Mental Health Therapy and Substance Abuse Counseling

Tag: About Therapy

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“What Was Just Going Through My Head?” – Automatic Thoughts

Using Therapy to Identify and Change Automatic Thoughts

Our minds are constantly working, processing information, and making judgments about the world around us. However, not all of these thoughts are helpful or accurate. Many of us experience “automatic thoughts” — quick, reflexive ideas or assumptions that pop up without conscious effort. These thoughts often shape how we feel and react, and they can have a significant impact on our mental health.

Fortunately, therapy, particularly Cognitive Behavioral Therapy (CBT), provides valuable tools for identifying and changing these automatic thoughts, helping us develop healthier patterns of thinking.

What Are Automatic Thoughts?

Automatic thoughts are the mental reactions that occur spontaneously in response to a situation or event. They are often immediate and unconscious, shaped by our past experiences, beliefs, and emotions. For example, if someone makes a mistake at work, they might automatically think, “I’m a failure,” even though this is an exaggeration. Such thoughts can be negative and self-critical, and they tend to reinforce feelings of anxiety, depression, and stress.

These thoughts often follow specific patterns, known as cognitive distortions. Examples include:

  • All-or-nothing thinking: Seeing situations in black-and-white terms, with no middle ground.
  • Catastrophizing: Expecting the worst-case scenario or overestimating the negative outcomes of an event.
  • Overgeneralization: Making broad, sweeping conclusions based on a single event.

How Therapy Can Help Identify Automatic Thoughts

Therapy is a powerful tool for uncovering automatic thoughts and gaining insight into how they impact our emotions and behaviors. One of the most effective forms of therapy for this purpose is Cognitive Behavioral Therapy (CBT). CBT focuses on the connection between our thoughts, feelings, and actions, with an emphasis on how changing thought patterns can improve emotional well-being.

A therapist trained in CBT will guide you in identifying your automatic thoughts. This often starts with keeping a thought diary, where you track situations that trigger strong emotions and the thoughts that arise in those moments. For example, you may notice that when you are faced with social situations, you often think, “No one will want to talk to me,” which leads to feelings of anxiety or avoidance.

By reflecting on your thought patterns, you can begin to spot recurring automatic thoughts and examine their validity. Are they based on facts, or are they distorted? Are they helping you, or are they contributing to your stress and unhappiness?

Changing Automatic Thoughts

Once you have identified your automatic thoughts, the next step is to challenge and change them. A therapist will work with you to assess whether these thoughts are realistic and whether there’s evidence to support or disprove them. For example, if you have the thought, “I’m terrible at everything,” your therapist might help you examine past successes and areas where you have demonstrated competence.

Therapists often encourage clients to reframe automatic thoughts into more balanced, rational perspectives. Instead of thinking, “I’m a failure,” you might reframe the thought to, “I made a mistake, but everyone makes mistakes, and I can learn from this.”

Another effective technique is cognitive restructuring, where you systematically replace distorted thoughts with more realistic and helpful ones. This does not mean ignoring the negative, but rather recognizing and challenging unhelpful thinking patterns that can exacerbate stress and anxiety.

The Benefits of Changing Automatic Thoughts

Changing automatic thoughts can have a profound effect on your mental health. By identifying and challenging negative thinking patterns, you can reduce anxiety, depression, and stress. With practice, you will develop healthier, more realistic ways of thinking that foster greater emotional resilience and well-being.

Therapy empowers you to break free from harmful thought cycles, leading to improved self-esteem, better relationships, and a more positive outlook on life. As you work with a therapist to reframe your automatic thoughts, you’ll be better equipped to handle life’s challenges in a more balanced, constructive way.

If you are struggling with negative automatic thoughts, therapy can provide the support and tools needed to create lasting change. Reach out today and take the first step toward transforming your thoughts and your life.

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The Therapeutic Relationship

by Jennifer Francke

Find the Right Fit

Did you know the quality of the therapeutic relationship is the primary predictor of positive outcomes in psychotherapy? It is not necessarily the therapist’s educational background or credentials they hold, the theories they choose to utilize, or even the number of hours they’ve logged that generate the best outcome, but rather the quality of the relationship that has the biggest impact. So, what does all of this mean for you? It means that finding the right fit in a therapist is very important.

Listen to Your Gut

We begin forming impressions of others within seconds of meeting or speaking with someone for the first time, and this includes with your therapist. You will likely make the decision to return to a second therapy appointment by the time the initial one has ended. Some questions you may ask yourself when deciding whether to keep your therapist, or keep looking, may include:

  • Did I feel welcome and comfortable in the office space?
  • Did the therapist seem genuinely interested in hearing my story?
  • Did I feel better at the end of the session as compared to when I first came in?
  • Did the therapist provide me with a sense of hope?
  • Did the therapist seem knowledgeable and were they able to convey that to me?

Listen to your gut and trust your instincts. Not every therapist will be the right fit for you and that is perfectly fine. The initial appointment can sometimes feel rushed or even intrusive as there is typically paperwork which needs to be completed in addition to information gathering. That said, you will have formed an initial impression by the end of the first session and the therapist who may work well for you will have left a positive one.

Attributes of the Therapist

Therapists who are successful in conveying attentiveness, empathy, authenticity, compassion and warmth will leave you feeling hopeful and maybe even a bit lighter. Simply expressing some of the issues you are struggling with to an engaged and genuinely interested person will, often times, bring a sense of immediate relief. Following your initial appointment, ask yourself what attributes you noticed about your therapist to help you determine if they are right for you.

Attunement, Attachment and Presence

In order to form a secure attachment relationship, which is the goal in the therapeutic relationship, we enter into a process of attunement with the other person. We feel seen, we feel heard, we feel cared for, we feel a resonance. We know we’re ‘tuned in’ to the other person because we can feel it. The therapist is present with me and I am present with them. This can become a powerful tool for healing, and for positive change. It can also bring to the surface all kinds of discomfort or even ugly memories from the past, especially if you have a history of difficult experiences in childhood. An attuned therapist is aware of this and they are prepared, should it arise. A truly present therapist will demonstrate openness and curiosity about your reaction(s) to them, and to the relationship. They will encourage you to speak more about it and they will help you process it. It is all information and it is good information to have.

I hope this short blog found you well and good luck on your therapeutic journey.