Cognitive Behavioral Therapy in Primary Care
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Abstract
Cognitive-behavioral therapy (CBT) is one of the psychotherapies that are effective in various psychological diseases. Moreover, CBT can be applied to behavioral changes in chronic disease. The distinctive points of cognitive-behavioral therapy include clear structure, time limits, and effectiveness in primary care. Thailand lacks sufficient mental health providers. Thus, Primary Care providers in the community can apply CBT in their practice to care for patients in the community. This article aims to summarize CBT content for primary care provider practice.
The theory of CBT regards the human response to the situation. Then, automatic thoughts, emotions, and behavior will occur according to the situation. Structuring in CBT includes: developing the therapeutic relationship, planning treatment, and structuring sessions, identifying negative automatic thoughts, emphasizing the positive, and facilitating cognitive and behavioral change between sessions with a homework assignment. It is essential in every therapy session to help patients respond to their inaccurate or unhelpful thoughts using cognitive and behavioral techniques. If the patients identify negative automatic thoughts, then they can validate the thoughts. The goal of treatment after the termination of the therapy aims of helping the patient to become their own therapist.
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