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Hur går en behandling till?

Under de första bedömningssamtalen bildar terapeuten sig en uppfattning om individens problem och hur det yttrar sig i samspel med omgivningen. Det undersöks, vilka tankar (automatiska och/eller medvetna), fysiologiska reaktioner, känslor och yttre beteenden personen har i den problematiska situationen. I gott samspel med klienten resulterar arbetet i en s.k. beteendeanalys och funktionell analys av specifika problemsituationer. Efter att man gemensamt kommit överrens om mätbara, kort- och långsiktiga mål för behandlingen börjar den behandlande fasen.

Under behandlingen kan klienten t.ex. pröva på nya beteenden eller strategier i sin vardag för att lära sig att hantera svårigheter på ett nytt, mer funktionellt sätt. Under behandlingens gång används olika beteendeinriktade och kognitiva tekniker för att förändra beteenden i relation till de uppsatta målen. Även pedagogiska inslag, för att ge klienten egen kontroll över sitt liv, är vanligt i KBT. Klienten ska själv, eller tillsammans med terapeuten, komma på övningar/ hemuppgifter för att öva mellan sessionerna. Under hela terapin sammanfattas och utvärderas behandlingsresultaten. I slutet av en behandling utformas ett program för återfallsprevention tillsammans med terapeuten, där de viktigaste delarna av behandlingen tas fram för vidare arbete på egen hand. Uppföljningssamtal är vanliga för att se om resultaten håller i sig över tid.

Vanligtvis träffas man en gång per vecka, 45-50 min åt gången. Behandlingstiden beror dock på vilka problem man har och vilka mål man vill uppnå. KBT är ofta en korttidsterapi, längden varierar och många blir hjälpta efter 12 till 25 träffar men det är inte ovanligt med långtidsbehandling.

Den största nyttan av KBT- behandling har en person som inser att hon/han har ett problem, vill ta eget ansvar för att förändra situationen, är villig att lägga ner tid och engagemang på hemuppgifter, förstå och ta till sig KBT- modellen och tro på att KBT kan hjälpa.

Välkommen att kontakta mig för ytterligare information.


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