Cognitive-Behavioral and Mindfulness-Based Psychotherapy
Feeling Unreal June 22, 2023 DOI: 10.1093/oso/9780197622445.003.0012 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Practical guide or manual Peer reviewed |
|---|---|
| Interventions | Cognitive-behavioral therapy Acceptance and Commitment Therapy |
| Topics | Meditation |
| Key points | The chapter proposes that cognitive-behavioral techniques reframing ten dpdr-related cognitive distortions and targeting avoidance, hyperawareness, and self-monitoring, together with Acceptance and Commitment Therapy focused on mindful acceptance of the present and commitment to personal values, can be applied to treat depersonalization/derealization disorder. It outlines six ACT components for this purpose: cognitive fusion, identifying one's self with the disorder, rumination and worry, experiential avoidance, clarifying values, and a narrow behavioral repertoire. |
Abstract
Abstract This chapter explores the use of cognitive-behavioral and mindfulness-based psychotherapy techniques in the treatment of depersonalization/derealization disorder (DDD). Cognitive-behavioral therapy seeks to identify and change distorted thinking patterns, as well as avoidant and ritualistic behaviors. Ten cognitive distortions, commonly encountered in depersonalization/derealization (dpdr)-related anxious catastrophizing and obsessional ruminating, are identified and reframed. We also discuss how to target avoidant behaviors, as well as hyperawareness and self-monitoring. Acceptance and Commitment Therapy is also explored for the treatment of DDD, based on the principle of mindfully accepting the present while committing to what a patient cares about and values. Six key components are discussed: cognitive fusion, identifying one’s self with the disorder, rumination and worry, experiential avoidance, clarifying values, and dealing with a narrow behavioral repertoire.