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Cognitive Behaviour Therapy

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#1 ~CSaM~



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Posted 29 September 2011 - 01:49 PM

I went and saw my GP yesterday and spoke to her about the possibility of going on a low dose antidepressant.

She was hesitant because I'm pregnant, and we've decided to give CBT a go first.

I have done it once before, when I was only 16-17 and to be honest didn't find it helped a great deal. I'm not sure if that was perhaps my age and I just didn't 'get it' or whether I just don't get much benefit out of it.

So just wondering, has anyone only used CBT. Or used it in conjunction with AD's? Did you find it helpful at all?
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#2 **** Sarah and Adam ****

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Posted 29 September 2011 - 01:54 PM

My doctor told me about CBT yesterday (although Ive heard of it before). He said that it is the most sucessful form of treatment for Generalised anxiety and depression. He gave me a website which I don't have on me atm but there are online courses which your GP does a prescription for you to do (a Sydnet Hospital have done them).

#3 tastebud


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Posted 29 September 2011 - 02:34 PM

It's not the be all and end all, but I am a big fan of CBT.

Try this interactive link for a taste. I found it extremely helpful many years ago.

Worth a try. You probably know the drill - exercise, social contact, therapy.... all of that is beneficial.

But CBT is more about challenging your beliefs through the language you use; during self-talk and in your conversations with others.

Good luck smile.gif
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#4 ~BJL~


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Posted 29 September 2011 - 04:19 PM

CBT + antidepressants have been found to have the most benefit when compared to antidepressants or CBT, or other therapies alone, so the research backs it up.

I don't have any experience of it personally, but hope it helps you xx
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#5 lil chicken

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Posted 29 September 2011 - 08:39 PM

I have had great success with CBT used with antidepressants, the two really compliment each other...I'm not sure I could cope with one without the other (but that's just my situation) I think CBT is great even for people without anxiety, it takes a bit of practise and requires a daily committment to retrain years of thinking a certain way...I found it really interesting. Best of luck and I hope you feel much better really soon x

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#6 K13


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Posted 29 September 2011 - 10:59 PM

This is just my experiences and suggestions, I hope they help.

I was sent to "get help" at 16 but it didn't help, I think it was a combination of not wanting help and maturity. So just because it didn't work for you then doesn't mean you should try again, a different state of mind, life stage, maturity, can change the treatment's effectiveness.

I've seen A LOT of professionals and some I like and click with and can really help and others I couldn't stand for longer than a couple of sessions, so maybe try a different person this time.

CBT was helpful for me but I was on anti-depressants at the time. I stopped taking my meds when I found out I was pregnant, I have complicated pregnancies and don't even want to risk vitamins, but I was told the meds I was on was safe during pregnancy as long as I lowered my dose (I was on the max dose at the time). So there are anti-depressants you can take during pregnancy if you feel you really need to.

I don't have private health insurance so I use my medicare allotment of free sessions every year, which is 12 sessions a year. My doctor always refers me for 6 sessions at a time in case I don't need all 12 so I can save some for later in the year. If you were able to do something like this maybe you could try the first 6 sessions without meds and if it works keep doing it that way. If you feel like you need the meds your doctor might be more willing to put you on them for the last 6 sessions because you've already tried it their way IYKWIM (you will need to take the meds a few weeks before you do the sessions to give them time to start working).

Good Luck, I hope you can find something that works for you and if you need anymore advice or just to talk I'm here.
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#7 Starlight


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Posted 30 September 2011 - 07:56 AM

QUOTE(~BJL~ @ Sep 29 2011, 04:19 PM) View Post

CBT + antidepressants have been found to have the most benefit when compared to antidepressants or CBT, or other therapies alone, so the research backs it up.

Absolutely. CBT is considered the 'gold standard' in treatment, but it can take a bit of time and effort for it all to 'click'. A standard CBT treatment plan lasts for at least 12 sessions, but can often take more if you factor in extra 'practice sessions' etc. I think the main thing is finding a psych whom you build a good rapport with, really helps with getting the strategies down pat.

The link provided by tastebud is fantastic, another good link is here. And here is another link for downloadable resources to assist. I find this particular site invaluable when I'm working with clients.

Best of luck. x

#8 Em-Jay


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Posted 03 October 2011 - 08:04 AM

I found it really helpful but having said that I was also on antidepressants (and I was pregnant too).

My advice would be to try and make an appointment with a psychiatrist who specialises in PND... They are the most up to date with medications and pregnancy and also know of specialised pregnancy/pnd cbt programs....
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#9 ~CSaM~



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Posted 05 October 2011 - 09:36 AM

Thank you everyone for the links & comments. Im on holidays and Im on my phone so havent had a chance to look at the links yet, but will do when I get home.

I guess I can only try the cbt & if it isnt effective I might look at cbt & antidepressants together.
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#10 squeaza


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Posted 05 October 2011 - 09:50 PM

I'm on my phone so won't type an essay, but in short, I spent a year doing a form of CBT as treatment for chronic nerves and performance anxiety (not good for a performer...) It was fabulous for me - I like problem-solving, and this gave me things that I could DO to help the predicament I was in.

While different to using it for depression, I have gone back to a lot of the things I learnt in that time more recently in my life, when I was skirting around depression and chronic procrastination and anxiety.

My brother has pretty bad clinical depression and has had huge success with a mixture of CBT and anti-depressants. For him, the CBT alone wasn't enough at the start, but the anti-ds helped him get to a more receptive point for him to benefit from the CBT. He's up and down and sometimes completely off all medication, but when things get bad it is his psychiatrist and the CBT who are invaluable in getting things back on track.
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