A to Z of MS
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A to Z of MS Cognitive behavioural therapy (CBT)
Cognitive behavioural therapy or CBT is a form of psychotherapy that is commonly used in the treatment of conditions such as anxiety and depression. It is based on the belief that how we think about a situation influences how we act, and our actions subsequently influence how we think and feel. It encourages the adoption of new thinking and behavioural techniques.
Research into CBT
A number of studies have assessed the effectiveness of CBT as a treatment for MS-related symptoms. One study, measuring the impact of a telephone-administered cognitive behavioural therapy programme compared with an emotional support programme, found that CBT led to significantly greater decreases in disability, fatigue levels, and depression. A more recent trial assessed the effectiveness of CBT as a treatment for multiple sclerosis fatigue compared with a relaxation training programme. While both programmes were deemed to be clinically effective treatments for fatigue in MS, CBT proved to be the more effective of the two.
How CBT is administered
A cognitive behavioural therapy programme can be delivered in a number of ways and might be group-based, computer-based or telephone administered. It usually consists of a programme of once weekly hour long sessions. It is available on the NHS, though availability varies across the UK. If you feel that CBT may be of benefit to you, or you would like further information about CBT, you should consult your GP.
References
Mohr DC, et al.
Reduction in disability in a randomized controlled trial of telephone administered cognitive behavioural therapy.
Health Psychology 2007;26(5):554-563.
abstract
van Kessel K, et al.
A randomized controlled trial of cognitive behaviour therapy for multiple sclerosis fatigue.
Psychosomatic Medicine 2008; 70(2):205-213.
abstract