Core Principles in Cognitive Therapy with Youth

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Brief Overview

Many clinicians naive to the Beck’s CT believe that the approach holds that thoughts cause feelings. However, Beck6 clearly articulated that when people are distressed, 4 interrelated systems are energized (physiological, emotional, behavioral, and cognitive systems). These spheres reciprocally influence each other, and no one domain is primary. In addition, Beck noted that intervening in any one of these systems is legitimate (eg, medication as an intervention at the physiologic level, gestalt

Session structure

CT emphasizes the use of a session structure when working with patients. Session structure provides a template for moving through sessions that is predictable and well organized but remains tailored to the individual needs of the patient.4 This clinical approach emphasizes the need for consistency between sessions to assuage anxiety in the therapeutic setting. Patients, both adults and children, may attend therapy sessions with trepidation and unfamiliarity. Providing session structure

Summary

CT created a revolution in psychotherapy circles in the 1970s. In the twenty-first century, the approach is no longer a young sensation but a mature treatment approach embraced by many professionals from varied disciplines. CT has enjoyed a 40-year career, augmented by rigorous research and widening clinical practice. CT continued to evolve and further expand its scope. The cardinal principles, practice and processes, as well as its trademark session structure, equip clinicians and researchers

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    • Disclosures: Friedberg: Guilford Publications (Royalties), Routledge Publications (Royalties), Wiley Publication (Royalties), and Professional Resource Press (Royalties). Brelsford: None.

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