Posted by bassman on June 4, 2006, at 19:50:04 [reposted on June 10, 2006, at 2:33:22 | original URL]
In reply to Re: CBT had been shown to be effective with insomn, posted by SLS on June 4, 2006, at 18:43:32
I guess the condition is very related to whether CBT will be of any use. On Remedyfind.com, CBT isn't in the Top 10- most effective treatments for depression-in fact, no non-chemical approach appears in the Top 10. So on a purely rational basis, it might be best to save for CBT for at least #11 on your list of things that might help, if you suffer from depression. In panic, CBT comes in as number 4-unfortunately, that would include people that suffer from isolated periods of panic which are usually sitational and those with panic disorder, in which the panic periods don't seem to show any pattern and the panic is accompanied by depression. My guess is that CBT might be very effective for the former and of questionable value (at least, that was my experience) for the latter. I'm not sure how much use CBT is to a person who is constantly intensely distressed by depression/anxiety or bipolar disorder. I found CBT to be useful after I became much better in my constant engagement with panic disorder. My guess is that the more biochemically-based a mental illness is and the more intense the symptoms are, the less value CBT would be expected to have. The therapist has to have someone "home" to talk to.
But really the point is that there sometimes that even attempting CBT probably isn't worth the time or effort-and in making that decision, it does not render the person morally irresponsible.
poster:bassman
thread:655132
URL: http://www.dr-bob.org/babble/psycho/20060604/msgs/655134.html