I wonder if part of the miscommunication is simply due to differences of experiential style??
1) Types with overactive thinking that leads to emotional chaos and triggers. (Thoughts first, emotions second)
2) Emotional sensitive types, who easily get emotionally overwhelmed, and then thoughts are used to make sense of things. (Emotions first, thoughts second)
For the over-active thinkers, CBT and aggressive strategies to slow down and limit thinking can work quite well with controlling emotional state.
But for emotionally sensitive types, using aggression towards thoughts doesn't work as well. It can also be counter-productive because of a natural defensiveness that comes in the face of aggression, and focusing too much on thoughts creates additional distance from emotions, adding more confusion.
I've never done CBT in a formal setting. Spent the past several months seriously parsing what "worked" (and what didn't) the first time I was in a total tailspin.
During those years, I ran almost purely off emotion. If it feels right? Do it. Survival thinking. And it's as full of lies as depressive thinking.
- The single most effective thing in managing symptoms? Exposure therapy. Didn't know that's what it was at the time. Stumbled onto it by accident. Another thing parsed after the fact.
- What led me to be able to
do exposure therapy? Turning my brain on. I had to drop out of React! and learn to think. Because Survival-Thinking is as full of lies as Depressive-Thinking. Lies, and bias, and just plain old stupidity.
If I hadn't changed my thinking, I'd still be f*cking everything that moved, being a violent hot & cold disaster, be completely incapable of mastering myself. Feelings are not reality. The heart needs tempering with the mind. What feels good is not always right, and what feels bad is not always wrong. Critical thinking and analysis. I would go so far as to say emotional people need it more than anyone.
I didn't do it all on my own; I was blessed with some ice cold motherf*ckers in my life who didn't brook nonsense. And total sweethearts. Both applied liberally. Often in the same person. And then cemented really strongly by needing to teach the same durn stuff to a child. Not just the 'retain 90% of what you teach' but in being able to rephrase & pattern it so an infant & toddler & small child can grok it. Take it into themselves. Strength. Joy.
In parsing what worked and what didn't? Learning to change the way I thought, all the hundreds of tips/ tricks? Are essentially the CBT handbook. Oh. Okay. Good to know. Sigh. One more wheel reinvented. Dammit. Well. Better than the alternative. But it also goes to show how much of psych is "common sense". (Also how uncommon, common sense is). How much good, healthy, people to pattern off of is simply flat out useful. I sometimes describe therapy / therapists as "That best friend, who knows exactly what you're going through, and the best ways to grok & sort it, that you didn't happen to meet by chance on the street 5 years before you needed their advice." This is why. The people I had in my life, transformed my life, by being able to kick this knowledge to me. I don't have these people, anymore. No one to tell me when I'm being biased, stupid, or doing things exactly right. No one to help me challenge my thinking, or wed my mind & heart when my instincts had divorced them, because that's what I needed to do to survive.
Do I think it would work for everybody? Nope. Nothing works for everybody.
There is a danger, however, in seeing how a thing can be applied badly in one case... And applying it universally to all other cases. Case in point : Just because abusers change the way you think about yourself? Doesn't mean changing the way you think about yourself is abusive. Or even wrong. That's one of those lies, faulty logic, where everything gets jumbled up. ((Like sick people take pills. Therefore, if I don't take pills? I won't get sick!)). Changing your thinking is
exactly what needs to happen. Not staying trapped in how they changed it to begin with.
How thoughts are changed? What name the umbrella is given? Matters not. The thoughts need changing. Unless a person wants to believe & think the way they were taught, that is. Some people do.