Cognitive behaviour therapy in chronic illness
- 1. Application of Cognitive Behavioural Therapy (CBT) in Caring Persons with Chronic Illness Dr. Sojan Antony Assistant Professor Department of Psychiatric Social Work NIMHANS, Bengaluru
- 2. Chronic Illnesses Bipolar Affective Disorders Schizophrenia Diabetes Cancer Heart Diseases Kidney diseases Liver Problems Substance use disorders
- 3. Chronic Illnesses: Common Characteristics Chronic Recurrence Less chance for recovery Life long medical attention Financial burden
- 4. Chronic Illnesses Distress Disability adjusted life years Impact on functioning Care givers burden
- 5. Chronic Illnesses These Diseases Affect Thinking Feeling Behaviour
- 6. CBT (Cognitive Behavioural Therapy) Modifying thinking Enabling to handle emotions Enhances desirable behaviour
- 7. CBT Evidence based practice Problem specific Time-bound Change can be measured
- 8. Negative Thoughts I am a burden My life is over I will not disclose others about my problem I am the reason for my problem I will not change my habits My family members are not supportive I am not sure about the treatment and the progress
- 9. Negative Emotions Frustration Anger Helplessness Hopelessness Worthlessness Fear Emptiness
- 10. Undesirable Behaviours Poor adherence to treatment Unhealthy Life style Substance abuse Withdrawal from social interaction Aggression Suicide attempts
- 11. CBT Process Listing negative thoughts, emotions, & behaviours Understanding ABC- Antecedents, Behaviours & Consequence Helping them to learn Relaxation strategies
- 12. Handling negative thoughts Developing insights Recognize thoughts Exploring alternative thoughts Nurturing healthy thoughts
- 13. Measure behaviour Observe behaviour Measure frequency & Intensity List out action points
- 14. Relaxation strategies Muscle relaxation techniques Mindfulness Guided imagery Physical Activity
- 15. Use Reinforcement Positive Reinforcement Negative Reinforcement
- 16. Other BT techniques Desensitization Flooding Front Chaining Back Chaining
- 17. Some principles Measure Micro targets Focus on micro gains Use of reinforcements Sensitive to life cycle stages
- 18. Some principles Directive Realistic goals Have supervision Recording
- 19. Conclusion CBT is an effective therapy to mitigate the psychosocial impact of chronic illness on Individual.
- 20. Thank you