Cognitive therapy can be used to treat many diseases and psychological disorders. The most important thing is to treat patients with emotional depression, especially adults with unipolar depression, which is an effective short-term treatment. According to the research report of the University of Pennsylvania, cognitive therapy is mainly suitable for the treatment of outpatients with unipolar depression. Generally, after 12 weeks of cognitive therapy, 80% patients have obvious improvement, and the curative effect is better than that of the control group treated with imipramine. After a year of follow-up, the curative effect is stable. In addition, research teams from Edinburgh University, Columbia University and Pittsburgh University also reported that cognitive therapy can achieve the same effect as antidepressants. Among them, University of Edinburgh black born( 198 1) and others reported that patients with primary depression were randomly divided into drug treatment group, cognitive treatment group and drug-cognitive treatment group. After 20 weeks of active treatment, it was found that the curative effect of outpatients with comprehensive treatment was better than that of the other two groups. However, for patients with psychotic depression, cognitive therapy may be ineffective. Cognitive therapy can also be used as one of the treatments for anorexia nervosa, sexual dysfunction and alcoholism. For example, alcoholics often have a certain degree of cognitive impairment, especially in the first few weeks of abstinence, they often show difficulties in remembering and solving problems. Therefore, in the early stage of treatment, it is necessary to repeat several separate conversations, requiring patients to take notes of the conversations and record the completion of family cognitive and behavioral homework every day. It is also helpful to treat alcoholism by inputting information to patients through various channels such as verbal conversation, behavioral operation, imagination technology and audio-visual education. Of course, not all patients can effectively apply these techniques. Some patients often refuse to cooperate or even stop treatment at the initial stage of treatment. In this regard, doctors may think that these patients "have no motivation to seek treatment" or "are not ready for treatment". Essentially, it may be that the treatment method is not completely suitable for these patients. Therefore, in the treatment of such patients, the therapist should understand and identify the cognitive errors of the patients, and make appropriate questioning and correction, so that the patients can cooperate with the therapist to stop drinking.
In the treatment of anorexia nervosa patients, besides drug therapy, diet therapy and family therapy, we should also pay attention to the cognitive distortion of such patients, because such patients often have cognitive abnormalities in their appearance and face, so we must correct their wrong cognition. For example, it can be carried out through the following reasonable cognitive dialogue and self-monitoring: "Thin people eat too little", "Thin people eat differently from people with normal weight" and "Thin people are not as fit as people with normal weight". Patients are required to complete a certain calorie of food intake, and self-monitor their weight, mood and automatic thinking, and gradually change their bad cognition. Patients with anorexia nervosa are not actively treated, so it is very important to deal with the relationship between doctors and patients and gain the trust of patients.
The treatment of patients with sexual dysfunction, especially those with decreased libido, can be supplemented by cognitive correction in addition to behavioral therapy. The strategy of cognitive therapy is to change the unreasonable beliefs that inhibit patients' sexual desire and create the necessary conditions for the subsequent use of sexy concentration technology. For example, some patients think that "sexual desire is evil, and such people are bad people." In the treatment, it is necessary to enlighten and explain the patients' false beliefs of inhibiting sexual desire and provide necessary sexual knowledge. Encourage patients to adopt the following instructions: "Even if I am interested in sex appeal, it doesn't mean I am a bad person." Therapists can also ask patients to identify and evaluate their adaptation to unhealthy thinking by asking questions, such as, "What if you become sexy?" Then guide and warn patients that most people's behaviors are controlled by themselves, and they are often responsible for what they did at that time, and rarely do things that violate reason and law. So as to correct unreasonable cognition, reduce patients' anxiety and fear, and create conditions for further behavioral therapy.
In addition, cognitive therapy is also suitable for patients with anxiety, social phobia, migraine, pre-test anxiety, emotional anger and chronic pain. For addicts, cognitive therapy can be used as adjuvant therapy to strengthen the therapeutic effect. It has been reported that the combination of cognitive therapy and drug therapy can treat the delusion of some schizophrenics.