We ALL need a little help sometimes, even when we have awareness of our challenges and difficulties. It's really hard for many to ask for help, so I thought I'd share some useful techniques that I use in my own private practice in NYC working with therapy and coaching clients. CBT techniques are very helpful tools to be used in therapy, coaching and useful when applied to everyday life situations. What follows are some of the most common problems that clients struggle with and CBT techniques that are helpful.
Journaling—This technique gathers information and data about habitual thoughts, emotions and moods. Included in journal entries can be: time of day, the source or trigger, the intensity of the feeling state and the response or action taken. You can add more helpful and adaptive coping responses that might be considered in the future.
Catastrophizing—This tendency is to go immediately to an irrational thought that something is far worse than it actually is. Catastrophizing generally takes two different forms: making a catastrophe out of a current situation or a future situation. Step one is to identify when your are doing this. Next, use your smartphone or journal to write the thoughts down throughout the day and add a corrective statement to counteract the negative belief.
Cognitive Distortions—Alone or with a therapist, you practice identifying harmful or negative thoughts that are automatic for you, then challenge these thoughts that lead to vulnerability or distress in your daily life.
Cognitive Restructuring—Once you identify the distortions or inaccurate views, you can begin to learn about how this distortion took root and why you came to believe it. When you discover a belief that is destructive or harmful, you can begin to challenge it. Instead of accepting a faulty belief that leads to negative thoughts about yourself and poor self-esteem, you could take this opportunity to think about something in a different way.
Write Down Self-Statements to Counteract Negative Beliefs—This is a challenge especially if your belief is strong or it has served you in some way. Confront these negative thoughts by introducing a positive more correct thought. Positive thoughts or self-statements help to interrupt old patterns and create new neural pathways.
Exposure and Response Prevention—If you suffer from OCD, you can expose yourself to whatever creates the compulsive behavior that follows. Avoid doing the behavior by writing about it instead in a journal or notepad.
Interoceptive Exposure—If you struggle with panic attacks or anxiety, this technique involves exposing yourself to bodily sensations that elicit responses that lead to distress and panic symptoms. As you experience unpleasant symptoms, unhelpful thoughts arise and you can learn to tolerate the experience, reduce avoidance and develop a different way to view these symptoms such discomfort, but not dangerous.
Play the Script Until the End—This technique involves imagining the worst case scenario, letting it play out in the mind. For those who struggle with fear and
Kimberly Seelbrede, LCSW is a New York City Psychotherapist + Consultant who splits her time between Manhattan and Santa Fe, providing online therapy to individuals and couples. With extensive training and experience, she provides psychological consultation, psychotherapy, EMDR therapy and executive coaching to a range of clients including VIP's + high-profile clients. As a women's emotional health + relationship expert, her specialties include: anxiety, depression, trauma resolution, addictions, relationship, intimacy and sexual concerns, health + autoimmune issues, loss + grief and women's mentoring. She enjoys writing, photography, yoga, meditation, travel and really good key lime pie. She lives with her husband, psychologist, scholar and mindfulness expert John Chambers Christopher. For more, subscribe to her newsletter or connect with her on Instagram, Facebook, Twitter, Psychology Today, EMDRIA and her personal websites KimSeelbrede.com, Santa Fe Integrative Psychotherapy or Well+Being Blog.