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Is cbt ineffective or do i just need a new therapist?

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Not even close. CBT is a very broad term. EMDR is a CBT based therapy. EMDR is by no means, a quickie cours...

i did say "often" - i know not all CBT is the same, but the CBT which is given first on the NHS is certainly not the best. 50 hrs you say - sorry but if im expected to work through painful subjects, i want my professional to have more experience than that, i expect them to be expert - 50hrs does not sound like expert to me
 
What a load of rubbish. Experts in trauma therapy highly recommend trauma subjects DO NOT undergo hypnother...
as churchill once said, far better to have people assume you're an idiot than open your mouth and dispel all doubt.get your facts right before challenging my posts. stupid stupid man
 
@anthony

I only get 3-6 credit hours for every quarter of school. Including practicums where I'm working 40 hours a week, rather than attending class twice a week (and however many hours studying). So every credit "hour" actually ends up totaling hundreds of hours of study. Even so, 50 credit hours is only about 2 years. Granted 2 years as an undergrad, or 2 years in a masters program, or 2 years in a doctoral program are all very different 2 years.

Are those the 50 hours being referenced... Or are we taking, straight up, 50 hours?
 
Are those the 50 hours being referenced... Or are we taking, straight up, 50 hours?
Good point. But even worse, theoretical only that translates to 50 hrs, still is zero actual experience. 50hrs experience, still not ideal. I think its lose lose either way you look at it really for trauma therapy. But yes... good point about the meaning of this.
 
get your facts right before challenging my posts. stupid stupid man
Hi. I'm unsure why you have to resort to name calling. My facts are just fine. Trauma is not created equal. When I talk about trauma, it is about the worst and most pervasive types. Actual trauma. Not, my partner cheated on me and now I claim to have PTSD.

Additionally, I'm not here trying to push something (hynotec -- hmmm -- fan of hypnosis are we?)

I totally understand and recognise that hypnosis is an adjunct that can assist other psychodynamic models in treating trauma of various types. That does not mean it is used in childhood trauma or other severe, pervasive trauma instances. Hypnosis is often referred to treating trauma patients compatible in using standard counselling CBT principles. Treating symptoms, such as anxiety, depression, sleep issues and such. Treating symptoms is vastly different from treating trauma itself. Again, hypnosis is not a psychodynamic treatment model, it is an adjunct that can be used with trauma therapies only. Hypnosis does not treat the trauma, the psychodynamic model used does that.

There is only one study of any scientific notoriety about the effectiveness of hypnosis with CBT, which was compared to CBT only and a placebo group. The hypnosis had an initial larger impact on reexperiencing symptoms, though at the three year mark, both CBT and hypnosis + CBT results were identical. Both beat the placebo group. An older study is dismissed due to its lacking validity and contraindications / flaws exposed within the study.

To my knowledge, not much has changed since Foe wrote the ISTSS guidelines for hypnosis in treating PTSD symptoms:

Potential complications of using hypnosis for PTSD include exaggerated confidence in the veracity of memories produced during hypnosis and the possible creation of pseudomemories, or “false memories,” especially among highly suggestible individuals given misleading information. A number of studies have shown that hypnosis facilitates improved recall of both true and confabulated material, with no change in overall accuracy.

https://www.istss.org/ISTSS_Main/media/Documents/ISTSS_g14.pdf

Not an ideal solution for childhood trauma, highly dissociative individuals where you just don't know what you're going to get, and so forth.

Psychodynamic models let the clients memory recover memories itself, then attempts to piece together fragmented memories, and even then source other persons if needed for recall if possible.

The evidence is pretty clear. Just to hammer it home, the latest Handbook of PTSD: Science and Practice, has nothing allocated about hypnotherapy for PTSD treatment. It has all the other Tier 1 treatments, and many naturopathic ones, and only mentions the above discussed hypnotherapy study once from memory (having read the entire book) when comparing CBT efficacy for treating some PTSD symptoms, citing CBT models provide the most effective treatment outcomes for PTSD sufferers.

I think my evidence is super good. Again, I'm not saying hypnosis is just total shit. I'm saying it has limited scope for symptoms and is not recommended for the treatment of trauma (my definition of trauma). Adjunct, yes. Trauma treatment, NO.

A very simple analogy would be: "hypnosis is like the MDMA pill taken prior to trauma therapy commencing, it does not treat the trauma, it simply helps relax the client to make them more susceptible to the trauma therapy treatment."

Plenty of folk running around claiming ecstasy, MDMA and its derivatives treat PTSD and trauma. Ah... NOPE. No it does not.
 
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Anthony said, "Potential complications of using hypnosis for PTSD include exaggerated confidence in the veracity of memories produced during hypnosis and the possible creation of pseudomemories, or “false memories,” especially among highly suggestible individuals given misleading information."
I can't agree more. Some of the active duty instructors played around with hypnosis looking for ways to enhance interrogation techniques (way back in the day). Those were some mighty interesting discussions and yeah there are highly suggestible people who can be mislead. Quite different than therapeutic hypnosis stuff... but the bit quoted was well known all the way back to at least the 1980's.
 
Are those the 50 hours being referenced... Or are we taking, straight up, 50 hours?
If you're talking training in the uk that would be 50 client hours, so whatever workshop/class room based training they get and 50 practice hours. In saying that, standards of training vary hugely in the uk because counselling/psychotherapy isn't a reserved profession so it's generally down to the practitioner and their registering body to decide what training they need. You could see someone with 1 year of a post grad diploma or someone with 8/10 years of professional training both calling themselves a therapist. And some of the manualised trainings are delivered to staff at a basic level (not even with a practice requirement) as a way to treat x without any therapy background at all.

It's so important to know what training your therapist has and what their registering body asks of them because there's such variance in the uk.
 
Well, you don't need any qualification in Australia to be a counsellor. Its a problem, but also a positive too. Everyone is realistically a counsellor at some point in their life, hence no licensing requirement here. We counsel friends, family, children, so forth. They need to close that loophole here for the paid service aspect, no fee for counselling without qualification (which is only 8 months here to get it).
 
Hypnotism is an tool. At one time my Dad taught it in seminars to Dr.s in a major hospital known for it's psychological research, etc. This tool does not wield for the unpracticed and unskilled. So I have found it odd that many studies involving the value and quoted concerning hypnotism for PTSD hold little significance as to the person in charge of the hypnotism.

For myself, it worked well in therapy coupled with Emdr & other modalities while being ushered by a well known psychiatrist that could assist with the opening of the flood gate memories. Therefore if someone has this available to them with an well known representative of both the mental health industry and hypnotism... seriously consider there are of those of us that have had positive results.
 
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