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Dr. Vanessa Handsel Roddenberry, PH.D. is a cognitive therapist in Raleigh, NC specializing in cognitive-behavioral therapy and psychology.
8303 Six Forks Road Suite 207
Raleigh, NC 27615
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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.
Dialectical Behavior Therapy
Dialectical behavior therapy, or DBT, is a form of cognitive behavior therapy (CBT) that was originally developed to help the most severely mentally ill and depressed patients accept therapy. It relies on the same concept in CBT that examines the relationship between thoughts, feelings, and actions, but in DBT the emphasis is first on acceptance rather than change. There is also an emphasis on mindfulness, 'being in the moment,' and relaxation techniques such as yoga. These are combined with a great deal of validation and encouragement from the therapist.
The word 'dialectical' means acting through opposing forces, and this word refers to a few different opposing concepts in DBT:
Dialectical behavior therapy was developed when therapists attempting to use CBT techniques on the most seriously ill patients ran into a problem. When they suggested that a patient change their thoughts, these very vulnerable patients would become overwhelmed and turn aggressive or suicidal. DBT was developed to support these patients with acceptance and validation while still guiding them towards changing problematic thoughts. Although also used for suicidal and self-harming patients today, these days, DBT is mainly used to treat borderline personality disorder. It is one of the few effective interventions for this serious illness.
DBT has been shown to be very effective at reducing self-destructive behavior. It can also be used to teach new coping skills and increase a patient's self-esteem and motivation to become healthier.
She is certified by the North Carolina Board of Psychology and has a state license in North Carolina.
Board Certification: North Carolina Board of Psychology
Licensed In: North Carolina
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Dr. Vanessa Roddenberry practices psychology and cognitive-behavioral therapy. Dr. Roddenberry's areas of expertise consist of acceptance and commitment therapy, cognitive-behavioral therapy (CBT), and dialectical behavior therapy. She welcomes new patients at her office in as reported by DocSpot.
