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by zxexz
2225 days ago
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I'd be cautious of the claim that CBT is 'as effective as Prozac', or another chemical solution, in general. A cursory glance at the Wikipedia Criticisms section for CBT points out at least several concerns with the existing research[0]. Anecdotally, a family member of mine went through a complete round of CBT, for a mental health disorder, and they said that it seemed mostly just like standard therapy, and perhaps increases mindfulness a bit, but definitely felt it could not hold a candle to standard treatment. I should point out that they followed the protocol quite rigidly, and embraced the therapy with an open mind. No doubt CBT has varying effectiveness between individuals. Somewhat tangentially, I find this[1] article cited in the Wikipedia page[0] to be an interesting read; a meta-analysis of ~70 studies, showing a seeming decrease in effectiveness of CBT over 30 years. [0] https://en.wikipedia.org/wiki/Cognitive_behavioral_therapy#C... [1] https://www.semanticscholar.org/paper/The-effects-of-cogniti... |
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From 2010 - "In this 36-week study, partial and nonresponders to placebo, and responders and partial responders to Prozac, CBT, and combination treatments in the 12-week trial were openly treated (TADS Team, 2007). As in Phase 1, Prozac and combination groups received additional encouragement and contact (medication management). Despite this, all treatment conditions converged by 30 weeks and remained so by Week 36, with significantly more suicidal ideation in the Prozac-alone group. The percentage of suicidal events for those on Prozac, whether in combined or alone groups, was nearly 12%, double the 6% in the CBT group. Despite the convergence of efficacy and continued risks, TADS is often cited as evidence that combining psychotherapy and medication produce superior results (e.g., NIMH, n.d.)." -- https://www.researchgate.net/profile/Dickson_Adom/post/What_...
"Collectively, the findings detailed inA.C. Butler et al. / Clinical Psychology Review 26 (2006) 17–3127 this review suggest that CT is highly effective for adult unipolar depression, adolescent unipolar depression,generalized anxiety disorder, panic disorder with or without agoraphobia, social phobia, PTSD, and childhooddepressive and anxiety disorders. The comparison-weighted grand mean effect size for these disorders when compared to no-treatment, wait list, or placebo controls is 0.95 (SD=0.08). CBT is associated with large improvements in symptoms for bulimia nervosa, and the associated effect sizes (M=1.27, SD=0.11) are significantly larger than those that have been found for pharmacotherapy. CBT also has shown promising results as adjunct to pharmacotherapy in the treatment of schizophrenia." -- https://www.get.gg/docs/Empirical-Status-of-CBT.pdf
Prozac yields a risk of side effects, and ceasing use brings a strong risk of relapse. Comparatively CBT offers a lasting solution.