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Cognitive Behavioral Therapy in Philadelphia, PA

lark kagan
lark kagan
5 min read

Cognitive Behavioral Therapy for social anxiety disorder or CBT is a combination of behavioral therapy (behavior modification) and cognitive therapy. The most basic idea of the cognitive part of Cognitive Behavioral Therapy says that thoughts influence how we feel, and how we behave. CBT also says thoughts cause distress when they are distorted, which can be treated by you and a therapist. A distorted thought is one that does not reflect reality. Cognitive Behavioral Therapy further says that it is not a situation in and of itself that causes us to feel and act but instead it is the meaning that we attribute to the situation. MSAM provides the the best therapists in Philadelphia. Find cognitive therapy near me @ MSAM.

15 Common Cognitive Distortions

By JOHN M. GROHOL, PSY.D.

Aaron Beck first proposed the theory behind cognitive distortions and David Burns was responsible for popularizing it with common names and examples for the distortions.

1. Filtering or Selective Abstraction

We take the negative details and magnify them while filtering out all positive aspects of a situation. For instance, a person may pick out a single, unpleasant detail and dwell on it exclusively so that their vision of reality becomes darkened or distorted.

2. Polarized Thinking (or “Black and White” or ”All or Nothing” Thinking)

In polarized thinking, things are either “black-or-white.” We have to be perfect or we’re a failure — there is no middle ground. You place people or situations in “either/or” categories, with no shades of gray or allowing for the complexity of most people and situations. If your performance falls short of perfect, you see yourself as a total failure.

3. Overgeneralization

In this cognitive distortion, we come to a general conclusion based on a single incident or a single piece of evidence. If something bad happens only once, we expect it to happen over and over again. A person may see a single, unpleasant event as part of a never-ending pattern of defeat.

4. Jumping to Conclusions

Without individuals saying so, we know what they are feeling and why they act the way they do. In particular, we are able to determine how people are feeling toward us. For example, a person may conclude that someone is reacting negatively toward them but doesn’t actually bother to find out if they are correct. Another example is a person may anticipate that things will turn out badly, and will feel convinced that their prediction is already an established fact.

5. Catastrophizing (“Magnifying or minimizing”)

We expect disaster to strike, no matter what. We hear about a problem and use what-if questions (e.g., “What if tragedy strikes?” “What if it happens to me?”). For example, a person might exaggerate the importance of insignificant events (such as their mistake, or someone else’s achievement). Or they may inappropriately shrink the magnitude of significant events until they appear tiny (for example, a person’s own desirable qualities or someone else’s imperfections).

6. Personalization

Personalization is a distortion where a person believes that everything others do or say is some kind of direct, personal reaction to the person. We also compare ourselves to others, trying to determine who is smarter, better looking, etc. A person engaging in personalization may also see themselves as the cause of some unhealthy external event that they were not responsible for. For example, “We were late to the dinner party. We caused the hostess to overcook the meal. If I had only pushed my husband to leave on time, this wouldn’t have happened.”

7. Control Fallacies

If we feel externally controlled, we see ourselves as helpless a victim of fate. For example, “I can’t help it if the quality of the work is poor, my boss demanded I work overtime on it.”

The fallacy of internal control has us assuming responsibility for the pain and happiness of everyone around us. For example, “Why aren’t you happy? Is it because of something I did?”

8. Fallacy of Fairness

We feel resentful because we think we know what is fair, but other people won’t agree with us. As our parents tell us when we’re growing up and something doesn’t go our way, “Life isn’t always fair.” People who go through life applying a measuring ruler against every situation judging its “fairness” will often feel bad and negative because of it. Because life isn’t “fair” — things will not always work out in your favor, even when you think they should.

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