Cognitive Behavioral Therapy: Principles, Science, and Patient Selection in Neurology

Cognitive behavioral therapy (CBT) is a widely used therapeutic modality in general psychiatric practice. In this review, we consider its application to neurological disorders. We examine the basic framework of CBT-that symptoms, emotions, thoughts, and behaviors are all interrelated and that therapeutic interventions that lead to change in thoughts or behavior may have the potential to reduce symptoms or emotional distress. We also outline specific methodological issues to consider when reading or planning studies of CBT interventions, highlighting important topics pertaining to quality control, control group selection, dropouts, and generalizability. We then review the evidence base for CBT's use across a range of neurological disorders. In doing so, we highlight where there is a clear evidence base, and where it is a technique with potential. The review is targeted at a general neurology audience as introduction to the topic not as an advanced guide for expert practitioners.

Automated summary

This review discusses the application of cognitive behavioral therapy (CBT) in neurological disorders, emphasizing the interrelationship among symptoms, emotions, thoughts, and behaviors, and the potential to reduce symptoms or emotional distress through changing thoughts or behaviors. It also outlines methodological issues in CBT intervention studies and summarizes the evidence base for CBT's use in various neurological disorders.