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Eva Keller, LMHCA is a counselor in Wenatchee, WA specializing in counseling and social work. Eva Keller, LMHCA is affiliated with Confluence Health and Confluence Health Hospital | Mares Campus.
820 N. Chelan Avenue Mares Campus
Wenatchee, WA 98801
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Cognitive-Behavioral Therapy (CBT)
Cognitive-behavioral therapy, or CBT, is a form of psychotherapy or treatment for mental illness. It comes in a variety of methods, but the basic concept behind all CBT is the same -- thoughts cause feelings, which cause actions. If someone wishes to change problematic behaviors or emotions in their lives, they need to start by changing their thoughts. CBT examines ideas and looks for patterns that may be causing harmful actions. The therapist helps patients modify those thought patterns and, in doing so, helps them feel better and cope more effectively.
CBT is one of the most widely studied forms of psychotherapy, and it has been shown to be extremely effective for a variety of mental illnesses. Some of the issues that respond well to CBT include mood disorders, personality disorders, eating disorders, substance abuse, sleep disorders, and psychotic disorders. In some cases, CBT has been shown to be as effective or even more effective than medication. One of the interesting things that the scientific study of CBT has shown is that CBT actually changes the way the brain works, physically improving its function.
CBT differs from traditional psychotherapy in a few key ways. One of the most important distinctions is the emphasis on the power and responsibility of the patient in CBT. The patient will be encouraged to be the one asking the questions in CBT therapy, and most patients are assigned homework to complete outside of therapy sessions. There is a concept in CBT that everyone has power the power to change how they feel, even if they cannot control the situation, and this can be very empowering for patients. Because of this power shift, the therapist-client relationship is not as critical to success in CBT as it is in other modes of therapy. Patients should still get along well with their therapists, but they do not need a deep, dependent emotional connection to them. Finally, because CBT often treats a specific issue or problem, it is usually shorter in duration than traditional therapy. While some therapies may continue for years, CBT lasts on average just 16 sessions.
Compassion Fatigue
Compassion fatigue (CF) is the physical and emotional exhaustion resulting from exposure to traumatized people. Compassion fatigue is also called secondary traumatic stress or ''compassion burnout.'' People with compassion fatigue internalize distress after repeatedly helping others or identifying with others in their suffering. This internalized distress can slowly destabilize people's mental health and disrupt their ability to help others. The process of taking on other's stressful experiences is also known as ''vicarious trauma.'' Over the course of months or years, vicarious trauma can culminate into compassion fatigue.
Those who have witnessed high mortality rates, extreme violence, and repeated trauma (such as social workers, firefighters, emergency response workers, and law enforcement officers) are more likely to experience compassion fatigue. Compassion fatigue can also happen to therapists and psychologists over the course of their work. Eventually, exhaustion and stress may undermine people's ability to provide assistance to others. Compassion fatigue does not necessarily stop people from helping others or performing their jobs; they may continue to serve, but with a dwindling sense of empathy. As a result, compassion fatigue is frequently not recognized and left untreated. Others with compassion fatigue may feel inclined to isolate themselves from others or to resign from their profession. Compassion fatigue is characterized by the following symptoms:
Compassion fatigue can be diagnosed by a therapist or counselor. As compassion fatigue is not an officially recognized mental health disorder, a diagnosis of depression and/or anxiety may be an initial diagnosis. Similarly, people with compassion fatigue may be treated with antidepressant or anti-anxiety medication. Talk therapy and group therapy sessions can help those suffering from compassion fatigue express their feelings and build a support network. Taking personal time away from work, exercising regularly, and having a healthy diet and sleep schedule may also greatly ameliorate compassion fatigue. Compassion fatigue can affect some of the most dedicated professionals. It is not a reflection of being able to care for others, but rather, of caring and helping others too much. With treatment, those with compassion fatigue are often able to practice self-care and to continue their work with a stronger sense of purpose.
She has a state license in Washington.
Licensed In: Washington
Eva Keller, LMHCA is associated with these hospitals and organizations:
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Ms. Eva Keller is a social work and counseling specialist in Wenatchee, WA. Ms. Keller obtained a license to practice in Washington.
