Cognitive Behavioural Therapy in a Globalized World
Taking care of our mental health is essential, no matter where we are in the world. In the more Western parts of the world, psychological interventions, such as Cognitive Behavioural Therapy (CBT), are effective in treating a wide range of common mental health problems (e.g., depression, anxiety, post-traumatic stress disorder, etc.). However, the effectiveness of CBT as applied in other areas of the world is much less discussed. Fortunately, there is some evidence from high–quality studies (e.g., systematic reviews, clinical trials) suggesting that CBT is linked to favourable mental health outcomes compared to other treatments in diverse contexts. Cultural adaptations in CBT What is culturally adapting a treatment? It can be defined as modifying an evidence-based treatment to consider the patient‘s cultural context. Interestingly, CBT can be adapted to different cultural contexts. Several systematic reviews suggest that CBT’s effect on mental disorders is actually stronger when the treatment is adapted to local cultural contexts. Further, cultural adaptions for treatment can take many forms relevant to the local culture. For instance, questionnaires have been translated to local languages and then tested to ensure fidelity to the original scale; more time can be taken to explain the techniques, processes, and aims of CBT. Additionally, culturally appropriate stories and metaphors have been integrated into the delivery of the CBT. In order to continue adapting CBT to more cultural contexts, it is of primordial importance to develop a better understanding of how mental disorders are experienced and expressed in various ways by the patient. CBT delivery in low-and middle-income countries Although CBT can be flexible to context, there are obstacles to CBT intervention delivery in low- and middle-income countries (LMIC) where resource deprivation (such as fewer mental health professionals available to deliver treatment) is disproportional. This is problematic given that unique sociocultural factors in LMICs contribute to the increasing prevalence of mental health problems. Fortunately, it has been found that local nurses, volunteers, university students, social workers, and students can be trained
Challenges and Silver Linings It is 2021-And the world’s mental health has changed. It is important to reflect on how the last 2 years have reshaped, the field of mental health. None of us have seen a pandemic affecting all nations and people. The many deaths, disruptions and incessant political battle lines have never been starker. But
In most societies’, mothers are the centre of the circle of life. One of the best ways to practice prevention of mental health problems is to improve mothers’ mental health. Anxiety and depression are more common in women compared to men but women live longer than men. During pregnancy and after child delivery, about 13%
World Mental Health Special: How can we work our interventions better
The World Mental Health on October 10 is a recognition of the global importance of mental health. What is the relevance for Canada? First: The slogan ‘1 in 5’ is not enough We need to move beyond this oversimplification. Imagine saying to people with heart problems that they have a ‘physical health problem’ in common
Since social situations are variable with multiple factors at play, focusing on the imagery cognitions gives us the specificity to design the treatment. This may be a reason cognitive therapy was superior to exposure treatment in this study. There are, of course, other components to the treatment model, which contribute to its effectiveness.
Skin picking and hair pulling: very treatable but often missed
In the DSM-5 Trichotillomania (Hair Pulling Disorder) and Excoriation Disorders (Skin Picking Disorder) are included in the Obsessive-Compulsive and Related Disorders section. Each of these disorders is present in about 1-2% of the population.
With the rise of ‘shared rides/space’ economy like Uber and Airbnb, it is tantalizing to speculate if uberising therapy could work. A number of start-ups and established companies have started offering this in different forms. They match clients to therapists online and are always available.