Why Cognitive Behavioral Therapy (CBT) Doesn’t Work For Me
Over the last thirty-plus years, I’ve been through all forms and styles of CBT, and it doesn’t help in the long-term management of my condition.
I don’t believe that Cognitive Behavioral Therapy (CBT) alone, or even CBT combined with medication, and without additional therapies, works in the long-term treatment of bipolar disorder.
Whew. There. I’ve said it.
Now, go ahead, release the hounds! Draw the swords! Commence with the firing squad!
I have, over the last thirty-plus years, been through all forms and styles of therapy, all of which relate back to some theory of CBT: exposure therapy, bio-feedback, acceptance therapy, dialectical behavior therapy, etc., etc. I completed and even taught the W.R.A.P. plan as a peer counselor.
Don’t get me wrong: each of these methods on its surface has some benefit in terms of behavior modification and assistance in self-awareness for positive change. They can be very helpful for the development of initial coping skills at first diagnosis/crisis. Further, plans like W.R.A.P., or much better, books like Julie Fast’s “Take Charge of Bipolar Disorder”, are useful in getting one grounded again, not only with oneself, but with loved ones.
But for the long-term, for the remainder of one’s life, CBT doesn’t go deep enough, Indeed, criticism of CBT method is exactly that:
“- Due to the structured nature of CBT, it may not be suitable for people with more complex mental health needs or learning difficulties.
Some critics argue that because CBT only addresses current problems and focuses on specific issues, it does not address the possible underlying causes of mental health conditions, such as an unhappy childhood.”
For the past eighteen months, I have been involved in coherence therapy. This technique, and working with my certified psychotherapist, has changed my life.
How has CBT helped or hindered you?