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Parent and Child Psychological Services PLLC 
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What is CBT? How does it help children with anxiety? By Tara Motzenbecker, MS, NCSP

2/22/2019

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CBT stands for Cognitive-Behavioral Therapy. In CBT, a therapist helps the patient see how they may be thinking (cognitive) about things in a way that is not helpful, and helps them see things that they are doing (behavioral) that may be holding them back. The goal of the treatment is to (1) help the person understand their own patterns, (2) think more accurately about their situations, and then (3) plan actions that will help them reach their goals. In the course of the therapy, the therapist should help them practice their new “skills” in real-world situations.

For anxiety, CBT must include one important component – exposure. Exposure just means practice doing things that have been avoided, in small steps, in real-world situations, with the help and guidance of the therapist. If you are working with a CBT therapist for help with anxiety, this should be a major part of the treatment.

CBT typically involves 16-20 sessions and it is very goal-oriented - the goal being to reduce symptoms and improve functioning in the target areas. If there are multiple problems (like depression and anxiety) or the symptoms of anxiety are very severe and it has been going on for many years, it may take more sessions, but you should be able to start seeing positive changes within the first couple of months.

In CBT for anxiety in kids, parents are very much part of the team. Parents are shown how to encourage practice and not give-in to avoidance or reassurance at home. In this example, if parents were asking the teacher for accommodation to write the report instead of read it in front of class, or let the child miss school on presentation day, the therapist would help them encourage practice of small steps (like have them practice in front of them a few times, then ask the teacher if they can practice 1:1 first before doing it in front of the class) instead of avoidance. Although avoidance helps people feel better quickly it does not help them overcome their anxiety (and actually makes the anxiety stronger). Anxiety can be overcome, and CBT is a great tool to help people do just that.

childmind.org/article/behavioral-treatment-kids-anxiety/

effectivechildtherapy.org/concerns-symptoms-disorders/disorders/fear-worry-and-anxiety/​​

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    Parent and Child Psychological Services is a private practice serving children and families in the Sarasota, Florida area. The practice is owned and operated by Dr. Gibson, a Licensed Psychologist who is Board Certified in Clinical Child and Adolescent Psychology. ​

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Parent and Child Psychological Services PLLC 
info@childtherapysrq.com
941.357.4090 (Office)
727.304.3619 (Fax)                                                                                                                                                               
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