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info request about CBT 
I've heard a lot of criticism on CBT in passing over the years, but does anyone have a good overview/breakdown about it?
In my case specifically for ADHD, but general info welcome too.
(and yeah this is about cognitive behavioral therapy, not the uhh, other interpretation)
re: info request about CBT
@jack not sure what you mean, could you elaborate?
re: info request about CBT 
re: info request about CBT
re: info request about CBT
re: info request about CBT
@jack right, thanks for explaining. It is at least used as part of treatment in my case, combined with medication and other training. We'll see if I find it useful..
info request about CBT :boosts_ok_gay:
@f0x I have found it a useful tool for some issues I've had to deal with, but not a cure-all. I did find it very useful for the things it was useful for.
info request about CBT :boosts_ok_gay:
@f0x
I'm curious about this also! I'm looking at CBT more in reference to Autism but am interested to learn more about how it interacts with neurodivergence in general.
I can offer some of what I've come across about CBT while reading Unmasking Autism by Devin Price, a social psychologist. Here's a quote from the book:
"Therapy that is focused on battling “irrational beliefs,” such as cognitive behavioral therapy (CBT), doesn’t work as well on Autistic people as it does on neurotypicals.[72] One reason for that is many of the fears and inhibitions of Autistic people are often entirely reasonable, and rooted in a lifetime of painful experiences. We tend to be pretty rational people, and many of us are already inclined to analyze our thoughts and feelings very closely (sometimes excessively so). Autistics don’t need cognitive behavioral training to help us not be ruled by our emotions. In fact, most of us have been browbeaten into ignoring our feelings too much."
info request about CBT :boosts_ok_gay:
@f0x
Here's another excerpt about CBT, this one from a section on Autism and addiction:
"Since a growing body of research suggests cognitive behavioral therapy (CBT) approaches don’t work as well for Autistics as they do for neurotypicals,[13] CBT-based addiction treatment might not be a good fit—at least not without modifications. One exploratory clinical study published in 2019 did find that when mental health providers were taught about how to communicate effectively with Autistic patients (a skill set most providers lack), the cognitive behavioral therapy they offered did help Autistic adults with their substance use disorders.[14]
"Unfortunately, most care providers are not well informed about how Autistic people think and communicate, and there is very little published research into which addiction treatment programs consistently work best for adult Autistics. Many of the effective treatment plans that do assist Autistic adults involve making sure our health care, housing, and other material needs are also being met, in addition to ensuring we are plugged into a network of supportive people. Often the fears that CBT therapists train their patients to view as irrational _(if I say the wrong thing, I’ll lose my job and wind up on the street!)_ are completely rational for Autistics, and rooted in genuine experience."
info request about CBT :boosts_ok_gay:
@f0x
Last bit! Here are the footnotes related to those two sections I quoted, in case being able to find the actual studies is helpful. It sounds like the first one in particular explores some specific ways CBT can be modified to accommodate difference.
72. Moree, B. N., & Davis III, T. E. (2010). Cognitive-behavioral therapy for anxiety in children diagnosed with autism spectrum disorders: Modification trends. Research in Autism Spectrum Disorders, 4(3), 346–354.
13. Sze, K. M., & Wood, J. J. (2008). Enhancing CBT for the treatment of autism spectrum disorders and concurrent anxiety. Behavioural and Cognitive Psychotherapy, 36(4), 403.
14. Helverschou, S. B., Brunvold, A. R., & Arnevik, E. A. (2019). Treating patients with co-occurring autism spectrum disorder and substance use disorder: A clinical explorative study. Substance Abuse: Research and Treatment, 13, 1178221819843291. For more on modifications to CBT (though this research is very limited, in that it’s based on a child sample and reflects a lot of ableist assumptions about the social skills of Autistics) see J. J. Wood, A. Drahota, K. Sze, K. Har, A. Chiu, & Langer, D. A. (2009). Cognitive behavioral therapy for anxiety in children with autism spectrum disorders: A randomized, controlled trial. Journal of Child Psychology and Psychiatry,50: 224–234.
info request about CBT :boosts_ok_gay:
info request about CBT :boosts_ok_gay:
@dillyish @f0x also, this may be more applicable to your case with ADHD: the therapist tried to help me with like, specific tasks I was having trouble with but it was not useful at all. Maybe it would help some people but like, for having trouble showering he suggested I leave a towel out to remind me. Come to think of it that might be helpful for ADHD? Not sure, but for me the issue is the transition between things and also sensory problems
info request about CBT :boosts_ok_gay:
@f0x It can be incredibly helpful if you work with a skilled practitioner and you are having trouble with negative thoughts about yourself. If you spent years with your ADHD undiagnosed you are probably pretty hard on yourself all the time, feel worthless, never give yourself slack, think everyone hates you, etc. These kinds of thoughts feel like we're just being honest with ourselves, but they actually sabotage us. CBT can teach you to let them go.
info request about CBT :boosts_ok_gay:
@f0x It's vital to have a practitioner who is good at spotting your cognitive distortions so they can gently challenge your thinking and who doesn't blame the victim (that's you) because then they'll just make it worse.
It sometimes gets a bad rap because, since it's evidence-based and time-limited it's appealing to [insert institution that pays for healthcare where you are] so it's the go-to, and often there's no next step if it doesn't work for you.
info request about CBT :boosts_ok_gay:
@f0x If you look up "cognitive distortions" you can get an idea of what is covered, but it doesn't substitute for having someone who knows what they're doing ask you the right questions at the right time, and who can teach you to ask yourself those questions instead of just wallowing in your self-defeating assumptions. But also, if you have ADHD, it requires more long-term prompting and practice than you'll get in the typical 12-week program.
info request about CBT :boosts_ok_gay:
@f0x CBT is excellent for certain types of behaviour modification (as the name suggests). It's much-loved by healthcare managers because it has defined ways of measuring outcomes and it's loved by employers because it can produce returns in the short number of sessions that insurance policies tend to provide. If you want it to replace traditional listening therapies for more complex issues, you'll likely be sadly disappointed.
info request about CBT :boosts_ok_gay:
@f0x I think the more modern techniques like Dialectical Behavior Therapy form an excellent internal criticism of CBT by itself: It contains better versions of all of the useful parts of CBT, while admitting many mistakes. And ime CBT with a good therapist will look a lot more like DBT anyway.
I agree the only reason CBT is still practiced despite knowing it's flaws is the economic reasons others have mentioned...
info request about CBT