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Has anyone had high intensity CBT?

10 replies

GreatBigBeautifulTommorow · 13/10/2026 15:36

Currently having fortnightly CBT which seems to involve working through a booklet with therapist.

therapist has mentioned stepping me up to high intensity CBT as although I’m trying current approach doesn’t seem to be doing much.

has anyone had higher intensity CBT?
was it effective?
what did it consist of?

OP posts:
Usernamesalltakenblues · 13/10/2026 17:07

What do you mean by working through a booklet OP?
I had CBT a couple of years ago which, after an initial couple of sessions talking about myself and my history and issues, it involved working through handouts. I found this not only unhelpful but positively distressing to the extent I terminated the treatment and was referred to a Clinical Psychologist
It was such a contrast to the CBT I received 30 years ago where any exercises my then CBT therapist set me were specifically tailored to me and the information I had given her rather than the universal one size fits all handouts - because they don't. That therapist really helped me and I still remember our conversations.
Unfortunately the benefits wore off after many years and my attempt to have further beneficial treatment was unsuccessful because, as I said to my second therapist when I terminated my sessions, it was as if she hadn't listened to anything I had said. I wasn't treated as an individual.
I dont really know what high intensity CBT us OP I'm afraid but I will follow your thread with interest

GreatBigBeautifulTommorow · 13/10/2026 17:36

@Usernamesalltakenblues i was given a worry management workbook and we go through parts of it.
worry diary and categorising practical or hypothetical.
then action plans for practical worries.

not finding it very useful as im aware 90% of my worries are what ifs and there’s nothing i can do but find it difficult to stop once im in a loop!

im so fed up of worrying!

OP posts:
Wotsupmog · 13/10/2026 17:40

GreatBigBeautifulTommorow · 13/10/2026 17:36

@Usernamesalltakenblues i was given a worry management workbook and we go through parts of it.
worry diary and categorising practical or hypothetical.
then action plans for practical worries.

not finding it very useful as im aware 90% of my worries are what ifs and there’s nothing i can do but find it difficult to stop once im in a loop!

im so fed up of worrying!

You might find a Buddhist practice more helpful. Very good at reducing worry.

GreatBigBeautifulTommorow · 13/10/2026 18:06

@Wotsupmog do you use that approach?

im “self talking” that they are just thoughts, that i cant predict, to let it go……not working ☹️

OP posts:
Usernamesalltakenblues · 13/10/2026 18:10

I can see the point iOP n trying to differentiate between practical and hypothetical worries. I worry all the time about everything and my son , if I confide in him which I dont always do, helps me by trying to get me to think about how realistic my worries are and the possble outcomes if my worst fears actually materialise.
But how does your therapy address Why you are worrying, the causes of your anxiety? For me my problems are layers deep and dealing with the symptoms- anxiety and worry - doesnt take away the root causes which for me lie in my childhoid emotional neglect, my dysfunctional family and my autism.

Actually having just googled high Intensity CBT it seems quite akin to the helpful therapy I received 30 years ago: much more tailored to the individual person and their problems and situation. Hopefully you will find it helpful.

GreatBigBeautifulTommorow · 13/10/2026 18:40

@Usernamesalltakenblues it doesn’t address or look at cause at all.
i mentioned some things in passing and she suggested counselling instead, which I didn’t find helpful previously.

Do you think other people worry and just don’t talk about it?
Id love to be one of those sunny people who take life in their stride.

i recognise mine it’s out of control at moment and i need to do something!
I wonder if I have some traits /symptoms of OCD but guess a label doesn’t really matter?

OP posts:
EverydayProfessional · 13/10/2026 19:21

GreatBigBeautifulTommorow · 13/10/2026 15:36

Currently having fortnightly CBT which seems to involve working through a booklet with therapist.

therapist has mentioned stepping me up to high intensity CBT as although I’m trying current approach doesn’t seem to be doing much.

has anyone had higher intensity CBT?
was it effective?
what did it consist of?

It depends on the individual condition and yes this could be possibly be suggested because you may require it.

Wotsupmog · 13/10/2026 20:23

GreatBigBeautifulTommorow · 13/10/2026 18:06

@Wotsupmog do you use that approach?

im “self talking” that they are just thoughts, that i cant predict, to let it go……not working ☹️

Not so much that, as mindfulness, focusing on staying in the moment and also practicing self-compassion.

nomorecheese · 13/10/2026 21:07

Wotsupmog · 13/10/2026 20:23

Not so much that, as mindfulness, focusing on staying in the moment and also practicing self-compassion.

I had MBCT (mindfulness based cognitive therapy) which I found very useful. Also regular CBT with a good therapist helped my general anxiety. Psychotherapy screwed me up though. Counselling did nothing for me and neither did hypnotherapy. It’s a minefield and very individual I suppose. I’d like to look into high intensity CBT I’ve never heard of it before.

GreatBigBeautifulTommorow · 13/10/2026 22:45

I was reluctant when they first mentioned it as means going back on a waiting list and I’m restricted with when I can attend due to work etc. I guess worrying about those things just demonstrates I need the therapy!

think I’m going to agree to it.

its interesting how people have had different experiences of different therapies.

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