nicky flowers

medical professional who either wants you to play Classic BattleTech or has a fetish to share

'Studies where therapists...were instructed to adhere to the Beck CBT manual had a steeper decline in effect sizes'

'The authors did list...failure to adhere to a manual...as potential reasons'

HRRMMMM.

I mean yeah the thing about CBT is that it's inherently impossible to observe the mechanism of action: you cannot observe someone else's thoughts. The only thing you can measure with any level of accuracy is behavior, and even then only if you have very robust categorization of behaviors. It also doesn't take into account that material conditions have changed A LOT since 1977 and what may have worked then might not work now.

Cock and ball therapy

I joke but I am very glad my current therapist does not think CBT is a good fit for me

the way i've best had it put is that CBT is very good at dealing with irrational concerns (social anxiety, old events that don't really have bearing on the present) but very bad at dealing with rational concerns (disability limiting societal participation, being in a bad environment)

The problem I've had with CBT is that it does work well on me, but the therapists I find always want to decide for me what my priorities are, and we end up working on something that I'm not motivated to do the exercises for, instead of working on the thing that I came for!!

Also they always spent the first two-three sessions trying to explain my brain to me, which I'm sure is helpful for people with bad introspection skills and a brain that behaves in expected ways, but I'm the opposite of these things so this part is tiring