What is behavior therapy?
Behavior therapy helps people with mental disorders by
helping them change behavior patterns.
Behavior therapy is based on several theories about how
people learn and why they develop certain behavior patterns.
Those theories include:
- classical conditioning
- operant conditioning
- social learning.
Behavior therapy can help with:
- anxiety
- changing negative habits such as smoking, overeating,
thumb-sucking, bedwetting, and nail biting
- depression
- obsessive compulsive disorder
- substance abuse
- sleep disorders.
What is classical conditioning?
Classical conditioning is one of the ways habits are acquired.
For instance, a dog drools when it gets food. If a bell is
rung every time the dog gets food, after awhile the dog
will drool whenever the bell is rung, even if no food is
given. This is called a "conditioned response." If the
bell is then rung many times without food being given, the
dog's conditioned response to the bell may change. He may
no longer drool when the bell is rung. In this case the
"conditioned response" is said to be "extinguished."
A lot of fears are learned through classical conditioning.
If you had a panic attack on a bus, for example, you might
forever fear riding on a bus. You might also be more likely
to develop other panic attacks in that setting.
A goal of behavior therapy may be to rid you of a fear-based
response to events, things, or places by pairing them with a
response that relaxes you. The relaxation response will
help you feel less fearful. The more times the event is
followed by a relaxation response, the less likely it is
that the event will produce a fear-based response. The fear
response is gradually "extinguished." This takes a lot of
practice and hard work, but it is a very successful form of
therapy.
For example, if you are afraid of dogs you might be taught
ways to relax. You might be asked to think of situations
related to your fear, such as holding a dog or seeing a
picture of a dog. Next, you rank these situations, from
least stressful to most stressful. Then you might be asked
to imagine what causes the least fear while using the
relaxation methods you have learned. If you can become
comfortable while imagining that situation, the link between
that situation and your fear may weaken. Once you are
comfortable imagining the least fearful situation, you can
move up your list. You can use the same methods with other
situations that make you afraid until you can get to the
actual thing you most fear.
What is operant conditioning?
Operant conditioning theory says that learning also
occurs as a result of the rewards and punishments you get.
If the result of your behavior is a reward, you are likely
to repeat the behavior. If the result is a punishment, you
are less likely to repeat the behavior.
Making a behavior painful and reducing the reward of a
behavior are 2 ways to change behavior. For example, some
medicines used to treat alcoholism cause you to feel ill if
you drink alcohol while taking them. Others reduce or
eliminate some of the good feelings you get with drinking.
What is social learning theory?
This theory stresses that the responses of people in your
life, their opinions of you, and your opinion of yourself
help determine your behavior. You may also learn behavior
by watching and imitating others.
Training to make you more assertive and group therapies that
use role-modeling and imitation are examples of social
learning theory. Group therapy also helps you to know you
are not alone, that it is possible to solve your problems.
Written by Naakesh A. Dewan, M.D.
This content is reviewed periodically and is subject to
change as new health information becomes available. The
information is intended to inform and educate and is not a
replacement for medical evaluation, advice, diagnosis or
treatment by a healthcare professional.
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