Behavioral Couples Therapy for Alcohol use Disorders (ABCT)

Behavioral Couples Therapy for Alcohol use Disorders (ABCT) is an outpatient treatment for individuals with alcohol use disorders and their intimate partners.

ABCT is based on four assumptions:
(1) intimate partner behaviors and couple interactions can be triggers for drinking;
 (2) intimate partners can reward abstinence;
(3) a positive intimate relationship is a key source of motivation to change drinking behavior, and
(4) reducing relationship distress lessens the risk of relapse.

Using cognitive-behavioral therapy, the ABCT therapist works with both the person who is abusing alcohol and his or her partner to identify and decrease the partner’s behaviors that cue or reinforce the client’s drinking; strengthen the partner’s support of the client’s efforts to change through reinforcement of positive change and the use of sobriety contracts; increase positive couple interactions through activities and assignments designed to increase positive feelings and improve constructive communication and problem-solving, and improve the client’s coping skills and relapse prevention techniques to achieve and maintain abstinence.

The treatment program consists of 2-3 hours of assessment for treatment planning, followed by 12-20 weekly therapy sessions for the client with his or her partner. Treatment follows cognitive-behavioral principles applied to couples therapy and specific therapeutic interventions for alcohol use disorders.

 A typical session follows this sequence:
(1) the therapist asks about any drinking since the last session;
(2) the couple presents and discusses homework assigned at the last session and use of a sobriety contract, if applicable;
 (3) the couple discusses any drinking or relationship problems since the last session;
(4) the therapist presents new material and the couple engages in active learning activities in the session related to the new material; (5) the couple discusses up-coming high-risk situations; and
(6) the therapist assigns new homework.

The optimal implementation of ABCT occurs in the context of an existing clinic or private practice with certified/licensed mental health or addictions professionals who have a background in treating alcohol use disorders and knowledge of cognitive-behavioral therapy.

5 tips on How To Get Over Anxiety

How To Get Over Anxiety - DR SUDESHNA BISWAS

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Being held hostage by anxiety is like being tied up with invisible rope. You feel bound and tied by irrational fear, which keeps you stuck in neutral, unable to gain any traction to move forward in life. 

Fearing the worst-case scenario all the time is a self-defeating cognitive snafu that can have paralyzing effects. Instead of forging ahead in your career or pursuing a the new relationship, anxiety keeps you stuck as a passive observer instead of an active participant.

Breaking free of the grip of anxiety is possible. 

Luckily, you can learn how to get over anxiety. Some methods can offer relief from the excessive worry that holds you prisoner in your own life. Learn here how to overcome the thought patterns that keep you stuck in the spin cycle of anxiety.

What Is Anxiety Disorder?

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Chances are, at least one out of every five of your friends and family members grapple with an anxiety disorder. In fact, with more than 100 million INDIANS struggling with some sort of anxiety disorder, it is apparent that we are an anxious nation. 

There are several different types of anxiety disorders, but underlying each of them is a common feature: fear. Fear of people, places, situations, and objects—pick your poison. Accompanying the fear is the feeling of having no control over the fear-inducing situation.

To help differentiate between the different forms of anxiety disorder, here are some brief summaries:

Generalized anxiety disorder (GAD): Excessive and irrational fear and worry about two issues or more that may cause shortness of breath, heart palpitations, sweating, dizziness, and sleep problems.

Socialanxiety: Intense fear of being judged or rejected by others, causing such symptoms as sweating, blushing, muscle tension, nausea, rapid heartbeat, and lightheadedness.

Specificphobia: Extreme and unreasonable fear related to a specific object or situation, causing avoidance behaviors.

Panicdisorder: A sudden, unpredictable episode that features chest pain, trembling, shortness of breath, nausea, sense of doom.

Post-traumaticstress disorder (PTSD): A prolonged response to having experienced or witnessed a traumatic event that features irritability, flashbacks, insomnia, substance abuse, and avoidance behaviors.

Obsessive-compulsivedisorder (OCD): Alternating cycle of obsessive fears and compulsive behavioral responses to fear.

How Does Anxiety Negatively Impact Our Lives?

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Fear is a trap that can keep us from achieving our goals and dreams. 

When we wrestle with an anxiety disorder, it holds us hostage by tricking us into thinking we aren’t good enough, smart enough, or attractive enough to be worthy of those goals and dreams. 

As a result, we begin to isolate ourselves, mostly as an avoidance mechanism to protect us from perceived danger or criticism. From the isolation, we begin to develop other maladaptive behaviors and thought distortions that only further deteriorate mental wellbeing.

Anxiety is also detrimental to our physical health. Chronic stress and worry keep the stress hormones, such as cortisol and adrenaline, at elevated levels. This can lead to increased health risks, such as weight gain, heart disease, digestive issues, and sleep disturbance.

Change Your Thoughts and Regulate Anxiety Through CBT

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Now for the fun part, learning how to get over anxiety. 

Making the shift toward healthy, affirmative thoughts will translate to a change in behaviors associated with anxiety. Cognitive-behavioral therapy (CBT) is a type ofpsychotherapy that is very useful in helping patients who struggle with anxiety to make these positive shifts. 

CBT helps reduce anxiety symptoms by changing thought patterns through the following process:

1.     The individual identifies negative self-talk determines if it is rational or exaggerated, and examines how the negative self-talk is impacting daily life functioning.

2.     The individual is guided to stop, consider the present thought, and then choose a more affirming thought to replace the negative thought with. This is a process that takes time and practice before it becomes a positive new habit. Journaling, or keeping a “thought diary” can help sort out the types of thoughts and how they affected the person.

3.     As the positive thoughts replace the negative ones, the goal is to begin confronting once-fearful situations and incrementally, through exposure therapy, become desensitized to the fears associated with them.

Some individuals are also aided with medication that helps reduce the symptoms of anxiety through a sedative effect. These medications, called benzodiazepines, should not be used long term, however, as they have a high risk of leading to addiction or dependency.

How To Get Over Anxiety Naturally

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There are several natural techniques that can also help one learn how to get over anxiety. Holistic practices are increasingly included in the treatment plan for anxiety recovery due to their stress-regulation properties. 

Some of these include:

• Mindfulness-based meditation
• Deep breathing exercises
• Progressive relaxation exercises
• Yoga
• Aromatherapy
• Journaling
• Cardio exercise

Taking a proactive stance in alleviating the symptoms of anxiety through CBT and holistic activities can yield excellent results. Incorporate these practices into daily life for improved functioning and quality of life.

What methods have helped you learn how to get over anxiety? Please share with us in a comment below!

QUESTIONS /ANSWERS

QUESTION/ ANSWER SESSIONS AND CASE STUDIES

1.SCHIZOPHRENIA

DR SUDESHNA BISWAS IS WITH HER PATIENT TREATED FROM SCHIZOPHRENIA

                                            2. EPILEPSY WITH SCHIZOPHRENIA

PATIENT OF EPILEPSY WITH SCHIZOPHRENIA SHARING HIS RECOVERY EXPERIENCE

                                                                    3.DEPRESSION

DR SUDESHNA BISWAS - दिल्ली में सर्वश्रेष्ठ मनोचिकित्सक की एक अवसादग्रस्तता रोगी, उसके लक्षण , समस्याओं, परिवार के शेयरों और कैसे वह इस रोग को दूर किया है ।

                                          4. MY STORY- OCD AND ANGER OUTBURST

একজন রোগী অত্যধিক অমোঘ ব্যাধি এবং ঘন রাগ outbursts  সম্পর্কে বলছে,  কিভাবে তিনি ডাক্তার সুদেষ্ণার সঙ্গে চিকিত্সা এবং কাউন্সেলিং সেশন থেকে উপকৃত এবং কিভাবে এটা তার জীবন ফিরে স্বাভাবিক অবস্থা পরিবর্তিত হয়েছে ।

                                                             5. TRICHOTILLOMANIA

 A patient suffering from trichotillomania (an  obsessive compulsive disorder characterized by a compulsive urge to pull out one's own hair ) is seen sharing his experience of his disease and suffering and finally getting normal with the treatment of Dr Sudeshna Biswas

CONGRATULATIONS! DR SUDESHNA

FOR BEING ONE OF THE MOST RECOMMENDED PSYCHIATRIST IN PRACTO


36 RECOMMENDATIONS &
COUNTING.....

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DELHI DETOX AND DE-ADDICTION CENTRE

DELHI DETOX AND DE-ADDICTION CENTRE

DR . SUDESHNA BISWAS ,one of the best and famous  psychiatrist at FORTIS C-DOC ,delhi has developed a new and innovative treatment module for deaddiction. Patients abusing alcohol,nicotine,cannabis,cocaine have a new lease of hope from her treatment skills.

Her team of psychologists,social workers and nurses/paramedics along with DR. ANIRBAN BISWAS (MD) , will be involved in the DELHI  DETOX and de-addiction therapy.

At Delhi Detox and Deaddiction  Centre we offer treatment to persons with problems due to alcohol, tobacco and other drug misuse, providing out-patient consultations, in- care and through out-reach clinics. 

Specialized and individually tailored care is offered by a multi-disciplinary team of the best psychiatrists, psychologists, social workers, occupational therapist and nurses experienced in addiction medicine.Our excellent results speak for our sincere and determined efforts at Delhi Detox and Deaddiction Centre.

more.....

DR SUDESHNA BISWAS IN 'LIVE INDIA' NEWS CHANNEL

DR SUDESHNA BISWAS TALKING ABOUT DEPRESSION IN TELEVISION (LIVE INDIA NEWS CHANNEL)

CBT/NLP/RELAXATION Sessions

Private CBT /NLP /RELAXATION Sessions

About me

I am Senior Consultant Neuro-psychiatrist at FORTIS C-DOC Hospital, Nehru Place. I also have a small private practice at POCKET 40/65,LGF C.R.Park, SOUTH DELHI ( LOCATION ).
 The following are my specialities:

• The emotional disorders (i.e. anxiety, depression, guilt, shame, hurt,unhealthy anger, jealousy and envy)
• Relationship problems (e.g. difficulties in forming or sustaining relation-ships, dealing with conflict in relationships)
• Self-discipline problems (e.g. procrastination, difficulties in maintaining  healthy lifestyle patterns, problems in persistence)
• Drug De-addiction (e.g. alcohol,tobacco,cocaine,cannabis

How Do I Make an Appointment?

You can call/sms me on 09891892393 /09818313891 and leave a message

on my answer machine. I will call you back as soon as possible.

Are You Accredited as a Therapist?

Yes, I am. I am accredited with the  DELHI MEDICAL COUNCIL AND MEDICAL COUNCIL OF INDIA.

What is Your Referral Policy?

I am happy to take referrals or self-referrals. In India psychiatry treatment is not covered by insurance. So,payments have to be made in cash. Receipts will, of course, be provided.

How Long Do Sessions Last?

Sessions last for 50-60 minutes.

How Long Does Therapy Last?

While this is a frequently asked question, it can only be answered after I have met you and found out what problems you are seeking help for and what you want to achieve from therapy.  I am happy to discuss this issue with you after I have carried out an initial assessment.

Are you available on Skype/Telephonic Consultations for remote /foreign patients?
Yes, I am available on SKYPE. My SKYPE ID is sudeshna.dp1

What are Your Fees?

Fees are available on request. Patients for SKYPE/Teleconsultation will be informed about fees through E-mail/sms. My E -mail: sudeshna.dp1@gmail.com
sudeshna_dp1@rediffmail.com

Do You Have a Cancellation Policy?

Yes, I do. Like most therapists, I have a 24 hour cancellation policy which

 I adhere to strictly with the exception of a personal tragedy.                                                        

     If you're suffering from any emotional or relationship problem, click here