Cognitive Behavior Therapy for Insomnia (CBT-I)
Cognitive Behavioral Therapy for Insomnia (CBT-I) is a structured program to help you challenge and replace thoughts and behaviors that cause or contribute to insomnia. The cognitive part of the treatment focuses on identifying and challenging thoughts and beliefs that tend to keep you in an agitated or frustrated state when trying to sleep. The behavioral part focuses on eliminating behaviors that worsen sleep and replacing these problematic behaviors with habits that facilitate and promote sleep.
CBT-I, as practiced at the CBT Center of Southern California, consists of the following features:
- Cognitive therapy
- Stimulus control therapy
- Sleep restriction
- Sleep hygiene
- Relaxation skills
For a full explanation of our program of CBT-I, see our blog articles on CBT-I: CBT-I: Are Sleep Problems Epidemic?,Um, What Exactly Is CBT-I?, and CBT-I: An Effective Treatment for Both Insomnia and Depression.
Habit Reversal Training (HRT)
Habit reversal training (HRT) is a specialized collection of cognitive behavior therapy techniques often used for help in changing unwanted habits. It is utilized in the CBT treatment of Hair Pulling Disorder (Trichotillomania) and Skin Picking Disorder (Neurotic Excoriation), in particular, but can be used to help people eliminate or reduce other “body-focused repetitive behaviors” (BFRBs) like nail biting, or mouth or cheek biting, etc. HRT first helps raise the person’s level of awareness of the habit behavior (often times the individual is not fully aware of what he/she is doing when doing it, and, to the degree the person is not aware of the behavior, it is to that same degree unchangeable), then teaches the person how to apply a variety of means to interrupt and then replace the unwanted habit. HRT is one of the few psychotherapeutic approaches to the BFRBs to be research-validated.
Emotionally Focused Therapy for couples is a short-term treatment formulated by Drs. Sue Johnson and Les Greenberg. The focus of treatment is on rebuilding trust and intimacy, and helping individuals feel safe and secure in their attachment to their partner. Improved communication is a natural byproduct of such treatment. A substantial amount of research has shown EFT to be highly effective in improving levels of distress in one’s relationship and typically moving couples from distressed to recovered. In fact, research indicates that EFT is one of the most highly effective treatment modalities available to couples. Enhanced Cognitive-Behavioral Therapy for couples formulated by Drs. Norman Epstein and Donald Baucom focuses on improving communication skills more directly and, like EFT, treatment works to change the maladaptive interactions one experiences with his/her partner.
Members of the CBT Center staff have experience treating distressed heterosexual, gay, and lesbian couples presenting with a variety of problems in their relationship. Couple therapy is appropriate for premarital and cohabitating couples. EFT has been shown to be effective for couples in which one or both partners are suffering from disorders such as depression, posttraumatic stress, and chronic illness. Additionally, couple therapy can be particularly helpful in light of a major betrayal.
The experience of a major betrayal in one’s relationship can be traumatic. Upon learning about the betrayal (e.g., an extramarital affair, a secret), the injured partner can feel like the rug has been pulled out from under him/her. Also, questions about how to move on from this, alone or as a couple, and whether to forgive can feel confusing and overwhelming. A therapist can help couples absorb the impact of the betrayal, make sense of the painful event, and recover from this difficult time.
Please note that the intensive and structured treatments offered at the CBT Center may not be appropriate for couples experiencing on-going physical violence in their relationship.
Over the last ten years research has consistently demonstrated the usefulness of mindfulness meditation to significantly positively impact mood and anxiety disorders, as well as helping with a host of other health issues such as facilitating reductions in blood pressure and increases in immune function, increased attention and focus (including help with ADHD), the reduction of emotional reactivity and the promotion of general wellbeing. At the CBT Center of Southern California, mindfulness meditation is often woven into the course of CBT when appropriate or when the individual is specifically interested in learning the meditation techniques.
Parent-Child Interaction Therapy (PCIT):
Parent-Child Interaction Therapy (PCIT) is the most evidence-based treatment for children ages 2-7 with disruptive disorders. PCIT consists of two phases of treatment: a relationship enhancement phase, and a compliance and discipline phase. After a thorough assessment to determine your child’s most significant disruptive behaviors (e.g., noncompliance, oppositionality, tantrums), the therapist meets with the parents privately to teach specialized, play-based, behavior management skills. Then, utilizing a one-way mirror and bug-in-the-ear technology, the therapist coaches the parents to apply those skills with their child during therapy sessions. In this way, the child learns to be compliant with the parent, not just the therapist. Weekly practice of the skills at home help solidify the child’s behavioral gains, before beginning the second phase of treatment which focuses on compliance and discipline.
Trauma-Focused Cognitive Behavioral Therapy (TF-CBT):
Trauma-Focused Cognitive Behavior Therapy (TF-CBT) is the most evidence-based treatment for children and adolescents ages 3-18 who have experienced traumatic and upsetting events, including (but not limited to): accidental injuries, painful medical treatment, child abuse and neglect, natural disaster, community violence, and traumatic grief related to the death of a family member or close friend (e.g., suicide). Children and their parents learn about common traumatic reactions and experiences, learn relaxation skills and feeling identification, and practice cognitive coping skills before being guided through an exposure to their own memories of the traumatic event. Through the exposure, the child’s fear and avoidance of things associated with the traumatic event is reduced, and s/he gains a sense of mastery over their own difficult and painful memories.
Organizational Skills Training for Children with AD/HD:
Organizational Skills Training (OST) for Children with AD/HD is an evidence-based treatment designed for children grades 3 through 5 designed to address deficits in organizational skill, time management, and planning (OSTMP). Organizational skills training helps kids develop essential skills set for organizing school materials, tracking assignments, and completing homework and other tasks successfully. This treatment primarily relies on the use of behavioral training procedures to improve OSTMP functioning, and includes both parents and teachers in enhancing skills development.