Which form of psychotherapy has been shown to be the most effective in treating psychological disorders?

Medications, psychotherapy and their combination have been shown to help people with emotional or behavioral problems. Different kinds of problems, however, will respond differently to various treatments; therefore, choosing the right treatment can be complicated. Your choice of treatment should be based on the best available scientific evidence, as well as your own willingness to try these treatments and to stick with them. Whatever the choice, these discussions should be reviewed with your physician, psychologist or mental health professional. Here are some things to consider:

Best Evidence

• For depression, two kinds of psychotherapy called cognitive-behavioral therapy and interpersonal psychotherapy, as well as antidepressant medications, have been shown to be helpful. There is some evidence that combining psychotherapy and medications may be more effective than either treatment alone. People who are suicidal may need to be treated in a hospital.
• For anxiety disorders, cognitive-behavioral therapy, antidepressant medications and anti-anxiety medications have all been shown to be helpful. Research generally shows that psychotherapy is more effective than medications, and that adding medications does not significantly improve outcomes from psychotherapy alone.
• For alcohol and drug use disorders, cognitive-behavioral therapy and environment-based therapies, as well as 12-step support programs, have been shown to be helpful. People with severe substance use problems may also benefit from the addition of certain medications that reduce cravings or intoxication effects.
• For eating disorders, medical management may be necessary to maintain physical safety. Cognitive-behavioral therapy, interpersonal psychotherapy and antidepressant medications have all been shown to be helpful, and some evidence suggests that combining psychotherapy and medications may be more effective than either treatment alone.
• For schizophrenia or bipolar disorder, most people will require treatment with antipsychotic or mood-stabilizing medications. Research suggests that adding cognitive-behavioral or family psychotherapy to the treatment can improve functional outcomes.
• For problems with parenting, marriage or adjustment, psychotherapy is usually the first recommendation. This treatment can help you build skills and respond more appropriately to stressors.

Personalizing Your Treatment

• Different people respond to treatments differently. Therefore, if one treatment does not help, try adding the other. Research shows that psychotherapy can be helpful even for people who do not respond well to medications.
• Psychotherapy and medications both require that you stick with the treatment. Results usually do not happen overnight. Therefore, only start a treatment if you are willing to continue it long enough for it to help you.
• You will be most likely to stick with a treatment if it makes sense to you. Therefore, it's important that you discuss the treatment thoroughly with your doctor, and that the treatment is explained in a way that you can understand.
• When in doubt, ask your doctor. He/she can inform you of the best evidence and make a specific recommendation for your condition.

Source: APA Div. 12 (Society of Clinical Psychology)

Date created: July 2017

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Cognitive behavioral therapy (CBT) is a form of psychological treatment that has been demonstrated to be effective for a range of problems including depression, anxiety disorders, alcohol and drug use problems, marital problems, eating disorders, and severe mental illness. Numerous research studies suggest that CBT leads to significant improvement in functioning and quality of life. In many studies, CBT has been demonstrated to be as effective as, or more effective than, other forms of psychological therapy or psychiatric medications.

It is important to emphasize that advances in CBT have been made on the basis of both research and clinical practice. Indeed, CBT is an approach for which there is ample scientific evidence that the methods that have been developed actually produce change. In this manner, CBT differs from many other forms of psychological treatment.

CBT is based on several core principles, including:

1. Psychological problems are based, in part, on faulty or unhelpful ways of thinking.
2. Psychological problems are based, in part, on learned patterns of unhelpful behavior.
3. People suffering from psychological problems can learn better ways of coping with them, thereby relieving their symptoms and becoming more effective in their lives.

CBT treatment usually involves efforts to change thinking patterns. These strategies might include:

• Learning to recognize one’s distortions in thinking that are creating problems, and then to reevaluate them in light of reality.
• Gaining a better understanding of the behavior and motivation of others.
• Using problem-solving skills to cope with difficult situations.
• Learning to develop a greater sense of confidence in one’s own abilities.

CBT treatment also usually involves efforts to change behavioral patterns. These strategies might include:

• Facing one’s fears instead of avoiding them.
• Using role playing to prepare for potentially problematic interactions with others.
• Learning to calm one’s mind and relax one’s body.

Not all CBT will use all of these strategies. Rather, the psychologist and patient/client work together, in a collaborative fashion, to develop an understanding of the problem and to develop a treatment strategy.

CBT places an emphasis on helping individuals learn to be their own therapists. Through exercises in the session as well as “homework” exercises outside of sessions, patients/clients are helped to develop coping skills, whereby they can learn to change their own thinking, problematic emotions, and behavior.

CBT therapists emphasize what is going on in the person’s current life, rather than what has led up to their difficulties. A certain amount of information about one’s history is needed, but the focus is primarily on moving forward in time to develop more effective ways of coping with life.

Source: APA Div. 12 (Society of Clinical Psychology)

What therapy is the most effective treatment for most psychological disorders?

Which type of psychotherapy is the most effective?

Which therapies are among the most effective psychological interventions for a variety of psychological disorders?

Is CBT the most effective therapy?