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Cognitive Behavioral Therapy (CBT)

Cognitive Behavioral Therapy, also called CBT, is a therapeutic approach that focuses on the interplay between thoughts, feelings and behaviors.

This therapeutic approach is grounded in the understanding that thoughts, feelings, and behaviors are interconnected. By identifying and challenging negative thought patterns and beliefs, CBT helps young individuals develop healthier ways of thinking and reacting to various situations. It is especially beneficial for conditions such as anxiety, depression, ADHD, and behavioral disorders. 

For children and adolescents, CBT is beneficial as it helps them identify and challenge negative thought patterns, beliefs and behaviors, and how these can be modified to improve mental health. 

How CBT is used during office visits:

As a pediatric psychiatric nurse practitioner, I have received training in CBT and this form of therapy is often incorporated into psychiatric appointments. 

Incorporating the basic fundamentals of CBT into your child's appointments will help them identify and challenge negative thought patterns, develop coping strategies, and set achievable goals. 

Throughout the appointment, cognitive and behavioral techniques are discussed. Homework or practice exercises may be utilized to reinforce skills learned, and to help them apply these strategies into their daily lives. 

CBT is tailored to goals and needs of each child and for parents and caregivers to take an active role in their treatment is encouraged.  

Research has shown that 75% of youth who engage in therapy demonstrate positive changes in their emotional and behavioral functioning.

CBT can help with:   

  • Depression
  • Anxiety
  • ADHD
  • Behavioral disorders
  • Panic attacks
  • Phobias
  • Post-traumatic stress disorder (PTSD)
  • Other psychiatric conditions

When choosing CBT for children and adolescents, it is important to consider their developmental stage and individual needs.

Age-appropriate techniques are always considered. For example, role-playing, play therapy and creative activities may be used to engage younger patients, whereas journaling or cognitive restructuring may be used with teenagers and young adults. 

By engaging in CBT, children and teens can learn to recognize how their thoughts influence their emotions and actions, empowering them to develop healthier coping mechanisms and problem-solving skills. 

Techniques used include: 

  • Journaling
  • Visual learning aids
  • CBT games
  • Challenging beliefs exercises
  • Problem solving skills
  • Relaxation
  • Mindfulness activities
  • Social, physical and cognitive exercises 

As a psychiatric nurse practitioner, I have training in CBT, however, it is important to note that seeing a certified therapist who is formally trained in in CBT is often highly recommended. Certified therapists have extensive training and expertise in delivering CBT, ensuring that children and adolescents receive the most effective form of therapy that is specific to their mental health needs.  

Referrals for therapists trained in CBT and other forms of therapy can be provided.

Understanding the basics of CBT can help children, adolescents and young adults navigate their emotional challenges, build resilience and foster a positive outlook on life.