Computer-Based Training for CBT for Women in Residential Treatments

Topics: Cognitive Behavioral Therapy | Computers in Psychiatric Practice | internet-based treatment | open label trial

Review of: Kelpin SS et al, J Subst Abuse Treat 2022;132:108622 Study Type: Randomized open-label controlled trial Cognitive behavioral therapy (CBT) is helpful for substance use disorders, and studies have shown that computer-based CBT is effective in outpatient settings. But is computer-based CBT also effective in intensive residential treatment

Antidepressants for Suicidal Ideation in Depressed Patients?

Topics: Antidepressant | Cognitive Behavioral Therapy | Depression | Suicidality

REVIEW OF: Dunlop BW et al, Psychol Med 2019;49(11):1869–1878 TYPE OF STUDY: Post-hoc analysis of a randomized controlled trial Antidepressants and cognitive behavior therapy (CBT) appear roughly equivalent for treating depression (Weitz ES et al, JAMA Psychiatry 2015;72(11):1102–1109), but might they differ in their efficacy for individual sy

Assessment and Treatment of PTSD in the Older Patient

Topics: clonidine | Cognitive Behavioral Therapy | cognitive processing therapy | Eye movement desensitization and reprocessing | PCL-5 | Prazosin | Prolonged exposure | PTSD | screening | Trauma | Trauma-focused psychotherapy

Your patient, Jonathan, is a 71-year-old man with a history of depression. Two months ago, he was a passenger in a car accident in which the driver was killed. Now he reports sleeping poorly due to nightmares and complains about headaches and stomachaches. He tells you he can’t stop thinking about what happened and needs convincing to get into a car,

Long-Term Treatment Response in Pediatric OCD

Topics: Cognitive Behavioral Therapy | Obsessive Compulsive Disorder | Serotonin Specific Reuptake Inhibitors

REVIEW OF: Melin K et al, J Am Acad Child Adolesc Psychiatry 2020;59(2):244–253 OCD affects 1%–4% of children and adolescents and can be chronically debilitating in 40%–60% of cases. The well-known Pediatric OCD Treatment Study (POTS) published in 2004 showed that CBT and sertraline had comparable benefits over 12 weeks of treatment; however

Cognitive Behavioral Therapy for Substance Use Disorders

Topics: Cognitive Behavioral Therapy | Free Articles | Substance Use Disorder

Cognitive behavioral therapy (CBT) is one of the most widely used psychotherapies. It was developed in the 1960s by Aaron Beck specifically for the treatment of depression, but its core principles were quickly adapted and applied to a variety of diagnoses. We now have evidence-based CBT interventions not only for depression but also for anxiety, PTSD, b

Does CBT Enhance Pharmacotherapy for Addiction?

Topics: Adjunct treatment | Cognitive Behavioral Therapy | Psychotherapy

REVIEW OF: Ray LA et al, JAMA Network Open 2020;3(6):e208279 Does cognitive behavioral therapy (CBT) provide any extra benefit when added to medication treatment for substance use disorders? It’s not clear. Most notably, in the COMBINE study of comparative treatments for alcohol use disorder (see CATR, Nov/Dec 2019), a combined behavioral intervent

Integrating Medication Prescribing and Psychotherapy

Topics: Addiction Treatment | Cognitive Behavioral Therapy | Motivational Interviewing | Therapy during medication appointment

CATR: Set the stage for us on how you approach psychotherapy in addiction treatment. Dr. Marienfeld: I look at every interaction as a potential psychotherapeutic opportunity, whether it is “supposed” to be for psychotherapy or not. There is no strict separation when it comes to somebody with a substance use disorder. To begin with, I approach each

New Hope: CBT for Internet and Computer Game Addiction

Topics: Addiction Treatment | Brief psychotherapy | Cognitive Behavioral Therapy | Technology

Review of: Wölfling K et al, JAMA Psychiatry 2019;76(10):1018–1025 While many of us likely spend far too much time on our various devices—whether for fun or for work—between 0.3% and 1% of the general population might qualify for an internet gaming disorder (Przybylski AK et al, Am J Psychiatry 2017;174(3):230–236). Defined as excessive preo

Primer: Evidence-Based Psychosocial Interventions for Substance Use Disorders

Topics: Addiction | Addiction Treatment | Cognitive Behavioral Therapy | Motivational Interviewing | Psychotherapy | Substance Use Disorder

Evidence-based psychosocial interventions form a critical component of substance use disorder (SUD) treatment. However, clinicians may be less familiar with some of the newer modalities. This primer will help you make informed referrals and discuss options with your patients. Basic interventions Drug counseling Addiction counselors are the backbone o

Opioid Use Disorder: Is There an App for That?

Topics: Addiction | Addiction Treatment | Clinical practice | Cognitive Behavioral Therapy | News of Note | Opioid epidemic | Opioid Use Disorder | Opioids | Technology

In December 2018, the FDA announced its approval of reSET-O, a new mobile medical app marketed by Pear Therapeutics to treat opioid use disorder (OUD). Mobile medical apps (MMAs) are a rapidly expanding class of smartphone apps intended to improve patient health and wellness. The FDA defines MMAs as software programs that run on smartphones and “trans

A Prescription App for Insomnia

Topics: Cognitive Behavioral Therapy | Cognitive Behavioral Therapy for Insomnia (CBTi) | Health Apps | Sleep Disorders

You may recommend smartphone apps for mindfulness, symptom tracking, or medication reminders, but do you prescribe apps? FDA-authorized “prescription digital therapeutics” are already available for ADHD (EndeavorRx), traumatic nightmares (Nightware), and opioid use disorder (reSET-O). Now Somryst, a prescription app for insomnia, joins them. It is d

Side Effects of Psychotherapy

Topics: Behavior therapy | Behavioral therapy | Behavioral treatment | Brief psychotherapy | Cognitive Behavioral Therapy | Exercise | Psychotherapy | Therapy during medication appointment | Therapy with Med Management

TCPR: What are side effects to psychotherapy?Dr. Linden: Side effects are adverse reactions to a therapy that is correctly applied. TCPR: Why do you say “correctly” applied?Dr. Linden: When I talk about side effects, I’m not talking about boundary violations or mistakes by the therapist. I’m talking about unwanted events that are caused by the

Brief Therapy During the Medication Visit

Topics: Behavior therapy | Behavioral therapy | Behavioral treatment | Brief psychotherapy | Cognitive Behavioral Therapy | Exercise | Psychotherapy | Therapy during medication appointment | Therapy with Med Management

TCPR: How does a brief therapy session differ from the 50-minute hour?Dr. Sudak: What’s different is the scope of what you can tackle in those 25–30 minutes. There’s a greater need to organize the session and make decisions about what you can take on. For example, trauma is a subject that you’d probably defer to a longer session. TCPR: How do y

CBT for Insomnia

Topics: Cognitive Behavioral Therapy

Each month, Editor-in-Chief Chris Aiken, MD, gives advice on a different practice challenge. Dear Dr. Aiken: The January 2019 issue mentioned cogni­tive behavioral therapy for insomnia (CBT-i) as a good alter­native to sleep meds. It’s hard to find a therapist trained in CBT-i in my area. Are there any evidence-based self-help op­tions that I ca

Dialectical Behavior Therapy for Substance Use Disorders: A Primer

Topics: Addiction | Cognitive Behavioral Therapy | Free Articles | Substance Abuse

Angela is a 27-year-old woman who was just discharged from the hospital after a suicide attempt following her second arrest for DUI. She says she only drinks on the weekends, but she recently lost her third job due to absenteeism. She doesn’t like AA, and she was kicked out of residential substance abuse treatment after the staff caught her scratching

Applying Dialectical Behavior Therapy to Addiction

Topics: Addiction | Cognitive Behavioral Therapy | Practice Tools and Tips | Substance Abuse

Using Motivational Interviewing in Your Practice

Topics: Addiction | Cognitive Behavioral Therapy | Substance Abuse

Conduct Disorder and Oppositional Defiant Disorder: A Primer

Topics: Child Psychiatry | Cognitive Behavioral Therapy | Free Articles | Practice Tools and Tips | Psychotherapy

Vignette: Richie was a 15-year-old boy referred for evaluation after multiple run-ins with the police for drug possession, fighting, and shoplifting. Richie was the oldest of three boys and looked up to a gang-involved cousin who was in prison for drug trafficking. The patient was enrolled in multisystemic therapy (MST) for both treatment and further e

Understanding Conduct Disorder

Topics: Child Psychiatry | Cognitive Behavioral Therapy | Practice Tools and Tips | Psychotherapy

Getting Bullied as a Kid: Not Good for Your Mental Health

Topics: Child Psychiatry | Cognitive Behavioral Therapy | Depressive Disorder | PTSD