Techniques used to that end may include weighing evidence to evaluate whether a patients self-image is skewed, developing a more realistic worldview, prioritizing problems, and setting an agenda for dealing with them. According to research by Aaron Beck and others, cognitive therapy is as effective as antidepressants in initially treating mild, moderate, and severe depression, and patients who had used cognitive therapy and stopped were less likely to relapse than those who stopped medication. Cognitive therapy has also been shown to decrease the risk for repeated suicide attempts in seriously depressed patients.
REBT, on the other hand, focuses on disputing irrational beliefs, as Elliss disciplines put it, or directly confronting and challenging a patients thoughts about a situation. The method is used to treat the spectrum of psychological problems, from depression and anxiety to post-traumatic stress disorder. Therapists may draw from the wider tradition of cognitive-behavioral methods, but they owe an intellectual debt to Albert Ellis whenever they dispute a patients irrational beliefs. Though that approach has gained a reputation for confrontation and tough-mindedness, Kristene Doyle, associate executive director of the Albert Ellis Institute in New York City and a clinical psychologist specializing in REBT, says that collaboration between the therapist and patient, a patients complete self-acceptance, and the therapists unconditional acceptance of the patient are also essential to REBT.
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