Difference Cognitive Behavioural Therapy (CGT)

CGT is generally short-term therapy, usually after 12 sessions it is evaluated whether there is an effect. If this is not the case, one will scale towards step 2. This is called 'stepped care'. This was conceived based on scientific research into cost-effectiveness. It is unnecessary and impossible to use the heaviest theories for everyone, often many people have already been helped with a small correction of their negative thoughts through Cognitive Behavioural Therapy (CGT). For example, one learns to gather evidence before and against certain beliefs. The thought can be reversed, and with it the emotion that will make one feel better again. For many clients this is enough, making Cognitive Behavioral Therapy a good first step.

The question may arise to what extent Cognitive Behavioral Therapy may be symptom reduction. This is not always true, a good CGT therapist can also achieve deeper effects. Sometimes In practice I also saw incredibly powerful results of Cognitive Behavioural Therapy. Furthermore, there are even a number of targeted CGT elements in the ISTDP

. However, most ISTDP therapists will not have escaped the fact that they quickly achieved powerful effects on many clients who did not advance with Cognitive Behavioral Therapy. Clients often give this back. The question remains, of course, which clients these are, and which the ISTDP therapist does not see and, for example, are already well helped with Cognitive Behavioral Therapy. However, suspicions may arise among the ISTDP therapists, whether there is a degree of symptom reduction in CGT versus removing the underlying cause in ISTDP. For this reason, ISTDP is currently being compared in scientific research to other therapies. See also the page 'Scientific research'.

Nb. If you are on the waiting list for Cognitive Behavioural Therapy, you have almost always received a good indication and then this is not a wrong first step anyway. You are always free to try ISTDP to compare yourself which suits you better. Remember in that case, it is generally thought that the 'click' with the therapist would also explain a large part of the therapy effect. In addition, one can ask yourself whether this could be properly/fully investigated (this is often difficult to measure). However, an article has recently been published in which there is said to have been a great effect between ISTDP and the 'standard' treatment (see the 'Halifax Depression Study').

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