This article in US News highlights CBT-I - Cognitive Behavioral Therapy for Insomnia. While some jump to medication for treating insomnia, CBT is actually the first line treatment for sleep problems, as the benefits of treatment continue past the end of therapy, while medication only work when an individual is taking it. ABCT member Michael Perlis explains that the treatment has four components: sleep restriction, stimulus control, sleep hygiene, and cognitive therapy. Often it’s counterintuitive, too, like with sleep restriction. One might think that if you can’t sleep you should stay in bed for longer. But actually experts say it’s important to match your sleep opportunity, or how long you’re in bed, with how long you’re able to sleep, and then gradually work on increasing sleep time.
Of the problems that the article lays out is access - finding a therapist who uses CBT-I can be a challenge. To that end, however, ABCT's find a therapist directory can help. To search for a therapist, click here
One of CBT's recognized experts in depression, Steve Hollon looks at the landscape in clinical practice today, seeing a need for change. He wants us to use what we know works, not what we know best. He lauds those, like Vikram Patel, who is researching ways to increase access to mental health care in less developed countries, exploring new ways of task shifting.
Information on Opioids and the Opioid Crisis
With 2 Million people suffering from opioid addiction, 11 million misusing opioids, and 42,000 deaths in a single year, you should know what we're confronting and how to take steps.
Below is a short pamphlet from ABCT Opioid Use Disorder and a much more comprehensive exploration of the crisis from APA's Division 12.
This award recognizes outstanding individuals who are not members of ABCT but who have shown exceptional dedication, influence, and social impact through the promotion of evidence-based interventions and who have thereby advanced the mission of ABCT.
Visit our Champions page for full details on how to nominate and for a full listing of champions
Call for Papers: Special Issue of Behavior Therapy
The impact and treatment of sleep disorders
Sleep disorders are a significant public health problem in general, and are particularly elevated among psychiatric populations. This Special Issue aims to highlight cutting-edge research on the treatment of sleep disorders as well as work that makes significant contributions to our understanding of how sleep disorders impact the treatment of comorbid psychological disorders. Some of the essential questions that this special issue will seek to address include:
1. What is the efficacy or effectiveness of cognitive-behavioral therapies for sleep disorders, including traditional and eHealth interventions?
2. How do sleep disorders impact the treatment outcomes of comorbid psychological disorders?
3. What are the mechanisms that may explain the connection between sleep disorders and other psychological disorders, and how can this inform treatment planning?
This is not an exhaustive list, but instead illustrates the type of research questions of interest. Studies that assess sleep disorders using interview or polysomnography methods are encouraged. Papers for this special issue must highlight the clinical value of the findings. In addition to original research, review articles, short reports, brief commentary, case reports, and meta-analyses are invited.
Please direct inquiries and submit proposal abstracts to Carmen McLean (email@example.com) no later than February 1, 2019. If invited to contribute, final papers will be due July 1, 2019. Papers not considered for the special issue are of course still welcome for submission to the journal as an author initiated manuscript.
ABCT is delighted to announce a new partnership with PsyberGuide.
Please watch these pages for an expanding list of CBT-relevant apps being reviewed by the staff at PsyberGuide and the editors at Cognitive and Behavioral Practice.
PsyberGuide (PsyberGuide.org) is a non-profit website reviewing smartphone applications and other digital mental health tools. Its goal is to help people make responsible and informed decisions about the technologies they use for management of mental health. PsyberGuide is committed to ensuring that this information is available to all, and that it is free of preference, bias, or endorsement.
PsyberGuide is funded by One Mind, a leading non-profit organization supporting collaborative brain research to provide patients who suffer from brain disease and injury better diagnostics and treatment. With over 325,000 emerging digital health technologies, and an estimated 15,000 of those designed for mental health, One Mind recognized the lack of advice or guidelines to help people navigate the expanding marketplace of mental health apps. Thus in 2013, One Mind established PsyberGuide to address this growing problem.
In 2017, One Mind welcomed Dr. Stephen Schueller as Executive Director. Dr. Schueller is an Assistant Professor of Psychological Science at University of California. Irvine. His work focuses on expanding the accessibility and availability of mental health services through technology.
PsyberGuide & ABCT established this partnership with the aim of disseminating reviews of digital mental health tools to a broad audience of researchers, psychologists, psychiatrists and other mental-health practitioners who are interested in using these tools in their practice of behavioral, cognitive, and biological evidence-based principles.
In the coming months, app reviews from both PsyberGuide and Cognitive and Behavioral Practice will be integrated on both sites to expand the reach of information on available apps. ABCT will be developing a dedicated app review page which will host a sample of relevant PsyberGuide reviews. PsyberGuide will also link to C&BP reviews on their site, where relevant.
PsyberGuide Executive Director, Dr. Stephen Schueller, said "ABCT has been a leader in advancing the use of innovative behavioral and cognitive treatments. Technological behavioral and cognitive treatments will play a role in the future of mental health care and we're excited to team with ABCT to ensure researchers and practitioners are equipped to effectively use technology to help improve people's lives."
Cognitive and Behavioral Practice's apps are reviewed with the idea of providing guidance to clinicians in choosing apps that allow them to best serve the needs of their clients. Reviews will often cover cost, targeted clients, basic purpose, the research data behind them, as well as quick overviews of their utility.
To see Cognitive and Behavioral Practice's review apps, click on the app that most interests you:
MMFT Review Summaries
Anxiety Coach is an app for iOS devices ($4.99 at time of publication; Mayo Clinic, 2016) marketed as a self-help program for anxiety for children and adults. The primary focus is to help individuals understand and identify anxiety symptoms, create a hierarchy, and develop plans for exposure tasks. The program was designed by clinical researchers with expertise in CBT for anxiety. There is potential to support ongoing therapy, such as to allow patients to provide real-time data when reviewing between-session anxiety and exposure details with a therapist. Whiteside and colleagues (2014) have published case studies and reported feasibility/acceptability data which are promising. Our expert reviewer felt that the focus of the app on helping users conduct exposure tasks is unique and valuable, and the program had good navigation and an easy to follow user interface.
SuperBetter is an iOS app and website that is marketed to help users pursue goals, which can include mental health goals. The app was developed using game theory and mechanics that mimic "behaviors and techniques that have been clinically shown to give individuals more control over their thoughts and feelings" according to the developer, Jane McGonigal, who has authored books on the subject of leveraging gaming to increase well-being. There are video-game features like "power-ups," "quests," "Power Packs" and a "Community" where individuals can join in to engage in forums or play together as "Allies." Our reviewer found a strong development team and breadth of content, but felt the overall quality of the content lacking in terms of potential to promote clinically significant levels of improvement without active or guided practice with real-world behavior change. Preliminary RCTs have shown feasibility, though attrition rates continue to be a concern. Our reviewer recommends caution if considering this as a stand-alone option for depression or as an adjunct to face-to-face therapy without further data on effectiveness and further development of human safety plans.
Sleepio is a 6-week treatment program for insomnia delivered online and through mobile app. The program includes evidence-based components including psychoeducation, relaxation techniques, cognitive thought challenging sleep scheduling and sleep tracking compatibility (with other wearable trackers). Our reviewer felt the navigation was easy to use and the platform engaging. The program has been tested in a large RCT and smaller trials with promising results. The program is more costly than online competitors ($300 for a 1-year subscription). Our reviewer felt it was a good option as stand-alone first-line intervention and a model internet-based CBT intervention.
TicHelper.com is an 8-week online treatment program for Tic Disorders in youth (8-adolescence) based on the empirically-supported Comprehensive Behavioral Intervention for Tics (CBIT) protocol and developed in collaboration with experts who developed and tested CBIT. The program includes evidence-based components including psychoeducation, training in developing competing responses and multiple videos to illustrate concepts. There is also some parent-focused content. Our reviewer felt the program was age-appropriate, appealing and easy to navigate. While the online program does not offer the tailoring allowed in face-to-face individual therapy, there are branching structures which allow some tailoring of content. There is pilot feasibility data on the prototype but no research trials published at the time of this review. Our reviewer notes that the strengths outweigh the weaknesses and the program is unique in the market of targeting this condition and using evidence-based treatment components.
Triple P Online is an online self-help parent training program aimed at reducing child behavior problems through evidence-based "positive parenting practices." The program is available through the website, www2.tripleponline.net, at time of review for $79.95. The program is comprised of 8 video-based modules. Our expert reviewer found the program to include high-quality content with relevant and easily locatable resources, and felt the navigation was easy-to-use and appealing. The program's main weakness lies in its lack of monitoring and adaptation to the user's state (e.g., child's and parent's behaviors), and real-time reminders for desired actions. Overall the program was found to be a valuable parent training resource for addressing child behavior problems by our reviewer.
Psychotherapy.net is an online magazine and video library and production company targeting clinicians, educators, and clinical trainees. At present, the website offers two video steaming subscription plans for individual use: 1) a "Choice plan", which allows access to 2 monthly videos for a fee of $39 each month; and 2) an "Unlimited plan" for $79 monthly, which allows unlimited access to the full online library of over 200 training videos. The primary strength of the website is the breadth of available psychotherapy training videos, which cover several major theoretical orientations, modalities, and clinical populations. However, our expert reviewer notes that the resource is limited by the current absence of information related to evidence-based practice recommendations.
Awards Ceremony: Friday, 5:30-6:30 p.m., Delaware A & B
Washington Marriott Wardman Park
Linda Carter Sobell, Ph.D., ABPP, Nova Southeastern University
Mark B. Sobell, Ph.D., ABPP, Nova Southeastern University
Ricardo Muñoz, Ph.D., Palo Alto University
Shannon Wiltsey Stirman, Ph.D., National Center for PTSD and Stanford University
Outstanding Service to ABCT
Former Behavior Therapy Editors Richard G. Heimberg, Ph.D., Temple University; Thomas H. Ollendick, Ph.D., Virginia Polytechnic Institute and State University; and Michelle G. Newman, Ph.D., Pennsylvania State University
Distinguished Friend to Behavior Therapy
Joel Sherrill, Ph.D., Division of Services and Intervention Research, NIMH
Anne Marie Albano Early Career Award for Excellence in the Integration of Science and Practice
Joseph McGuire, Ph.D., Johns Hopkins University School of Medicine
Virginia A. Roswell Student Dissertation Award
Gabriela Khazanov, Ph.D., University of Pennsylvania
Leonard Krasner Student Dissertation Award
Eric Lee, M.A., Utah State University
John R. Z. Abela Student Dissertation Award
Joanna Kim, M.A., University of California, Los Angeles
Student Research Grant Recipients
Laurel D. Sarfan, Miami University (Ohio), "Using the Approach Avoid Task: Testing the Relation Between Implicit and Explicit Experiential Avoidance and Social Anxiety Symptoms"
HONORABLE MENTION: Daniel P. Moriarity, Temple University, "Reward Sensitivity, Stress Reactivity, and Mood Psychopathology"
ADAA Travel Awards
Shannon Blakey, M.S., University of North Carolina, Chapel Hill
Martha Falkenstein, Ph.D., McLean Hospital/Harvard Medical School
Elsie Ramos Memorial Student Poster Awards
Emma Brett, Oklahoma State University
Jonah Meyerhoff, University of Vermont
Kristen E. Frosio, Oklahoma State University
Student Travel Award
Lillian Reuman, University of North Carolina at Chapel Hill
ABCT weighs in on the effects on children of being separated from their parents
Members consulted the literature on this, and posted results from the literature. Needless to say, the findings don't paint pretty pictures. Studies included refugees in Christmas Island, survivors of natural disaster in Australia, left behind children in China, and more.
Detention is not good for children; children in detention handle it better if with their parents; Chinese children left behind as their migrant parents work fair worse than children who accompany their migrant parents even though the living conditions are tougher; foster care, when parents are alive, is sometimes a source of confusion.
Problems are detailed in our posting, with full coverage here
Call for Papers has gone out and registration is open.