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Cognitive Behavioral Therapy (CBT)

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Eye-Movement Desensitization and Reprocessing (EMDR)

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Anxiety
Anxiety

Anxiety can be defined in a number of ways.  Sometimes its excessive worry that doesn't stop.  Sometimes its feal and worry in social settings.  At other times its fea of specific things (phobias) such as dogs, blood, vomit, etc.  It can also be obsessions and complusions.  Anxiety becomes a problem in life when it begins to interfere with daily functioning and how you live and what, and where you like to go.  

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Anxiety Problems I work with: Generalized Anxiety, Socail Anxiety, Phobias, Obsessions & Compulsions.

Depression
Depression & Mood

Mood disorder can have many faces and a lot of different symptoms.  It can be major depression, persistent depression (also called dysthymia), or an adjustment reaction to something that has happened in your life, or even a grief reaction.

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Common symptoms of depression include: sleep problems, low energy, social and familial withdrawal, loss of interest in enjoyable activities, thoughts of hopelessness, feelings of worthlessness etc.  Some times individuals with depression also have symptoms of whats called mania and these include: decreased need for sleep, grandiose beliefs about self, impsulive behavior around money, sex, drugs, alcohol, and sometimes bizzare or strange beliefs (delusions).

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Mood Problems I work with: Depression (Major, or Persistent), Bipolar Disorder

 

Trauma & Stress
Trauma & Stress Reaction

We live in a stressful world and for the most part, we are able to handle and manage life's stressors and other difficult situations thrown at us, just fine.  BUT....sometimes, things happen to us, or around us, that is too much for our minds to handle.  This can be situations in which we are hurt or threatened in some way (assault, accident, sexual assault, witnessing these things etc) or they can be the effects of bullying, harassment, abuse, neglect etc.

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Trauma & Stress Problems I work With: Posttraumatic Stress Disorder (PTSD), Acute Stress Disorder

New Dads
New Dads

Becoming a father, whether its for the first time, or for the second, third, or fourth time, is a life changing moment.  Its joyous, scary, frustrating, and emotional all at the same time.  That being said, it also brings many changes.  Dynamics of relationships change, our identities as men change, our needs are put aside to take care of our new additions, and sometimes we struggle to know who we are.  

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This kind of change can bring about anxiety, depression, anger, confusion, and a loss of sense of self.  At times, this change can also be traumatic and we can have a traumatic reaction to the birth.  I use EMDR and CBT to help heal from these experiences and symptoms.

EMDR

EMDR

EMDR FAQ:

What is EMDR?

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The mind can often heal itself naturally, in the same way as the body does. The mind and body naturally want to move towards healing. Much of this natural coping mechanism occurs during sleep, particularly during rapid eye movement sleep. However trauma memories do not always get processed this way on their own; Francine Shapiro developed Eye Movement Desensitization and Reprocessing (EMDR) in 1987, utilizing this natural process in order to successfully treat Post-traumatic Stress Disorder (PTSD). Since then, EMDR has been used to effectively treat a wide range of mental health problems. We use eye movements or tapping paired with the memory to help the brain process the memory in a complete way. “Once the event has been reprocessed, new events in the present will not serve as triggers.”(Tal Croitoru).

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What happens when you are traumatized?

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Most of the time your body routinely manages new information and experiences without you being aware of it. However, when something out of the ordinary occurs and you are traumatized by an overwhelming event (e.g. a car accident) or by being repeatedly subjected to distress (e.g. childhood neglect), your natural coping mechanism can become overloaded. It may be a memory that was not ‘traumatic’, however you were not able to process it in the way it needed to be at the time (due to age, fear, lack of sleep, etc.); it gets stored in our brain, and may be triggered later on in life. This can be helped with EMDR processing.

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This overloading can result in disturbing experiences remaining frozen in your brain or being “unprocessed”. Such unprocessed memories and feelings are stored in the limbic system of your brain in a “raw” and emotional form, rather than in a verbal “story” mode. The traumatic memories can be continually triggered when you experience events similar to the difficult experiences you have been through. Often the memory itself is long forgotten, but the painful feelings such as anxiety, panic, anger or despair are continually triggered in the present. You may not know they are related and wonder why you keep struggling. Alternatively, you may know they are related. Either is completely fine, with the therapist’s support, we find the right memories to target.

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What is an EMDR session like?

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EMDR utilizes the natural healing ability of your body. After a thorough assessment, you will be asked specific questions about a particular disturbing memory. Eye movements, similar to those during REM sleep, will be recreated simply by asking you to watch the therapist’s finger moving backwards and forwards across your visual field. The eye movements will last for a short while and then stop. You will then be asked to report back on the experiences you have had during each of these sets of eye movements. Experiences during a session may include changes in thoughts, images and feelings. You do not have to report on the traumatic memories if you prefer.

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With repeated sets of eye movements, the memory tends to change in such a way that it loses its painful intensity and simply becomes a neutral memory of an event in the past. Other associated memories may also heal at the same time. This linking of related memories can lead to a dramatic and rapid improvement in many aspects of your life.

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What can EMDR be used for?

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In addition to its use for the treatment of Post Traumatic Stress Disorder, EMDR has been successfully used to treat:

anxiety & panic attacks, public speaking, depression, trauma, postpartum conditions, phobias, self-esteem and performance anxiety, addiction, anger  (and more).

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Who can use EMDR?

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EMDR can accelerate therapy by resolving the impact of your past traumas and allowing you to live more fully in the present. It is not, however, appropriate for everyone. You may need some (or many) sessions to prepare with your therapist to build trust before any trauma work begins. The EMDR process is rapid, and any disturbing experiences, if they occur at all, last for a comparatively short period of time. Nevertheless, you need to be aware of, and willing to experience, the strong feelings and disturbing thoughts, which sometimes occur during sessions.

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How long does treatment take?

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EMDR can be brief focused treatment or part of your regular counselling. The most effective EMDR sessions are 90 minutes (or longer).

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Will I will remain in control and empowered?

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During EMDR treatment, you will remain in control, fully alert and wide-awake. You can stop the process at any time. Throughout the session, the therapist will support and facilitate your own self-healing and intervene as little as possible. Reprocessing is usually experienced as something that happens spontaneously, and new connections and insights are felt to arise quite naturally from within. As a result, most people experience EMDR as being a natural and very empowering therapy.

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What evidence is there that EMDR is a successful treatment?

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EMDR is an innovative clinical treatment that has successfully helped over a million individuals. The validity and reliability of EMDR has been established by rigorous research. Please contact me if you would like more reliable sources of research on EMDR. Like any therapy, it must be done with trained therapist you trust.

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This handout is taken from and modified from www.getselfhelp.co.uk

CBT

CBT

What is Cognitive behavioural therapy?

Cognitive-behavioural therapy (CBT) is a practical, short-term form of psychotherapy.  It helps people to develop skills and strategies for becoming and staying healthy.  CBT focuses on the here-and-now—on the problems that come up in day-to-day life. CBT helps people to examine how they make sense of what is happening around them and how these perceptions affect the way they feel.

CBT:

  • is structured

  • is time-limited (usually 6-20 sessions)

  • is problem-focused and goal-oriented

  • teaches strategies and skills

  • is based on a proactive, shared therapeutic relationship between therapist and client

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How does Cognitive behavioural therapy work?

In CBT, clients learn to identify, question and change the thoughts, attitudes and beliefs related to the emotional and behavioural reactions that cause them difficulty.

By monitoring and recording thoughts during upsetting situations, people learn that how they think can contribute to emotional problems such as depression and anxiety. CBT helps to reduce these emotional problems by teaching clients to:

  • identify distortions in their thinking

  • see thoughts as ideas about what is going on, rather than as facts

  • stand back from their thinking to consider situations from different viewpoints.

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The CBT Model

The CBT model is built on a two-way relationship between thoughts (“cognitions”) and behaviours. Each can influence the other.

There are three levels of cognition:

  • Conscious thoughts: Rational thoughts and choices that are made with full awareness.

  • Automatic thoughts: Thoughts that flow rapidly, so that you may not be fully aware of them. This may mean you can’t check them for accuracy or relevance. In a person with a mental health problem, these thoughts may not be logical.

  • Schemas: Core beliefs and personal rules for processing information. Schemas are shaped by influences in childhood and other life experiences.

Behaviour can be changed using techniques such as self-monitoring, activity scheduling (for depression) and exposure and response prevention (for anxiety).

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CBT and Self-Help

There are many self-help books and websites based on cognitive-behavioural principles. Evidence shows that these resources are more useful when the person also gets support from a therapist, especially if he or she experiences low mood. CBT-based self-help approaches include:

  • computer-based CBT

  • professionally supported self-management.

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Who can Cognitive Behavioural therapy benefit?

There has been a lot of research on CBT. Evidence suggests that it is particularly effective in treating anxiety and depression. CBT has also been tailored to other specific problems.

For example, CBT is also used to treat:

  • bipolar disorder

  • eating disorders

  • generalized anxiety disorder

  • obsessive-compulsive disorder

  • panic disorder

  • posttraumatic stress disorder

  • schizophrenia and psychosis

  • specific phobias

  • substance use disorders.

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FAQ

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How will I know if CBT is for me?

Most people know within the first few sessions if they are comfortable with CBT and whether it is meeting their treatment needs. When the "fit" is not quite right, the therapist may adjust the treatment or suggest other treatment options.

In general, CBT may be a good therapy option if:

  • you are interested in learning practical skills to manage your day-to-day life

  • you are interested in practicing change strategies ("homework") between sessions to consolidate improvement.

CBT may not be for you if you want to focus exclusively on past issues or if you want supportive counselling.

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How long does CBT last?

CBT is a time-limited, focused treatment approach. For problems such as anxiety and depression, CBT usually involves 12 to 20 sessions. However, the length of treatment can vary, depending on the severity and complexity of your problems—some people improve significantly in four to six sessions, while others may need more than 20 sessions.

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What can I expect on my first visit with a CBT therapist?

At your first visit, you and the CBT therapist will discuss:

  • the nature and causes of your difficulties and factors that could be maintaining them

  • how the therapist will apply the CBT model to your specfic problems

  • how the tasks that you will do in therapy can work to change different aspects of the problems

  • what you want to get out of treatment.

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This handout was taken and modified from www.camh.ca/en/health-info/mental-illness-and-addiction-index/cognitive-behavioural-therapy

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Contact Me

For any questions you have, you can reach me here:

Kevin Christo MSW, RCSW, RSW

300 8 Varsity Estates Cir. NW

Calgary, Alberta

T3A-2Z3

(403) 863-0834

synergisticcounselling@gmail.com

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