this post was submitted on 09 Aug 2024
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Neurodivergence
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A skilled therapist will be able to assist anyone to use CBT or other modality as a tool, even if they don't have training or experience specific to that person's needs.
Nobody here needs to be told that finding such a therapist is far from a given, and engaging one who is not helpful (or worse) tends to make it hard to convince oneself to try with a new therapist. Run through a few, and the reluctance compounds into aversion.
That said, I do feel that CBT attracts therapists who have a strong preference for an unreflective practise, and who are more comfortable with very straightforward & commonplace anxieties.
It doesn't help that many health services, whether publicly or privately funded, push short courses of CBT as the predominant or sole psychological therapy. Even a highly skilled therapist will struggle to arrive at the point of being of assistance to those whose difficulties don't map so closely to those most commonly found in the general population, if they have just six 45 minute sessions to work with, and even more so if the person comes to them undiagnosed.