Therapy that sticks
Linda Michaels
Linda Michaels
Quote:Juxtaposed with this mental health crisis, news media and headlines tout the benefits of cognitive behavioural therapy (CBT), explicitly recommended as ‘evidence-based’ and said to work rapidly, especially when combined with drugs such as antidepressants or mood stabilisers. Varieties of CBT apply to a host of different diagnoses: dialectical behaviour therapy (DBT) for personality disorder; cognitive processing therapy (CPT) for post-traumatic stress disorder (PTSD); interpersonal therapy (IPT) for mood disorder. The list goes on: 50 per cent of therapists now define themselves as fitting in the cognitive-behavioural lane, compared with none 50 years ago. People seem to be absorbing these messages with more of us on medication than ever; antidepressant use alone went up 64 per cent from 1999 to 2014. The increase is so steep that an estimated 13 per cent of the US population now take the drugs.
What is wrong with this picture? Why do modern ‘evidence-based’ treatments fail to produce better outcomes? Indeed, why do things seem to be getting worse, with many forms of suffering, even suicide, on the rise?
My conclusion: the biomedical model (favoured by psychiatry) and the short-term, structured therapy model (favoured by psychology) don’t work as well as they should. These treatments seem easy to administer, but is a ‘quick fix’ really what’s called for when addressing complex problems in life? Is it possible that one type of therapy – CBT and its family of treatments – can work for nearly every person and every problem so successfully?
'Historically, we may regard materialism as a system of dogma set up to combat orthodox dogma...Accordingly we find that, as ancient orthodoxies disintegrate, materialism more and more gives way to scepticism.'
- Bertrand Russell
- Bertrand Russell