Karen Kerschmann, LCSW

Cognitive Behavioral Therapy and Clinical Supervision

 

Kerschmann & Associates

Cognitive Behavioral Therapy and  Clinical Supervision

Kerschmann & Associates

Cognitive Behavioral Therapy and  Clinical Supervision

The Remarkable Connection Between Happiness and Behavior

A cognitive behavioral approach to achieve more happiness

Positive psychologists and cognitive behavioral therapists promote certain behaviors that prime the brain for happiness.

Shawn Achor is one of my personal heroes- you may have heard of him as the author of ‘The Happiness Advantage’ or through his infamous TED Talk which you can find here. After almost a half a century in the making, positive psychology is sweeping the mental health landscape and I couldn’t be more thrilled. Cognitive behavioral therapists, educators and behavioral scientists are adopting techniques, such as the ‘happiness advantage’ to help people shift their mindset towards the good.

A Cognitive Therapist’s Answer to “Why Can’t I Find Happiness?”

Happiness’ makes many think of smiles, the sunshine, material acquisitions, and absolute bliss. People often perceive ‘happy’ as being beyond our control, that it has to do with external factors or some level of intangible success. However, when you depend on external factors to reach this mysterious state, you set yourself up for fleeting joy but also long-term disappointment, which can lead to depression and anxiety.

Contentment does not have to be controlled by external factors, what you have achieved, or what you or someone else consider the ultimate success. Rather than telling yourself that happiness is something to wait for, or believing that a partner, weight loss, or more money will lead you there, you can train your brain to be positive in the here and now. According to Shawn, if your brain is focused on positivity, it performs 31% more productively than when it is negative, neutral, or stressed. With the happiness advantage, your intelligence, creativity, and energy levels rise. That said, it makes much more sense to focus on how happiness leads to success, instead of the other way around.

It makes sense that managing depression and anxiety can be approached in a different and more effective way- by creating a new internal reality. As you learn how to become more positive in the present, the solution may not seem as hard to achieve. Training your brain to be more positive is something you’ve already taught it to do other tasks until it becomes automatic. Have you ever catch your fingers hitting the ‘F’ for Facebook without even noticing? Reaching for the snooze button? These are both common examples of automatic thoughts.

Let’s Get Happy!

Over time, reversing your formula for happiness in the now and leading your brain to focus on the present and the positive aspects is a mighty force. The trick is to act differently right now, and your brain will begin to become primed for success, which means that you will be able to work harder, faster, and more intelligently in the moment as well as long-term. One of the ways that your brain can be trained is to encourage the release of dopamine, which is a vital ‘feel good’ hormone. Dopamine has two functions: first, to make you happier and second, to trigger all of your learning centers in your brain- of course, you’ve already watched Shawn Achor’s TED Talk and know this, right?

When I work with clients who are looking for solutions to anxiety or depression, I make sure I focus on behaviors instead of feelings. There are several actions that can train your brain to produce more of that precious dopamine.  Shawn asserts that if you practice a positive habit daily for 21 days in a row, you can build a habit and train your brain to be more positive. Three ways to achieve this are to:

  • Journaling- Write down one positive experience in the past 24-hours, so that your brain can relive that experience and start focusing on it. This habit teaches your brain that what you do and what actions you take each day matter.
  • Meditation- Take the time to slow down and meditate, giving your brain a chance to stop multitasking and to focus more on one task, such as the matter at hand. Opportunites to meditate are everywhere and are easier that you may think, as this article by Temma Ehrenfeld discusses.
  • Random act of kindness- Completing a conscious act of kindness can increase the dopamine levels in your brain, such as writing a positive email to a friend, praising a friend for something they accomplished, thanking someone for their support, or simply complimenting someone on their clothes or hair. Personally, this is one of my favorites. A few years ago I published an article on how volunteering can battle a sour mood. Do you live in my town of San Diego? Volunteer Match is a super way to get on it!

As the exercises above reflect, CBT helps you learn skills needed to be happier and more content. Behavioral interventions can be simple and if practiced every day, these types of activities help improve depressed moods and how to be happier in the present!

Happiness is within your control and is attainable with daily practice. Building some simple habits into your daily life will help you create that positivity and happiness that you desire. If you’ve already been influenced by Shawn Achor’s work, please comment below- I’d love to hear from you! 

Staying Grounded During Uncertain Times

Ambiguity, a sense of uncertainty about what’s going on or what might happen, is part of life. We all need to be able to tolerate ambiguity, yet this isn’t always easy. This post explores dealing with the unknowns in life and how to handle it.

What in the World is Going on Right Now? 

All around the globe, people are waiting to see what will happen after the seismic shift in the U.S. Presidential election. Many of my clients have spoken about a myriad of emotions, 3283088909_dc25f2b552_qranging from elation to grief, but all agree it’s uncomfortable to not know what might happen.

Our discomfort for not knowing is well grounded in experimental psychology. Research has shown that when given the choice, most people would prefer to receive an electrical shock immediately rather than wait and possibly be shocked later.

Daniel Gilbert, author of the best-selling book Stumbling on Happiness writes:

“Consider an experiment by researchers at Maastricht University in the Netherlands who gave subjects a series of 20 electric shocks. Some subjects knew they would receive an intense shock on every trial. Others knew they would receive 17 mild shocks and 3 intense shocks, but they didn’t know which of the 20 trials the intense shocks would come. The results showed that subjects who thought there was a small chance of receiving an intense shock were more afraid — they sweated more profusely, their hearts beat faster than subjects who knew for sure that they’d receive an intense shock”.

Two Ways to Handle Anxiety:

We can’t hope to eliminate ambiguity in our lives but we can manage our reactions to ambiguity in healthy ways using one of two techniques that the best cognitive behavioral therapists employ:

– The “Worst Case Scenario” 

This CBT technique helps clients analyze their fears and address them in a logical way.  Not knowing what will happen often leads to an unhealthy level of negative thinking and anxiety. People can be too quick to imagine horrible outcomes. The ‘Worst Case Scenario Technique’ is a seven-step process that individuals can use to confront and manage their fears about the outcome of an event, big or small. The technique can be summarized this way:

1. Picture one of your worries

2. Identify worries associated with that event.

3. List the worries that come from that worry.

4. Use if/then thinking to deal with each worry.

5. Acknowledge your ability to cope with the outcome.

6. Work out how you would handle a “worst case scenario” if it happens.

7. Choose a final image or phrase to use against your worries.

–  The A.C.C.E.P.T.S  Technique

If you find that your rumination is unproductive or gets in the way of doing things you enjoy, temporary distractions can be immensely useful. When there is no way to control an outcome and you find yourself emotionally flooded, it’s time to shift course to a more productive way of doing things. Consciously choosing to focus on something for a time gives your mind some rest and relief. The acronym A.C.C.E.P.T.S stands for distraction techniques individuals can use to feel better fast:

1. Activities – Do some housework or go for a walk.

2. Contributing – Do a little volunteer work

3. Comparisons – Compare your new self to your old self, or yourself to others.

4. Emotions – Do something to evoke the opposite of a negative emotion.

5. Pushing Away – Consciously push the distressing thoughts away.

6. Thoughts – Think about anything else that you can concentrate on.

7. Sensations – Do something positive to engage your senses.

Learn to use one or two of those strategies whenever ongoing ambiguity becomes a real burden. While practicing under the guidance of a therapist can be useful, the techniques themselves are easy to understand.

Quiz: How Well Do You Manage Uncertainty?

Everyone has a different level of tolerance for ambiguity. Wondering how good you are at tolerating ambiguity? There is an easy way to find out. The Tolerance for Ambiguity scale will tell you. You will respond to a set of 16 statements about your attitudes and behaviors. Whether your score is particularly high, or lower than you expected, it is interesting to know where you stand. This information might also be helpful to a therapist who you consult to help you manage anxiety.

Take the Quiz

Life is full of suspense….. Public reactions to the 2016 presidential election make it clear that uncertainty about the future can throw the best of us. We all face personal circumstances that create unhelpful worry and stress. If so, using distraction techniques or working out the worst case scenario and how you can respond constructively can be key cognitive behavioral therapy interventions that you can use to help you feel more grounded and engaged with the real world.

Cognitive Behavioral Therapy for Anxiety

Can Cognitive Behavioral Therapy (CBT) Treat Anxiety?

Anxiety is a feeling of worry, restlessness or uneasiness that typically occurs when we are faced with an imminent situation or one that we have little control over. While it is normal, and even helpful, to experience some level of anxiety from time to time, problems occur when anxiety is out of control, causes phobias or makes it difficult for you to live a productive and healthy life, hold a job or maintain important relationships.

Anxiety causes emotional strain on the individual, and it can also manifest physically in a variety of ways including causing shortness of breath, an irregular heartbeat, gastric and intestinal distress, insomnia, sweating, trembling and dizziness. In some cases, these physical conditions can only be controlled with medication, but in most cases, they can be effectively treated by managing your anxiety by enlisting a cognitive therapist.

Cognitive Behavioral Therapy for Anxiety

When a cognitive behavioral therapist addresses anxiety we approach the problem from many different angles and target three areas in particular:

  • Our emotions
  • Our behaviors
  • Our thoughts

In addition to addressing the biological and environmental components of one’s life, Cognitive behavioral therapy (CBT) is an effective intervention that addresses all three of these areas. It helps individuals to become aware of their negative thought patterns and self-doubt, learn how to behave proactively when faced with anxiety-inducing situations and feel empowered to utilize their most effective coping strategies as well as develop new ones.

Cognitive Components that Impact Anxiety

Cognitive behavioral therapy provides clients with opportunities to openly examine their own thoughts and uncover beliefs that may be unhelpful. Examples of this include realizing that you think you will fail at a job interview before it begins (catastrophization) or believing that a car crash is imminent anytime you get behind the wheel (fortune telling). This discovery process provides opportunities for change which through confronting one’s faulty logic. Cognitive recognition also provides clients with a clearer understanding of how beliefs influence their mental and physical state when certain situations present themselves. It can also alter ‘self-talk’ and replace it with kinder, more loving and forgiving dialogue that decreases anxiety and increases opportunities for success.

Behaviors and Anxiety

Cognitive behavioral therapy examines how individuals act when faced with a specific situation. The goal is to identify and shift maladaptive habits that people with social anxiety or other anxiety disorders tend to repeat and sabotage potential. Clients are then provided with behavioral experiments to change behavioral patterns and adopt effective coping mechanisms to use in a variety of anxiety-inducing situations.

Changing Emotions

Cognitive behavioral therapy offers opportunities for clients to consider how their thoughts and actions make them feel. By changing how you think about an anxiety-provoking situation and how you act when faced with it, you can change the way that you feel about that situation and sometimes, turn it into a situation that you can turn down the volume of your anxious feelings. This can be a powerful discovery and one that teaches clients how to actively participate in choosing how they will react and what their path will be.

Reach Goals Sooner with Cognitive Behavioral Therapy

With cognitive behavioral therapy, clients often see results in as little as a few sessions. This is a major advantage because it has the potential to increase their confidence level and cause them to believe that they can overcome unhealthy anxiety. With their newfound hopefulness, many move forward in a more positive direction and achieve a sense of calm when faced with situations that previously triggered intense anxiety.

Trust and a Strong Client / Therapist Relationship

For cognitive behavioral therapy to be the most effective, it is important that the client is comfortable with the psychotherapist. This is especially true for clients who are prone to extreme anxiety when situations leave them feeling uncomfortable. The highest level of comfort often develops naturally when the therapist treats the client as an equal and an integral part of the healing process. Effective therapists include clients in developing their treatment plan and ask for feedback after every therapy session. Therapists must also realize that each client is an individual, and no one treatment plan will work for every person. This type of attitude fosters mutual respect and cooperation between the therapist and the client. It also increases feelings of hopefulness and curiosity about the potential for therapy that can reduce the number of sessions it takes to reach the client’s goals of reducing or eliminating anxiety and increase opportunities for success.

Anxiety disorders can take over your life and have a crippling effect on your ability to realize happiness but are also one of the most treatable conditions in the mental health spectrum. You can take positive steps to change how you react to stressful situations. As a licensed psychotherapist in San Diego, cognitive behavioral therapy is one solution that I most often recommend to help clients with anxiety walk the path toward happier, more productive lives. If the time is right to realize positive change in your life, contact me to schedule a consultation.

Individual Therapy in San Diego- CBT

In today’s society, adults face many challenges in their daily lives. With demanding schedules, the struggle to maintain a work-life balance and increasing mental health concerns, a greater number of adults are reaching out for therapeutic assistance to help them cope with their day to day lives and break down their barriers to happiness. With the help of a qualified mental health professional, many are able to work through the problems they are facing, recognize their coping techniques and use their established resources and strengths to live healthier, happier lives.

Adult Therapy – A Journey Toward a Healthier, Happier Life

While some individuals shy away from therapy because they associate it with weakness or feelings of inferiority, seeking the assistance of a qualified mental health professional is actually a testament of strength and displays a willingness to take responsibility for life’s most difficult events and seek out positive change. An adult therapist provides a high level of support and insight into challenging situations and assists clients in honing in on existing strengths in order to overcome obstacles to happiness.

Cognitive Behavioral Therapy Explained

When it comes to adult therapy, one method that has shown particular effectiveness in various clinical studies is Cognitive Behavioral Therapy. Cognitive Behavioral Therapy, or CBT as it is often referred to, is a collaborative effort between a therapist and her client that incorporates empathy, warmth and genuineness. The initial goal of CBT is to develop a clear understanding of the problems or barriers at hand and devise a path toward remedying those barriers and breaking down maladaptive patterns. Cognitive Behavioral Therapy is goal oriented, directive and time limited, meaning the individual seeking therapy is assisted in understanding the specific purpose of their sessions in order to direct their attention toward resolving or adjusting negative thought patterns with a clear end in sight. For many, CBT sessions are more effective than other forms of therapy, such as psychoanalysis, in a much shorter period of time. Several clinical studies have shown that adults participating in CBT often see significant improvement in 16 sessions or less. The end result of successful CBT is positive life changes that incorporate the adult’s strengths and lead to a happier, more fulfilling lifestyle.

Cognitive Behavioral Therapy for Adults – Past and Current Uses

Cognitive Behavioral Therapy was initially used for adults facing depression and anxiety. While this style of therapy is still a top choice for therapists assisting clients with these concerns today, it has also proven effective in treating other conditions including eating disorders, substance abuse problems, sleep disorders, post traumatic stress disorder, or PTSD, and attention deficit hyperactivity disorder, or ADHD, in adults. Basically, CBT works by helping a client to identify a problematic way of thinking. In the case of ADHD, this might mean that a client realizes he believes he is stupid because of poor grades and progress in his educational career. In the case of an anxiety disorder, this might mean the person comes to the realization that she always believes she is in danger. Once this line of thinking is established, the therapist works with the client to challenge thought patterns and paint a more realistic picture of why life experiences are the way they are. Next, the client is taught to recognize strengths and reshape feelings, thoughts and associated actions. This leads to the individual learning how to adapt thinking patterns and develop more productive behaviors and a healthier self image.

CBT is an effective adult therapeutic tool for individuals of all ages and in all walks of life, but it is important to seek the assistance of an experienced, trained therapist to gain the greatest results in the shortest amount of time. A qualified therapist will conduct an initial consultation and understand any barriers the individual is facing before therapy begins. The therapist will then tailor future sessions to assist the client in overcoming any barriers and empower the client to feel comfortable and successful in the therapeutic relationship.

Approaches to CBT for Adults

Cognitive Behavioral Therapy for adults is sometimes a stand-alone treatment, and it is sometimes combined with medications for those who require them. Consulting with a qualified mental health professional is the best way to decide how this course of treatment should be used in your particular situation and what, if any, additional medications or therapeutic practices you might also benefit from.

As a professional psychotherapist in San Diego, I have witnessed the many benefits that Cognitive Behavioral Therapy offers adults. I believe in empowering clients to recognize their own barriers to happiness and overcome them with the strengths that exist inside them, and that is a primary reason why CBT is one of many therapeutic approaches I use in my daily practice. If you are seeking a San Diego adult therapist to assist with any of the obstacles that life has thrown your way, contact my office today to schedule a free, no obligation CBT consultation. Together, we can work toward improving your outlook on life and moving toward your happier tomorrow.

The Role of Media in Vicarious Trauma

When You or Your Children Are Upset by News Reports

This is a photo of a stressed out teen

Media coverage of a crime, natural disaster, war, act of terrorism, or other disturbing event provides us with vital and helpful information. News reports can keep us informed about what is happening and things we may need to do.

But too much exposure to media coverage of frightening events can add to our distress and make us and our children feel anxious. Continual reports on burglaries in our community may be as disturbing as accounts of far-off disasters, because the local news stories involve events that are closer to home and may affect us more personally. Below is information on ways to keep media coverage from adding to feelings of stress for you and your family.

Stress reactions to media coverage

Today, with live TV and radio broadcasts from around the world and instant news online, news of traumatic events comes streaming into our living rooms and onto our computer screens as never before. The growing use of cell phones that connect to the Internet has made media coverage even harder to avoid.

We witness frightening events in color and it can feel as if we are really there. Graphic and disturbing images and nonstop coverage of traumatic events can cause us to feel traumatized even if we were not directly impacted by the trauma or tragedy. Experts call this “vicarious trauma” or “secondary trauma.”

The signs of vicarious trauma include

• prolonged sadness and crying
• inability to concentrate
• nausea, headaches, and muscle aches
• fear and anxiety
• sleep problems
• distressing dreams
• a general sense of uneasiness
• isolation and withdrawal from others
• outbursts of anger
• depression

Overview

How media coverage can add to feelings of stress and fear.

• Stress reactions to media coverage
• Taking a break from media coverage
• Resurfacing feelings of grief and anxiety
• irritability
• disorientation
• exacerbation of chronic medical conditions

The signs of vicarious trauma in children include

• daydreaming
• separation anxiety
• regressive behavior, such as bed-wetting
• not wanting to go to school

Taking a break from media coverage

If you are experiencing stress reactions to media coverage or if the news is making you feel anxious, do the following:

• Take a break from listening to or watching media coverage of stressful events. Avoid reading news stories about the events or watching news or documentary programs on TV. Avoid going online to follow the coverage.
• Find ways to fill the gap. Watching the news can be a habit, so find other ways to spend the time you usually watch TV news. For instance, go for a walk, spend more time planning and enjoying meals, listen to favorite music, or read a book.
• Take a break from talking about stressful events in the media with friends and relatives.
• Talk with a professional if your symptoms persist. Your employee assistance program (EAP) can help.

Resurfacing feelings of grief and anxiety

Some people may be especially affected by media coverage, including those who have experienced a loss and those who have experienced a violent crime, natural disaster, war, catastrophe, or personal crisis. Traumatic events may trigger memories of past losses or events even if they happened many years ago, and may bring back images of previous traumas, nightmares, and feelings of grief, fear, and sadness. Below are suggestions if you or someone you love is experiencing
feelings of grief or anxiety that may be triggered by extensive media coverage of a traumatic event.

• Realize that graphic images and stories on TV can affect your mood and feelings. If you feel sad, overwhelmed, or more angry or irritable than usual, limit your exposure to news coverage of the traumatic events and spend extra time with friends or family. Do something that you find relaxing.
• Talk with someone you trust about the recent events and about past losses or experiences that may be affecting you now. 3 z When You or Your Children Are Upset by News Reports

• If your work is affected, talk about your fears and concerns with a professional. Your EAP can assist you in finding help.
• Try to keep to a regular pattern of eating and sleeping. This gives you the strength to cope with stress.
• Get as much exercise as possible. Many people find that exercise makes it easier to cope with painful emotions.
• Seek support from your faith community. During difficult periods many people find comfort and solace in their faith communities.

Media coverage and children

Children who repeatedly see images of violence and trauma on TV or in newspapers may have continued fears about their own safety and that of their family. Children who have lost a pet, experienced a separation or divorce, or lost a friend or relative may be deeply affected. You can protect and support your child by doing the following:

• Limit exposure to news coverage of disturbing events. Closely monitor what your child is seeing on TV or on the computer and what he or she is reading in magazines and in the newspaper.
• Be present if your child does watch TV coverage of disturbing events. That way you can answer your child’ s questions and talk about concerns. It is important to be present even if your child is a teenager. Again, limit the amount of coverage your child watches.
• Take extra steps if the coverage involves a crime or other frightening event in your community. Find out what your child knows or has heard from friends so you can correct any mistaken ideas that he or she may have picked up.
• Spend extra time with your child.
• Keep to family routines.
• Plan a family outing or activity your child enjoys.
• Try, as much as possible, to be together during difficult times. The program that provided this publication has additional resources on coping with stress and disturbing events.

When You or Your Children Are Upset by News Reports

Media coverage of a crime, natural disaster, war, act of terrorism, or other disturbing event provides us with vital and helpful information. News reports can keep us informed about what is happening and things we may need to do.
But too much exposure to media coverage of frightening events can add to our distress and make us and our children feel anxious. Continual reports on burglaries in our community may be as disturbing as accounts of far-off disasters, because the local news stories involve events that are closer to home and may affect us more personally. Below is information on ways to keep media coverage from adding to feelings of stress for you and your family.

Stress reactions to media coverage

Today, with live TV and radio broadcasts from around the world and instant news online, news of traumatic events comes streaming into our living rooms and onto our computer screens as never before. The growing use of cell phones that connect to the Internet has made media coverage even harder to avoid.

We witness frightening events in color and it can feel as if we are really there. Graphic and disturbing images and nonstop coverage of traumatic events can cause us to feel traumatized even if we were not directly impacted by the trauma or tragedy. Experts call this “vicarious trauma” or “secondary trauma.”

The signs of vicarious trauma include

• prolonged sadness and crying
• inability to concentrate
• nausea, headaches, and muscle aches
• fear and anxiety
• sleep problems
• distressing dreams
• a general sense of uneasiness
• isolation and withdrawal from others
• outbursts of anger
• depression

Overview
How media coverage can add to feelings of stress and fear.

• Stress reactions to media coverage
• Taking a break from media coverage
• Resurfacing feelings of grief and anxiety
• Media coverage and children 2 z When You or Your Children Are Upset by News Reports

• irritability
• disorientation
• exacerbation of chronic medical conditions

The signs of vicarious trauma in children include
• daydreaming
• separation anxiety
• regressive behavior, such as bed-wetting
• not wanting to go to school

Taking a break from media coverage
If you are experiencing stress reactions to media coverage or if the news is making you feel anxious, do the following:

• Take a break from listening to or watching media coverage of stressful events. Avoid reading news stories about the events or watching news or documentary programs on TV. Avoid going online to follow the coverage.
• Find ways to fill the gap. Watching the news can be a habit, so find other ways to spend the time you usually watch TV news. For instance, go for a walk, spend more time planning and enjoying meals, listen to favorite music, or read a book.
• Take a break from talking about stressful events in the media with friends and relatives.
• Talk with a professional if your symptoms persist. Your employee assistance program (EAP) can help.

Resurfacing feelings of grief and anxiety
Some people may be especially affected by media coverage, including those who have experienced a loss and those who have experienced a violent crime, natural disaster, war, catastrophe, or personal crisis. Traumatic events may trigger memories of past losses or events even if they happened many years ago, and may bring back images of previous traumas, nightmares, and feelings of grief, fear, and sadness. Below are suggestions if you or someone you love is experiencing
feelings of grief or anxiety that may be triggered by extensive media coverage of a traumatic event.

• Realize that graphic images and stories on TV can affect your mood and feelings. If you feel sad, overwhelmed, or more angry or irritable than usual, limit your exposure to news coverage of the traumatic events and spend extra time with friends or family. Do something that you find relaxing.
• Talk with someone you trust about the recent events and about past losses or experiences that may be affecting you now. 3 z When You or Your Children Are Upset by News Reports
• If your work is affected, talk about your fears and concerns with a professional. Your EAP can assist you in finding help.
• Try to keep to a regular pattern of eating and sleeping. This gives you the strength to cope with stress.
• Get as much exercise as possible. Many people find that exercise makes it easier to cope with painful emotions.
• Seek support from your faith community. During difficult periods many people find comfort and solace in their faith communities.

Media coverage and children
Children who repeatedly see images of violence and trauma on TV or in newspapers may have continued fears about their own safety and that of their family. Children who have lost a pet, experienced a separation or divorce, or lost a friend or relative may be deeply affected. You can protect and support your child by doing the following:

• Limit exposure to news coverage of disturbing events. Closely monitor what your child is seeing on TV or on the computer and what he or she is reading in magazines and in the newspaper.
• Be present if your child does watch TV coverage of disturbing events. That way you can answer your child’ s questions and talk about concerns. It is important to be present even if your child is a teenager. Again, limit the amount of coverage your child watches.
• Take extra steps if the coverage involves a crime or other frightening event in your community. Find out what your child knows or has heard from friends so you can correct any mistaken ideas that he or she may have picked up.
• Spend extra time with your child.
• Keep to family routines.
• Plan a family outing or activity your child enjoys.
• Try, as much as possible, to be together during difficult times.
The program that provided this publication has additional resources on coping with stress and disturbing events.

Written with the help of Alexandra Mezey, LICSW. Ms. Mezey has a master’ s degree in social work
and has completed postgraduate training in family therapy and advisement for Employee Assistance
Professional certification. She has worked as a family therapist and as an employee assistance program
counselor,

© 2001, 2011 Ceridian Corporation. All rights reserved.

Why Cognitive Behavioral Therapy?

Our thoughts and feelings are powerful, how you perceive your world has a strong impact on our body chemistry. Established studies have shown cognitive behavioral therapy works at least as well as anti-depressants in helping people with mild to moderate depression!

The goal of cognitive therapy is learning to recognize then correct negative automatic thoughts and core beliefs.

Over time, the client will be able to discover and correct deeply held bSan Diego Therapist discusses how CBT can emphasize behaviors over feelings when you are struggling with low self-esteemut unhelpful cognitions that contribute to the issues that are holding them back. The underlying premise of CBT is that our thoughts, feelings, and behaviors are deeply influenced by one another. Shifts in just one aspect of this triad can effectively reduce the negative patterns and build a powerful, more effective way of functioning.

There are lots of fun and fast ways to see how our behavior, thoughts and feelings intermingle- one of my favorites is the ‘Power Pose’. Amy Cuddy, a professor at Harvard Business School, discovered that posing like Wonder Woman or Superman for two minutes will rapidly increase your confidence….give it a whirl!