Cognitive Behavioural Therapy EXPLAINED

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In this video, Dr Syl explains the key concepts behind Cognitive Behavioural Therapy. He discusses how symptoms of depression and anxiety can manifest as a result of cognitive distortions. He explores strategies to address cognitive distortions to help reduce these symptoms.
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If you or someone you know is in immediate danger, please call a local emergency telephone number or go to the nearest emergency room. This channel is intended for educational mental health content only. It is NOT a substitute for seeking professional mental health/health advice from your doctor or therapist. Interacting with my channel does NOT constitute a Doctor-Patient relationship.

[@DrSyl]

**Check out 'Dr Syl's Psychotherapy Skills' course today: payhip.com/b/T4gtn First 20 people to use the code 'first20' get 20% off! ** This course is designed for anyone dealing with depression and anxiety, offering you the tools to manage your symptoms through proven techniques from Cognitive Behavioral Therapy (CBT) and Interpersonal Therapy (IPT). Note, it is not therapy but rather therapy skills and there is no patient-doctor relationship established. Course Curriculum: Feelings (45-60 min) Thoughts (45-60 min) Cognitive Distortions (45-60 min) De-stress & Relaxation (45-60 min) Relationships (45-60 min) With about 5 hours of content, this course is perfect to complete over 4-5 weeks at your own pace. You’ll also have access to an interactive workbook and symptom monitoring throughout the course. Why Enroll? Cost-Effective: More affordable than traditional therapy. Flexible Learning: Learn anytime, anywhere with 24/7 access. Based off of a significant research base. (though please note this course has not been clinically validated itself, as I just made it!)

[@kissmiasma95]

Hey, been here for a while now. Surprised you haven't blown up like Huberman to be honest. I was one of his first subs as well and I find this content just as helpful albeit in a different way.

[@stevenweliczko9857]

I've been using this technique for a while where I eat well, take vitamins, have a job that I like and get exercise (as simple as walking for an hour) and socialize sometimes. This system keeps me comfortable. I think a lot of people are over thinking things (as I once did).

[@philipholding]

My professional experience as a (now retired) NHS high intensity therapis,t with psychiatrists was they new next to nothing about psychotherapy. They just medicated, monitored, and sectioned. Good on you for therapy training.

[@JHabc]

I’m originally from the US where psych appointments are about 15 minutes. Once I found a good psychiatrist who treated the right diagnosis, it worked well for me. I had an independent therapist who I had a long term relationship with who had done trauma therapy with, helped me get sober, and get out of an abusive relationship. My PTSD gets triggered by doctors and she was able to help me with the skills I needed to talk to my providers and get my needs met. I had fewer and fewer sessions until I realized I was solving things on my own and just irritated by her commentary when I tried to report my successes to her. When I see doctors who think they know me better than I know myself and just want to blame the meds not working or a relapse in my symptoms on a personality disorder and order me to a specific type of therapy before they will attempt to prescribe meds, I just get worse. It’s so frustrating. I’m living in Canada now where doctors get to decide what treatment I have access to, and it’s just not working. I finally saw a psychiatrist after requesting for over a year, and she just ordered me back to more CBT after I failed the first round. No one wants to believe I could actually know what symptoms respond well to therapy and when I need meds. It’s so frustrating.

[@Mslat3p]

Fully agree that you need a relationship with the therapist. I had CBT for depression and felt all the way through that I was always wrong in everything I did and, to be honest, I don’t think I’d do it again. It made/makes me feel worse

[@JHabc]

I have had very similar experiences any time I have seen a therapist who wants to follow a formulaic therapy like CBT, DBT, ACT. Very cold therapists who make every effort they can to invalidate anything I know or believe. I have a long history of trauma, and unless the therapist is willing to invest in getting to know me, hear what I have already tried, and help me think outside the box when all the standard solutions fail, it just does me more harm than good.

[@hayleyprice8345]

Thanks for the information I find it interesting

[@HigoIndico]

This is the worst thing that can happen to someone, who's been the scapegoat of a narcissistic family system. It leads to the patient educating the healthcare professionals about critical thinking and it's just too tiring. In worst case this is used to gashlight every thought that you have, so you just end up stopping to communicate your thoughts all together. Not great for people on the spectrum, since we already think critically and most people just can't understand what we are saying, although we express ourself as straightforwardly as possible. Our social anxiety comes from people misunderstanding us all the time in real life, not so much from unrealistic situations that you make up in your head. So exposure therapy does just makes everything worse and leads to system overload, malfunction, meltdowns, shutdowns and burnout. The last thing you need, when you seek help, is someone not validating your thoughts and experiences, and manipulate you into doing stuff that got you feeling worse in the first place. CBT for high masking autistic adult, is like taking the wheelchair away from a person who can't use their legs and giving them crutches, while saying:"You just need to think things a little different".

[@ThePsudoAntagonist]

Great video!

[@oakleyj7930]

I know a lot of people have suggested you stop “rambling” or “going off the main subject into micro conversations.” But honestly really really enjoyed when you rambled about all of the different things that come up that are important and play at least a small role in the discussion of mental health, the disorder, the management, or even the symptoms. Totally under stand you’re busy and busy with school none the less! Totally get why your videos are a bit shorter, and you’ve stopped rambling. But for some, or at least myself; quite enjoyed it and loved the longer videos. However school and career first! Time and priorities are important. Thanks for educating and helping newer students to the world of psychology. Enjoy every single video! Maybe a suggestion if you would rather have shorter videos and less long talks, why not make videos specifically about all the different aspects of disorders and mental health in separate videos? That would be sick too. But again! Happy and grateful for you Dr. syl. You’ve helped me understand myself and given tools and resources to help myself and understand that my brain isn’t broke - just works differently. I appreciate you and your videos greatly.

[@sarahwb9945]

As somebody who has suffered from a restrictive eating disorder, I want to stress for people who don't know that binging behaviour is usually driven by more than thoughts and feelings. And emotional eating (overeating because you are upset) is not the same as binge eating. Most people with eating disorders, including Binge Eating Disorder or Bulimia Nervosa, have periods of restrictive eating to try and lose weight. This can trigger symptoms of semi-starvation. Starvation syndrome can occur in individuals of all weights when the body does not get the energy it needs for an extended period of time - i.e. unsustainable levels of dieting. Symptoms include a preoccupation with food, intense hunger and cravings, obsessive thoughts, and impairments in executive function such as decision making. For people with BED or Bulimia, these symptoms lead to binging. Genetically, it seems like there are some people for whom this compensatory mechanism works more strongly. None of this is to say that CBT is not helpful for binge eating, but it is generally not enough by itself to treat eating disorders, it needs to be combined with re-nourishment and dietary support.

[@Livvisaurus88]

Nice summary 😊

[@Ehecatl1111]

FITH!!! SYLLL I DID IT!!! LETS GOO

[@naomiaahh4049]

Ive been burned by CBT because they didnt ask questions on my background before starting CBT. They thought it was Depression and Anxiety, which i am now diagnosed C-PTSD. Some therapists just use it as a blanket problem solve.

[@jinks6848]

Wow, doing a uni course in your brain, could not have said it better. CBT is worth the work. Dr Syl, content on carers, friends, family & partners of patients would be helpful. There’s much to unpack. I would also be interested in how you work with the loved ones of patients in hospital. Do loved ones play a role?

[@kandymich4861]

I have bad memories from when I did a CBT group. The main leader treated me like 💩. The end of group “report card” or how the leader thinks we did in the group was read out to everyone in the group. I was belittled, putt down, lied about, and more. The other members in the group knew the leader was lying and treating me like 💩. I did participate in groups and I did do the homework. I fully participated in the group but if you went by this leaders notes you’d think I was just a lump on a log during group and never did any homework. So CBT will Always bring horrible memories and the reminder that trust shouldn’t always be given even to leaders of groups. This is a lesson in not trusting all mental health professionals to of any help even when they put a show on that they are. A lesson that your instincts of how the health professionals view you is/maybe correct and they treat you additionally.

[@montyollie]

I have found that CBT works for catastophization for personal things, but lately my sense of doom and nihilistic outlook stems from the state of the world and I can't really CBT my way out of that one. I know that fretting about "what might be" is not productive, but so much of WHAT ACTUALLY IS is so depressing. We have a catastrophic housing shortage in my city and the homeless populations have quintupled. It's hard not to be upset when SO MANY are suffering.

[@Kaylee-zo3gr]

i feel you. where are you from canada? we have a really bad housing and homelessness problem in ontario.

[@montyollie]

@@Kaylee-zo3gr Yep, I'm in Hamilton Ontario. It's heartbreaking. I know SO many people who are on the brink of homelessness. This city was alway affordable, but no longer. Even I can't afford a one bedroom apartment and I have a good job. I'm fucked when my landlord decides to sell. I don't know where I will go.

[@Humera-s7x]

Sir v beautiful video. I am from Pakistan. I have watched many of ur videos. My son is under pschychotic treatment. He is recovering gradually. Sir, how to distract him from auditory hallucinations from CBT. Pls guide.

[@iPhonesuechtler]

@DrSyl Happy 30th! Sorry you didn’t reach your subscriber goal yet, but you‘re gonna make 100k soon :) Saw a video of yours in my recommendations about avoidant personality disorder. Thought to myself: Imma gonna avoid this video for now xD

[@WinterWiorkowski-fv3ph]

That must be so cool to have a psychiatrist that does something other than just prescribe medication … in the US you are lucky if they talk to you for 15 minutes … I had a hospital admission that was done completely via iPad - only a nurse was in the room …

[@stoneyvowell1239]

CBT is great for you, just don't expect anybody else to use it. Do expect everybody to use you using it against you. Normies don't think that way, and will call you crazy for using it. But CBT has taught me that I was right the entire time when anybody tried to tell me I was the problem for not thinking the way they do. One of the main reasons that I believe normal people are the insane ones, because neurodivergents put work into not being insane. I've got a simpler concept of CBT, which basically just consists of second-guessing everything. When you act on any first feeling or thought, it's usually an assumption. Double check the Assumption against reality and maybe even a few other people's realities. It is a very useful tool once you learn pause before you react. Action is the goal, not reaction. But that is getting more into DBT which is the next step anyway.

[@sbocaj22]

DBT is literally the most life saving therapy to me. Like the way I’ve learned to navigate situations and think more deeply and rationally.

[@Human_givenss]

Yo Dr Syl, have you heard of Aphantasia? Would love to hear your thoughts on how it affects mental health.

[@IdaKiss]

PTSD with CBT? The amigdala doesn't understand this.

[@Kaylee-zo3gr]

they usually use a mix of exposure therapy with cognitive restructuring for ptsd. but there are also medication options that's used along side CBT and exposure therapy in cases of PTSD.

[@philipholding]

My assumption entirely when I first started out with my MSc in CBT. But it can. Exposure therapy and cognitive/ cognitive processing therapy strengthen the connection between the amygdala and the prefrontal lobe, ameliating the sensitivity of the amygdala thus helping the patient to make sense of the PTSD. In other words, the executive functioning comes more into play.Exposure therapy usually works by habituation, extinction of the feared stimulus. It reduce the negative association between fear the the stimulus, mainly through a classical conditioing ( Pavlovian) paradyme.

[@IdaKiss]

@@philipholding How long does it take to strenghten the pathways between the amygdala and the prefrontal cortex with CBT in case of cPTSD? Is it enough without the extinction of the conditioned reflex?

[@leslietisdial5753]

I plan on getting your cbt course. I think its really nice of you to offer it and for a good price. Is there anyway at some point you can talk about olanzapine? I have heard some very scary stuff about that drug and i dont know if i should take it anymore. I tried a few months ago to stop it cold turkey because of being fearful about the drug and it turned my life upside down. Im back on it but im starting to worry about it again. I had a fear of getting in the car because i got scared that i would have a panic attack in a traffic jam and not be able to leave my car right away. So if i knew i had to get in the car i would take a anti anxiety medication but now i can get in the car without meds. I had alot of therapy to deal with anxiety

[@DrSyl]

Hope you find it helpful. Flick through any feedback to my email :D

[@andylacoste6298]

I have the same problem, i'm taking Olazapine and I get anxiety quite bad driving, I can't drive far at all. Any tips you guys have would be great to hear, thanks.

[@BradleyonYT]

not one of the few dozen prac's therapists or "counselors" that practiced their version of CBT bothered to ask very important qualifying questions and instead would dive right into "the here and now & thought proccesses) so what did we do? We speculated about my symptoms that looked like add/depression/bipolar but never actually fitting any of those (no selfharm, minimal manic episodes, lots of insight in therapy and willingness to participate without incentives other than getting better.) It was cPTSD from severe trauma that had been minimized and because speculating about how "childhood affected us" is seen as unproductive in many circles (at least the ones those worked with me came in) i don't resent them but I wish I could revisit them and tell them that they dropped the ball, because I only happened upon this proper diagnosis by years of false diagnosis unhelpful medications and inability to thrive in life. I would tell them to screen for things like childhood trauma and not focus on why someone smokes medical marijuana or drinks to change their mindset, especially when that patient was trying to modify the frequency and stop using those substances before and while seeing me in their office. I understand you have to treat the substance use disorder to keep the person alive but one of the medications they ended up Rxing (and is helpful in micro dosing) is cannabis! I guess it's not wasted time if it led me to a path of more healing and maybe someone reading this will spark or resonate something they haven't considered when dealing with a willing patient wanting to do well but stumbling for no apparent reason... not just check a box for insurance billing and rinse repeat refill

[@juhoanttila6586]

Thank you for this video! I was wondering in which ways is it different treating psychosis in CBT than depression, anxiety, bipolar for example?

[@bdpage2023]

Works for me. What is your opinion of therapeutic EMDR for PTSD and other dx?

[@deborahbasel184]

I had EMDR Therapy 8 years ago for my PTSD. It worked really well. I haven't had any PTSD symptoms since.

[@whatdidsarahsay]

I find EMDR really difficult and draining

[@bdpage2023]

@@whatdidsarahsay I wish DEA would schedule MDMA for the FDA to approve for psychotherapy. I've heard good things about ketamine but not affordable. CBT works ok for mine.

[@openmindead1610]

Can you do a video on what it's like to hear voices? My psychiatrist always asks me if I can hear them and I say yes, but I don't actually know if I can. Is it just your subconscious mind? Or is it actual voices? Like someone talking in a room.

[@lotfibouhedjeur]

Dr. Syl? Aren't you missing a syllable somewhere?

[@Widda68]

Does CBT work with cases of dementia?

[@Kaylee-zo3gr]

not really. you begin to lose your ability to remember anything so you probably couldn't apply it.

[@JacquelineRadcliffe]

Is the typo in your thumbnail just for click bait? It worked for me because I wanted to know what "Theraphy" is. 😢

[@DrSyl]

OMG whoops!!!

[@nobodyimportant7804]

The only thing it did was to make me much worse. Of course, all I could get is 12 sessions, once every two weeks which my shrink informed me was not therapy. That wasn't even enough time to get my therapist to understand me and my issues at more than a surface level. I don't blame her, I blame the clown who thought this was a good idea.

[@JacquelineRadcliffe]

I have been doing it for 3 years and I'm a different person. I no longer have GAD.

[@nobodyimportant7804]

@@JacquelineRadcliffe Wow, that is so great. I am genuinely happy for you!

[@noneofyourbusiness1699]

CBT IS USELESS!!!!!!!!!

[@douglasmoran1104]

Perhaps for you, very useful for others. No psychotherapy is universally effective.

[@JacquelineRadcliffe]

It helped me tremendously to overcome panic attacks and rumination. You can't just say something is useless without providing evidence.