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

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.

The Importance of Sleep and Mental Health

Think about the last encounter you had with a friend or co-worker where you discussed sleep. You probably said something like, “You wouldn’t believe how tired I am! I only slept for five hours last night.” Your friendly likely responded with, “That’s nothing! I only got three hours of sleep.”

Examining this interaction, one would be led to believe that getting just a couple hours of sleep is worthy of a badge of honor. On the other hand, I’ll tell you something quite different.

Sleep and Mental Health: What are the consequences of sleep deprivation?

When a client comes into my office, one of the first questions I ask them is, “How much sleep are you getting?” Have you ever thought about how your sleep can affect your mental health? Sleep deprivation is linked to increased anxiety, depression, and even psychosis in patients. In my experience, clients who are suffering from any mental disorders will typically see symptoms improve remarkably with adequate shut-eye.

Arguably, the most dangerous consequence of sleep deprivation in mental health is a slower response time. The adage that a tired driver is more dangerous than a drunk driver is has been established over and over again in studies; cognitive effects of sleep deprivation may lead to mistakes, errors in judgment, and even psychosis. This relates to memory storage and even the decision-making process. If you haven’t been getting enough sleep, you are probably missing details at work or working on projects for school.

How much sleep do I need?

Truth be told, there isn’t a specific amount of sleep that each person should aim for. Some people operate just fine with six hours, but others need more than eight. Generally, you should always wake up feeling refreshed just a few minutes before the alarm rings.

What can I do to avoid sleep deprivation?

Sometimes going to bed earlier seems like an impossible feat, especially when issues like stress, temperature and diet come into play. You can create a bedtime ritual that gets your mind ready for sleep. Shut off the television and keep the electronics out of the bedroom for better sleep, and consider practicing good sleep hygiene.

Sleep deprivation is often related to psychological disorders. If this is the case, a therapist may be able to help. Cognitive behavioral therapy is a useful tool in managing your sleep for mental health and changing your sleeping habits.

Individual Therapy in San Diego- CBT

Adults Face Challenges and Seek Solutions: Individual Therapy in San Diego

Today, adults encounter numerous challenges in their daily lives. Demanding schedules, the constant effort to maintain work-life balance, and rising mental health concerns drive more individuals to seek individual therapy for support. With the guidance of a skilled mental health professional, adults can tackle their problems, refine coping techniques, and leverage their strengths to lead healthier, happier lives.

A Journey to a Healthier, Happier Life

Many people avoid individual therapy, associating it with weakness or inferiority. In reality, seeking help demonstrates strength and a willingness to take responsibility for life’s challenges while pursuing positive change. An adult therapist offers valuable support and insight, helping clients identify their strengths and overcome barriers to happiness.

Cognitive Behavioral Individual Therapy: A Proven Method

Cognitive Behavioral Therapy (CBT) consistently proves effective in addressing adult mental health concerns. This collaborative approach between therapist and client builds on empathy, warmth, and authenticity. CBT focuses on clearly understanding problems and creating actionable steps to resolve them, breaking negative patterns.

Goal-oriented, directive, and time-limited, CBT encourages individuals to actively work toward solutions. Studies show CBT often yields significant improvements in 16 sessions or fewer, delivering results faster than many other therapeutic methods. Successful CBT fosters positive life changes, helping adults build a more fulfilling lifestyle.

Adults Face Challenges and Seek Solutions

Today, adults encounter numerous challenges in their daily lives. Demanding schedules, the constant effort to maintain work-life balance, and rising mental health concerns drive more individuals to seek therapeutic support. With the guidance of a skilled mental health professional, adults can tackle their problems, refine coping techniques, and leverage their strengths to lead healthier, happier lives.

A Journey to a Healthier, Happier Life

Many people avoid therapy, associating it with weakness or inferiority. In reality, seeking help demonstrates strength and a willingness to take responsibility for life’s challenges while pursuing positive change. An adult therapist offers valuable support and insight, helping clients identify their strengths and overcome barriers to happiness.

Applications of CBT

Initially developed to treat depression and anxiety, CBT now addresses a broader range of issues, including eating disorders, substance abuse, sleep disorders, PTSD, and ADHD. The process begins by identifying harmful thought patterns.

For example, someone with ADHD might believe they are “not good enough” due to academic struggles. A person with anxiety may assume constant danger. CBT challenges these thoughts, helping clients adopt realistic perspectives and develop healthier self-images. Through this process, clients reshape thoughts, feelings, and behaviors, creating lasting positive change.

Empowering Change Through CBT

As a professional psychotherapist in San Diego, I have seen firsthand the transformative impact of CBT on adults. My goal is to empower clients to recognize and overcome barriers using their inner strengths. If you are ready to address life’s challenges and embrace a happier future, contact my office today to schedule a free CBT consultation. Together, we can build a brighter tomorrow.

Goal-oriented, directive, and time-limited, CBT encourages individuals to actively work toward solutions. Studies show CBT often yields significant improvements in 16 sessions or fewer, delivering results faster than many other therapeutic methods. Successful CBT fosters positive life changes, helping adults build a more fulfilling lifestyle.

The Role of a Skilled Individual Therapist

To maximize CBT’s effectiveness, clients should work with an experienced therapist. A qualified professional conducts an initial consultation to identify barriers and then tailors sessions to address those challenges. This personalized approach empowers clients to feel confident and successful throughout therapy.

Integrating CBT with Other Treatments

CBT may be used alone or alongside medications, depending on individual needs. Consulting a qualified mental health professional ensures clients receive the right therapies to achieve the best results.

Empowering Change Through CBT

As a professional psychotherapist in San Diego, I have seen firsthand the transformative impact of CBT on adults. I aim to empower clients to recognize and overcome barriers using their inner strengths. If you are ready to address life’s challenges and embrace a happier future, contact my office today to schedule a free CBT consultation. Together, we can build a brighter tomorrow.

Why CBT for Anxiety and Depression?

CBT for Anxiety and Depression

CBT for anxiety and depression has become one of the most effective, evidence-based approaches to improving mental health. Research shows that it can be as effective as, and sometimes even more effective than, antidepressants in treating mild to moderate depression. By addressing the relationship between thoughts, feelings, and behaviors, CBT provides individuals with practical tools to overcome challenges and build resilience.

This is an article about CBT for Anxiety and Depression CBT for anxiety and depression has become one of the most effective, evidence-based approaches to improving mental health. Research shows that it can be as effective as, and sometimes even more effective than, antidepressants in treating mild to moderate depression. By addressing the relationship between thoughts, feelings, and behaviors, CBT provides individuals with practical tools to overcome challenges and build resilience. The foundation of CBT for anxiety and depression lies in identifying and challenging negative automatic thoughts and core beliefs. These thought patterns often operate unconsciously, shaping how we perceive ourselves and the world around us. Through CBT, individuals learn to recognize these unhelpful cognitive patterns, replace them with healthier alternatives, and ultimately shift their emotional and behavioral responses. One of the strengths of CBT for anxiety and depression is its structured approach. It is based on the idea that our thoughts, feelings, and actions are interconnected, and a change in one area can positively influence the others. For example, altering a self-critical thought can reduce feelings of hopelessness and encourage proactive, confidence-boosting behaviors. Over time, this process fosters sustainable mental and emotional well-being. An Experiment to Try CBT for anxiety and depression isn’t just about exploring thoughts—it’s also about testing how small changes can create meaningful shifts. A simple example is the "Power Pose," a technique popularized by Harvard professor Amy Cuddy. Stand tall like Wonder Woman or Superman for two minutes, and you may notice a boost in your confidence and mood. This exercise demonstrates how behaviors can influence emotions, making it a perfect example of the principles behind CBT for anxiety and depression in action.

 

The foundation of CBT for anxiety and depression lies in identifying and challenging negative automatic thoughts and core beliefs. It’s been noted that these thought patterns often operate unconsciously, shaping how we perceive ourselves and the world around us. Through CBT, individuals learn to recognize these unhelpful cognitive patterns, replace them with healthier alternatives, and ultimately shift their emotional and behavioral responses.

 

One key strength of CBT for anxiety and depression is its structured approach. Specifically, it focuses on the connection between thoughts, feelings, and actions. By changing one area, others can improve as well. For instance, shifting a self-critical thought may reduce hopelessness. This, in turn, can inspire proactive and confidence-building behaviors. Gradually, these changes promote lasting mental and emotional well-being.

An Experiment to Try

CBT for anxiety and depression isn’t just about exploring thoughts—it’s also about testing how small changes can create meaningful shifts. A simple example is the “Power Pose,” a technique popularized by Harvard professor Amy Cuddy. Stand tall like Wonder Woman or Superman for two minutes, and you may notice a boost in your confidence and mood. This exercise demonstrates how behaviors can influence emotions, making it a perfect example of the principles behind CBT in action.

 

Combat the Holiday Blues by Helping Others

Combat the Holiday Blues by Helping OthersManaging the Holiday Blues

Volunteering is a great way to show you care about the world around you. It boosts morale in your community and provides opportunities to enrich the lives of others. While all of this sounds very selfless, there are valuable, selfish reasons to volunteer too. Sounds a little strange, right? Well, it is true! Volunteering benefits more than just the people or organization that you are helping. It also benefits you by addressing the common ‘Holiday Blues’.

Recent studies conducted at The University of North Carolina Chapel Hill show a direct correlation between giving of yourself and finding happiness and improved personal relationships in life. Those who volunteer have increased lifespan, less instances of depression and a greater ability to remain healthy throughout crisis situations. Basically, volunteers remain incredibly resilient regardless of what curve balls life throws their way.

Perhaps you have considered volunteering, but you are not sure how to get started. The process is rather simple. The key to finding a great volunteer opportunity is to look for something you are passionate about and contact organizations who work with that cause. Regardless of how many hours you choose to volunteer, you will reap the benefits of your actions, and the Holiday Blues may feel a but lighter this year.

Don’t know where to start? Try the links below:

www.volunteermatch.org

www.allforgood.org

Positive Contagion- Making a Constructive Change With Our Behaviors

This is a photo of positivity contagion


Positive Contagion: The Power of Positive People and Emotions

In my previous post, I discussed how the company you keep directly influences your mood and may even contribute to feelings of depression. You might now be wondering: “Does this happen when you’re around positive people too?” The answer lies in the science-backed phenomenon known as Positive Contagion.

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Have you ever noticed how watching a movie with a smiling, joking comedian lifts your spirits and fills you with joy? Or how spending an afternoon playing with a happy child brings you laughter and playfulness? This isn’t a coincidence. You’re experiencing positive contagion, a psychological and neurological phenomenon where you mirror the emotions and behaviors of others. Research shows that your brain is wired to respond to the emotions of people around you, thanks to mirror neurons—specialized brain cells that help you mimic the actions and feelings of others.

When you surround yourself with positive, upbeat individuals, you find it easier to feel cheerful, motivated, and optimistic. This is why spending time with positive people—whether at work, home, or in social settings—can profoundly impact your mood and well-being. Positivity isn’t just a state of mind; it’s a contagious energy that spreads quickly, influencing those around you in ways you may not even realize.

Why Should I Try to Create Positive Contagion?

But here’s an important point: it’s not just about seeking the company of positive people—it’s about cultivating positivity within yourself. Your emotions are just as contagious as those of others. Keep this in mind, especially when you’re trying to uplift someone feeling down. While your words are important, your actions hold more power. A simple smile, a kind gesture, or a moment of laughter can create ripples of positivity that affect those around you.

Consider this: when you exude positive energy, everyone you interact with can feel it. Whether you engage with a colleague at work, spend time with your family at home, or chat with friends in social settings, your positive contagion encourages others to embrace the same outlook. Research has shown that positivity spreads from one person to another like an invisible chain, creating a culture of happiness, well-being, and support. So, the next time you’re in a situation where someone seems down, remember that your positivity could be just the thing they need to shift their mindset.

There’s always value in a hearty laugh, a friendly smile, or a kind word. By living this way, you can set off a chain reaction of positive energy that spreads far beyond your expectations. Positive contagion can transform environments and relationships, helping create a supportive and uplifting atmosphere wherever you go.

In conclusion, the company you keep and the positivity you bring into any environment plays a crucial role in your mental health and happiness. By being mindful of the impact your emotions have on others, you can contribute to a culture of positivity that spreads far and wide, improving both your own well-being and that of those around you.

Try This Behavioral Experiment

So, the next time you’re with friends, colleagues, or even strangers, remember that your energy can inspire and uplift. You have the power to create positive contagion, influencing those around you in ways that can make a lasting difference!