Each group completed experimental use of the app or management console and scoring the convenience and safety by its modules, questionnaire evaluations for the acceptability, and presentation of verbal subjective feedback on areas for improvement. Based on the participants’ suggestions, a list of items that need to be modified to improve functionality and ease of use for each device was created. Results: Patients completed 155 assigned tasks for the app with over 98% success, and psychiatrists completed 34 tasks for the management console with over 86% success. The convenience and safety scores for the app and management console exceeded the neutral threshold (all: mean > 4.5). For all statements about the acceptability, both patients and psychiatrists responded at the level of agreeing with a score exceeding 3 (mean: 3.6 ~ 4.3 and 4.0 ~ 4.7, respectively). There were 38 suggestions for app improvements and 66 suggestions for management console improvements, most of which were incorporated in the modification list. Conclusions: Patients reported that the app might be easy to use and help manage anxiety, and psychiatrists found the management console practical and well-suited for outpatients. By combining patient-facing therapeutic tools with clinician-driven prescription and monitoring, the devices offer a solution aligned with clinically integrated, real-world psychiatric care. Modified devices based on the improvement suggestions presented in this study will be evaluated in future clinical trials for their impact on engagement and treatment outcomes.

JMIR Formative Res: Assessing the #usability of a Prescription-Based Mobile App for Patients With Panic Disorder and Its Management Console for Clinicians: Controlled User Study #MentalHealth #PanicDisorder #DigitalTherapeutics #CognitiveBehavioralTherapy #MobileHealth