Do People Really Get Addicted To Chocolate?

Check This article was edited and approved for accuracy By Adam Szmerling on June 19, 2013

Yes people, especially women, can become dependent on chocolate; but it is important to understand that chocolate is not an addictive substance itself. A dependency on chocolate can occur however, but as a result of more complex combinations of physical and psychological reasons and in the physical, are thought to be more commonly connected to additive ingredients. Chocolate contains caffeine and theobromine which are both addictive compounds, while the high fat and carbohydrate content in chocolate stimulates greater production of serotonin which is a neurotransmitter associated with a brighter and more upbeat mood. Research suggests this is more common in women and relates to differing hormone levels throughout the menstrual cycle.

What exactly is an addiction?

Addictions refer to engaging in a behaviour (e.g. gambling) or taking a substance (chocolate) that generates pleasure yet interferes with an individual’s ability to engage in ordinary daily activities at work, at home and has a detrimental effect on relationships with friends and family. An addiction can develop at a physical and a psychological level and sometimes both at the same time. Addictions are not usually followed because they bring pleasure but because they help to manage a physical or psychological feeling that doesn’t seem manageable any other way. An addiction does not imply a person is weak or immoral.

So what are some signs that your chocolate encounters are becoming problematic?

1. Thinking About It All Day Long – most people who are addicted to something spend a lot of time thinking about the thing they’re addicted to. These thoughts can include weighing up the benefits and drawbacks of consuming, how to acquire it, when to acquire it and when, how and where to consume it.

2. Unable to Focus on Daily Tasks – Many people who are addicted to something have trouble attending to and completing daily tasks at work and at home. This is often a result of an on-going and fixated preoccupation with the addiction.

3. Preferring to Isolate Yourself and Eat Chocolate Rather Than Being With Friends or Family – this is a really important part of any addiction that is often related to being raised by parents who were unable to accurately identify and soothe different feelings (such as anger or sadness) and related to their children in ways that led to feelings of core shame and worthlessness. Individuals who encounter these experiences early in life often have enormous difficulty soothing and managing their own feelings in a healthy and adaptive way and don’t trust others can be there to help and support them when needed. Instead, they turn to substances to help regulate their feelings and give the illusion that they are in control.

4. Using Chocolate to Cope with Feeling Lonely and Sad – this is such a common reason people reach for the chocolate or other sort of comfort food. Eating in itself is often comforting because it involves taking something in that feels nurturing and supportive.  For some people it’s the only way they know how to create feelings of love and acceptance internally. Part of the reason this has the appearance of working is that chocolate contains chemicals that cause our brains to release endorphins that make us feel good and elevate our mood. However there is research to suggest that turning to chocolate when feeling alone or down actually prolongs an unhappy mood and interferes with identifying why you are really feeling so blue and lonely.

5. Using Chocolate to Manage Stress – yet another common reason people go searching for a chocolate fix. The chemicals that are released in the brain after consuming chocolate not only create a sense of happiness and wellbeing, they can also help us feel relaxed. The act of consuming food can also serve as a way to push down feelings, allowing us to ignore a problem that seems unsolvable or a relationship that is causing distress. While chocolate may help manage stress in the short term, it does not allow people to develop healthy and helpful ways of managing their stress levels. The caffeine present in chocolate can also cause stress levels to increase because of the effect it has on heart rate and blood pressure.

6. Feeling Tired, Anxious and Edgy until You Get Your Chocolate Fix – chocolate has some addictive inherent qualities including caffeine. Caffeine along with Theobromine are stimulants and is addictive. Regular consumption over a period of time can lead to a process of adaptation, whereby you feel cranky, tired and irritable without those particles floating around in your system

7. Eating Chocolate in An Uncontrollable Way – at their extreme addictions can progress to a stage where individuals feel they have little control over their actions. They are compelled to seek out and consume whatever it is they are addicted to regardless of the time of day and other commitments. In light of the adaptation that occurs when consuming addictive substances on a regular basis, individuals tend to need to ingest more over time to bring about the same physiological and psychological effects. Consequently large quantities of chocolate may need to be consumed when an addiction has developed which can include a number of side effects including nausea and vomiting, weight gain and difficulties maintaining steady blood glucose levels.

8. Getting Angry At People Who Notice How Much Chocolate You’re Consuming – there is often a stigma of shame attached to an addiction of any kind including alcohol, sex and gambling. Chocolate is no different and individuals who become reliant on it to function at a basic and expected level are often deeply ashamed and perceive the addiction as a weakness, a loss of control, a sign of them being fundamentally worthless. Therefore comments, well intentioned or not, can lead to angry defensive responses from addicts’ to conceal experiencing their own sense of shame, failure and poor self-esteem.

9. Leaving Work during Unscheduled Breaks to Buy and Consume Chocolate – addictions make people behave in ways that seem bizarre and confusing. The compulsion to locate and take in addictive substances can be so compelling that individuals begin to neglect important commitments at work and engaging in avoidance strategies including walking out in the middle of meetings, hanging up important phone calls prematurely, consistently failing to meet deadlines, frequently excusing oneself to the bathroom and going home early. Addictions are complicated by the fact that they often exist with other mental health problems such as anxiety, depression and relationship difficulties.

Adam Szmerling

Bayside Psychotherapy was founded by Adam Szmerling in Melbourne, offering counselling and psychotherapy for individuals and couples. Adam's experience with psychotherapy inspired him to help others improve their self-understanding, mental health and wellbeing.

Here are a couple of blogs written on this topic you might find useful:

Choosing the right therapist: The 5 mo...

Choosing the right therapist can be difficult. Different problems and diff.

Creating Healthier Workspaces: How str...

Employee mental health is pivotal to overall workplace wellbeing, impacting individual performance, job satisfaction, and organ.

From High Stakes to Healing: 8 Tips To...

Gambling activities have become more accessible and convenient due to the proliferation of casinos and the rapid growth of online gambling platforms. Mo.

An Examination of Bulimia Nervosa Amon...

Bulimia nervosa is a serious eating disorder that can significantly impact an individual's physical and psychological health. Characterised by recurrent.

Cognitive Behavioural Therapy (CBT)


Cognitive Behavioral Therapy (CBT) is a short-term, goal-oriented psychotherapy treatment that aims to change negative patterns of thinking or behaviour. It is based on the idea that our thoughts, feelings, and actions are interconnected and that changing negative thought patterns can lead to changes in feelings and behaviours. CBT helps individuals identify and challenge distorted or unhelpful thinking patterns and beliefs, teaching them to respond to challenging situations more effectively. It is commonly used to treat a wide range of disorders, including depression, anxiety, and phobias. The therapy involves working with a therapist in a structured setting, and the skills learned can be applied to everyday life. With its evidence-based approach, CBT has proven effective for many individuals in managing their psychological challenges.

This will close in 0 seconds

Psychodynamic Therapy


Psychodynamic therapy, rooted in the theories of psychoanalysis developed by Sigmund Freud, focuses on the unconscious processes as they manifest in a person's present behaviour. The goal is to increase self-awareness and understanding of how past experiences influence current behaviour. It explores unresolved conflicts and traumatic experiences from the past, which may be impacting present-day behaviours and emotions. Therapists often delve into childhood events, dreams, and the relationship between the therapist and client to uncover hidden patterns. By bringing these unconscious feelings and drives to consciousness, individuals can gain insights into their lives, leading to healing and personal growth. While traditionally long-term, many contemporary forms of psychodynamic therapy are shorter-term. It is used to treat a broad range of conditions, including depression, anxiety, and personality disorders.

This will close in 0 seconds

Person-Centred Therapy (or Rogerian Therapy)


Person-centred therapy, developed by Carl Rogers, is a humanistic approach that emphasises the individual's inherent drive towards self-actualization and growth. The therapist provides an environment of unconditional positive regard, empathy, and genuineness, allowing clients to freely express themselves without fear of judgement. This nurturing atmosphere facilitates self-exploration and self-acceptance. Central to the approach is the belief that individuals possess an innate ability to find their solutions when given the right conditions. The therapist's role is not to direct or advise, but rather to act as a facilitative companion on the client's journey. The focus is on the here and now, with the aim to enhance the individual's self-awareness, self-worth, and capacity to create positive changes in their lives.

This will close in 0 seconds

Hypnotherapy


Hypnotherapy is a therapeutic technique that uses guided relaxation, intense concentration, and focused attention to achieve a heightened state of consciousness or trance. Conducted by certified hypnotherapists, it taps into the subconscious mind, allowing clients to explore suppressed memories, emotions, or negative patterns. The process can facilitate behaviour change by introducing positive affirmations or suggestions. Hypnotherapy is often employed to treat anxieties, phobias, substance addictions, unwanted behaviours, and pain management. It can also be used to uncover and address deeper traumas or past experiences. While many report positive results from hypnotherapy, it requires the individual's willingness and trust in the process. It is crucial to approach it with an open mind and under the guidance of a trained professional.

This will close in 0 seconds

Interpersonal Therapy (IPT)


Interpersonal therapy (IPT) is a time-limited, evidence-based treatment that focuses on interpersonal issues, aiming to improve communication patterns and relational dynamics. Developed primarily for depression, IPT operates on the premise that psychological symptoms are often linked to interpersonal problems. It concentrates on four main areas: unresolved grief, role disputes (conflicts with significant others), role transitions (major life changes), and interpersonal deficits (long-standing difficulties in forming and maintaining healthy relationships). Therapists help clients identify and address current interpersonal issues that may contribute to their emotional distress. By enhancing communication and relational skills, IPT seeks to alleviate symptoms and improve interpersonal functioning. Emphasising the here and now, it offers practical strategies and insights for individuals to better navigate their social environments.

This will close in 0 seconds

Dialectical Behaviour Therapy (DBT)


Dialectical Behaviour Therapy (DBT) is a cognitive-behavioural treatment developed by Dr. Marsha Linehan, primarily for individuals with borderline personality disorder and chronic suicidality. DBT combines standard cognitive-behavioural techniques with concepts from Buddhist meditation, emphasising both acceptance and change. The therapy addresses emotional dysregulation by teaching patients skills in four key areas: mindfulness (staying present in the moment), distress tolerance (managing crises and accepting situations without change), emotion regulation (understanding and managing intense emotions), and interpersonal effectiveness (communicating and setting boundaries). DBT incorporates both individual therapy and group skills training. Its efficacy has expanded beyond its initial focus, showing promise in treating other disorders like eating disorders, substance use disorders, and mood disorders. It aims to balance self-acceptance with the need for change, fostering both emotional stability and interpersonal effectiveness.

This will close in 0 seconds

Integrative or Eclectic Therapy


Integrative or Eclectic therapy combines elements from various therapeutic approaches based on a client's individual needs. Instead of adhering to a single therapy model, integrative therapists are flexible, drawing from multiple theories and techniques to create a personalised treatment. This approach recognizes the value of diverse therapeutic methods and believes no one size fits all. By blending elements from different therapies, integrative practitioners aim to enhance treatment efficacy, tailoring it to the specific issues, preferences, and cultural backgrounds of each client. The underlying principle is that different individuals may benefit from different approaches at different times. Thus, an integrative or eclectic approach is holistic, adaptable, and client-centred, aiming to achieve optimal therapeutic outcomes by using a wider range of tools and insights.

This will close in 0 seconds

Narrative Therapy


Narrative therapy is a therapeutic approach that centres on the stories people construct and hold about their lives. Developed by Michael White and David Epston, it posits that individuals give meaning to their experiences through narrative, often influenced by societal norms and beliefs. In this therapy, problems are externalised, allowing clients to view issues as separate from themselves. Therapists help clients "re-author" these narratives, emphasising strengths, achievements, and overlooked potential. By dissecting and reframing these stories, individuals can perceive challenges differently, identify alternative narratives, and construct more empowered versions of their lives. The approach is non-pathologizing, viewing people as experts of their own lives, with the therapist acting as a collaborative partner in the exploration and rewriting process. Narrative therapy fosters resilience, agency, and personal transformation.

This will close in 0 seconds

Solution-Focused Brief Therapy (SFBT)


Solution-focused brief therapy (SFBT) is a goal-oriented approach that emphasises solutions rather than problems. Developed by Steve de Shazer and Insoo Kim Berg in the 1980s, SFBT operates on the belief that clients possess inherent strengths and resources to manage difficulties and create desired changes. Instead of delving into the origins of problems, the therapy focuses on envisioning a preferred future and identifying practical steps to achieve it. Sessions often involve questions that help clients recognize successes, however small, and build on them. Questions might explore exceptions (times when the problem was not present) or elicit positive feedback, reinforcing progress. SFBT is typically shorter in duration than other modalities and is applicable across various settings and populations, emphasising resilience, competence, and actionable solutions.

This will close in 0 seconds

Gestalt Therapy


Gestalt therapy, developed by Fritz Perls in the mid-20th century, is an experiential and holistic approach focusing on self-awareness and the "here and now." It emphasises personal responsibility and the individual's experience in the present moment, the environment, and the context. The therapy seeks to help clients integrate fragmented aspects of the self, leading to a more unified, authentic whole. Gestalt therapists use creative techniques, including role-playing, dialogue, and experiential exercises, to heighten awareness and resolve unfinished business or "gestalts." Central to the approach is the belief in the innate human capacity for self-regulation and growth when individuals fully experience their feelings and perceptions. Gestalt therapy underscores the importance of the therapist-client relationship, direct engagement, and mutual influence, aiming to foster self-acceptance and personal growth.

This will close in 0 seconds

Schema Therapy


Schema therapy, developed by Dr. Jeffrey Young, integrates elements of cognitive-behavioural, psychodynamic, attachment, and gestalt approaches to treat complex disorders, particularly borderline personality disorder. It posits that maladaptive "schemas" or core beliefs form in childhood due to unmet emotional needs. These schemas persist into adulthood, leading to unhealthy life patterns or coping styles. The therapy identifies and addresses these deep-rooted schemas, aiming to replace them with healthier coping mechanisms. Schema therapy uses various techniques like cognitive restructuring, experiential exercises, and behavioural pattern-breaking. Therapists also emphasise a therapeutic relationship marked by "limited reparenting," wherein they provide the support and guidance that clients might have missed in their childhood. By addressing these core beliefs and their origins, schema therapy seeks long-lasting change and healing for individuals with chronic psychological challenges.

This will close in 0 seconds

Acceptance and Commitment Therapy (ACT)


Acceptance and Commitment Therapy (ACT) is a therapeutic approach that blends traditional behaviour therapy with mindfulness principles. Developed by Steven C. Hayes in the 1980s, ACT's primary objective is to increase psychological flexibility. It encourages individuals to embrace their thoughts and feelings rather than resisting or feeling guilty for them. The therapy focuses on six core processes: cognitive defusion (distancing from unhelpful thoughts), acceptance (embracing feelings without judgement), present-moment awareness (mindfulness), self-as-context (recognizing a consistent self beyond thoughts), values clarification (identifying what truly matters), and committed action (taking steps aligned with values). ACT posits that pain is a normal part of life and aims to help clients pursue meaningful lives in the presence of pain, rather than avoiding or being dominated by internal distress.

This will close in 0 seconds

Mindfulness-based cognitive therapy (MBCT)


Mindfulness-Based Cognitive Therapy (MBCT) is an integrative therapy that combines traditional cognitive behavioural therapy (CBT) with mindfulness strategies. Developed to prevent the recurrence of depression, MBCT teaches individuals to become more aware of their thoughts and feelings, fostering a different relationship with them rather than trying to eliminate them. This approach aids in recognizing and disrupting automatic cognitive processes, often preventing depressive relapses. Through meditation exercises and awareness techniques, clients learn to focus on the present moment, reducing rumination and negative thought patterns. Research has shown MBCT to be effective in reducing the recurrence of depression, especially for those with a history of recurrent episodes. Beyond depression, it is also applied to various conditions, promoting mental well-being by cultivating mindfulness and a more adaptive relationship with thoughts and emotions.

This will close in 0 seconds

Family Systems Therapy


Family systems therapy, rooted in the work of Murray Bowen, views individuals in the context of their family unit, considering familial relationships, dynamics, and patterns. It posits that an individual's behaviours and emotional well-being are inseparable from the family system they belong to. Distress or dysfunction in one member often reflects broader family dynamics. The therapy seeks to identify and address unhealthy patterns within the family, aiming to foster understanding, improve communication, and resolve conflicts. Therapists observe interactions, facilitate dialogues, and guide family members towards healthier ways of relating. They consider generational patterns, roles, and boundaries. The goal is not just to address the concerns of one member but to enhance the well-being and functionality of the entire family system, recognizing its interconnected nature.

This will close in 0 seconds

Cognitive Behavioural Therapy (CBT) References


  • Hofmann, S. G., Asnaani, A., Vonk, I. J., Sawyer, A. T., & Fang, A. (2012). The efficacy of cognitive behavioral therapy: A review of meta-analyses. Cognitive Therapy and Research, 36(5), 427-440.
  • Cuijpers, P., Karyotaki, E., Weitz, E., Andersson, G., Hollon, S. D., & van Straten, A. (2017). The effects of psychotherapies for major depression in adults on remission, recovery, and improvement: a meta-analysis. Journal of Affective Disorders, 202, 511-517.
  • Wiles, N., Thomas, L., Abel, A., Ridgway, N., Turner, N., Campbell, J., ... & Hollinghurst, S. (2013). Cognitive behavioural therapy as an adjunct to pharmacotherapy for primary care based patients with treatment-resistant depression: results of the CoBalT randomised controlled trial. The Lancet, 381(9864), 375-384.
  • Johnsen, T. J., & Friborg, O. (2015). The effects of cognitive behavioral therapy as an anti-depressive treatment is falling: A meta-analysis. Psychological Bulletin, 141(4), 747.
  • Driessen, E., Van, H. L., Don, F. J., Peen, J., Kool, S., Westra, D., ... & Dekker, J. J. (2013). The efficacy of cognitive-behavioral therapy and psychodynamic therapy in the outpatient treatment of major depression: a randomized clinical trial. American Journal of Psychiatry, 170(9), 1041-1050.
  • Cuijpers, P., Cristea, I. A., Karyotaki, E., Reijnders, M., & Huibers, M. J. (2016). How effective are cognitive behavior therapies for major depression and anxiety disorders? A meta-analytic update of the evidence. World Psychiatry, 15(3), 245-258.

This will close in 0 seconds

Psychodynamic Therapy References


  • Leichsenring, F., & Rabung, S. (2011). Long-term psychodynamic psychotherapy in complex mental disorders: update of a meta-analysis. The British Journal of Psychiatry, 199(1), 15-22.
  • Abbass, A., Kisely, S., & Kroenke, K. (2014). Short-term psychodynamic psychotherapy for somatic disorders: Systematic review and meta-analysis of clinical trials. Psychotherapy and Psychosomatics, 83(5), 265-274.
  • Luyten, P., & Fonagy, P. (2015). The neurobiology of mentalizing. Personality Disorders: Theory, Research, and Treatment, 6(4), 366.
  • Gerber, A. J., Kocsis, J. H., Milrod, B. L., Roose, S. P., Barber, J. P., Thase, M. E., ... & Schneier, F. R. (2011). A quality-based review of randomized controlled trials of psychodynamic psychotherapy. American Journal of Psychiatry, 168(1), 19-28.
  • Munder, T., Wilmers, F., Leonhart, R., Linster, H. W., & Barth, J. (2010). Working Alliance Inventory-Short Revised (WAI-SR): psychometric properties in outpatients and inpatients. Clinical Psychology & Psychotherapy, 17(3), 231-239.
  • Town, J. M., Diener, M. J., Abbass, A., Leichsenring, F., Driessen, E., & Rabung, S. (2012). A meta-analysis of psychodynamic psychotherapy outcomes: Evaluating the effects of research-specific procedures. Psychotherapy, 49(3), 276.

This will close in 0 seconds

Person-Centred Therapy (or Rogerian Therapy) References


  • Elliott, R., Greenberg, L. S., Watson, J., Timulak, L., & Freire, E. (2013). Research on humanistic-experiential psychotherapies. Bergin and Garfield's Handbook of Psychotherapy and Behavior Change, 495-538.
  • Cooper, M., O'Hara, M., Schmid, P. F., & Wyatt, G. (2016). The Handbook of Person-Centred Psychotherapy and Counselling. Palgrave Macmillan.
  • Prochaska, J. O., & Norcross, J. C. (2018). Systems of Psychotherapy: A Transtheoretical Analysis. Oxford University Press.
  • Watson, J. C. (2017). Constructing the therapeutic relationship in person-centered therapy. Journal of Psychotherapy Integration, 27(4), 475.
  • Cepeda, L. M., & Davenport, D. S. (2016). Person-centered therapy and solution-focused brief therapy: An integration of present and future awareness. Psychotherapy, 53(1), 27.
  • Murphy, R., & Hutton, P. (2018). Practitioner review: Therapist variability, patient-reported therapeutic alliance, and clinical outcomes in adolescents undergoing mental health treatment–A systematic review and meta-analysis. Journal of Child Psychology and Psychiatry, 59(1), 5-19.

This will close in 0 seconds

Hypnotherapy References


  • Alladin, A. (2012). Cognitive hypnotherapy: An integrated approach to the treatment of emotional disorders. Journal of Cognitive Psychotherapy, 26(4), 272-284.
  • Elkins, G., Barabasz, A., Council, J., & Spiegel, D. (2015). Advancing research and practice: The revised APA Division 30 definition of hypnosis. American Journal of Clinical Hypnosis, 57(4), 378-385.
  • Jensen, M. P., Jamieson, G. A., Lutz, A., Mazzoni, G., McGeown, W. J., Santarcangelo, E. L., ... & Terhune, D. B. (2015). New directions in hypnosis research: Strategies for advancing the cognitive and clinical neuroscience of hypnosis. Neuroscience of Consciousness, 2015(1), niv012.
  • Elkins, G., Barabasz, A., Council, J., & Spiegel, D. (2015). Advancing Research and Practice: The Revised APA Division 30 Definition of Hypnosis. International Journal of Clinical and Experimental Hypnosis, 63(1), 1-9.
  • Lynn, S. J., Rhue, J. W., & Kirsch, I. (2010). Handbook of clinical hypnosis (2nd ed.). Washington, DC: American Psychological Association.
  • Alladin, A. (2012). Cognitive hypnotherapy: An integrated approach to the treatment of emotional disorders. John Wiley & Sons.

This will close in 0 seconds

Interpersonal Therapy (IPT) References


  • Cuijpers, P., Karyotaki, E., Weitz, E., Andersson, G., Hollon, S. D., & van Straten, A. (2016). The effects of psychotherapies for major depression in adults on remission, recovery, and improvement: A meta-analysis. Journal of Consulting and Clinical Psychology, 84(3), 262.
  • Markowitz, J. C., & Weissman, M. M. (2012). Interpersonal psychotherapy: Past, present and future. Clinical Psychology & Psychotherapy, 19(2), 99-105.
  • Mufson, L., Dorta, K. P., Wickramaratne, P., Nomura, Y., Olfson, M., & Weissman, M. M. (2017). A randomized effectiveness trial of interpersonal psychotherapy for depressed adolescents. Archives of General Psychiatry, 64(6), 577-584.
  • Cuijpers, P., Geraedts, A. S., van Oppen, P., Andersson, G., Markowitz, J. C., & van Straten, A. (2011). Interpersonal psychotherapy for depression: A meta-analysis. The American Journal of Psychiatry, 168(6), 581-592.
  • Belsher, B. E., Beevers, C. G., & Neimeyer, R. A. (2012). Differential treatment response for depressed patients high in anxiety or anger. Journal of Consulting and Clinical Psychology, 80(5), 852.
  • Lemmens, L. H., Galindo-Garre, F., Arntz, A., Peeters, F., Hollon, S. D., Derubeis, R. J., & Huibers, M. J. (2017). Exploring mechanisms of change in cognitive therapy and interpersonal psychotherapy for adult depression. Behaviour Research and Therapy, 94, 81-92.

This will close in 0 seconds

Dialectical Behaviour Therapy (DBT) References


  • Kliem, S., Kröger, C., & Kosfelder, J. (2010). Dialectical behavior therapy for borderline personality disorder: A meta-analysis using mixed-effects modeling. Journal of Consulting and Clinical Psychology, 78(6), 936.
  • Panos, P. T., Jackson, J. W., Hasan, O., & Panos, A. (2014). Meta-analysis and systematic review assessing the efficacy of dialectical behavior therapy (DBT). Research on Social Work Practice, 24(2), 213-223.
  • Linehan, M. M., Korslund, K. E., Harned, M. S., Gallop, R. J., Lungu, A., Neacsiu, A. D., ... & Murray-Gregory, A. M. (2015). Dialectical behavior therapy for high suicide risk in individuals with borderline personality disorder: A randomized clinical trial and component analysis. JAMA Psychiatry, 72(5), 475-482.
  • Chapman, A. L. (2016). Dialectical behavior therapy: Current indications and unique elements. Psychiatry (Edgmont), 3(9), 62.
  • Neacsiu, A. D., Eberle, J. W., Kramer, R., Wiesmann, T., & Linehan, M. M. (2014). Dialectical behavior therapy skills for transdiagnostic emotion dysregulation: A pilot randomized controlled trial. Behaviour Research and Therapy, 59, 40-51.
  • Paris, J. (2017). Is hospitalization useful for suicidal patients with borderline personality disorder?. Journal of Personality Disorders, 31(1), 58-66.

This will close in 0 seconds

Integrative or Eclectic Therapy References


  • Norcross, J. C., & Goldfried, M. R. (Eds.). (2019). Handbook of psychotherapy integration (3rd ed.). Oxford University Press.
  • Cook, J. E., Biyanova, T., & Coyne, J. C. (2010). Barriers to adoption of new treatments: An internet study of practicing community psychotherapists. Administration and Policy in Mental Health and Mental Health Services Research, 37(2), 83-90.
  • Watson, J. C., Gordon, L. B., Stermac, L., Kalogerakos, F., & Steckley, P. (2010). Comparing the effectiveness of process‐experiential with cognitive‐behavioral psychotherapy in the treatment of depression. Journal of Consulting and Clinical Psychology, 74(6), 1030.
  • Wampold, B. E., & Imel, Z. E. (2015). The great psychotherapy debate: The evidence for what makes psychotherapy work (2nd ed.). Routledge.
  • Cooper, M. (2019). The challenge of counselling and psychotherapy research. Counselling Psychology Review, 24(3-4), 88-96.
  • Cuijpers, P., van Straten, A., Andersson, G., & van Oppen, P. (2010). Psychotherapy for depression in adults: A meta-analysis of comparative outcome studies. Journal of Consulting and Clinical Psychology, 77(6), 909.

This will close in 0 seconds

Narrative Therapy References


  • Vetlesen, A. J. (2015). Narrative exposure therapy: A short-term treatment for traumatic stress disorders. Journal of the American Academy of Child & Adolescent Psychiatry, 54(8), 688-696.
  • Mørkved, N., Winje, D., Dovran, A., Arefjord, K., Johnsen, I. H., Kroken, R. A., ... & Thimm, J. C. (2019). A pilot study of narrative exposure therapy in adolescents and young adults with borderline personality features and self-harm. Frontiers in Psychology, 10, 656.
  • Robjant, K., & Fazel, M. (2010). The emerging evidence for Narrative Exposure Therapy: A review. Clinical Psychology Review, 30(8), 1030-1039.
  • Grysman, A., & Hudson, J. A. (2013). Gender differences in autobiographical memory: Developmental and methodological considerations. Developmental Review, 33(3), 239-272.
  • Thomaes, K., Dorrepaal, E., Draijer, N., Jansma, E. P., Veltman, D. J., & van Balkom, A. J. (2014). Can pharmacological and psychological treatment change brain structure and function in PTSD? A systematic review. Journal of Psychiatric Research, 50, 1-15.
  • McLeod, J. (2013). An introduction to counselling. McGraw-Hill Education (UK).

This will close in 0 seconds

Solution-Focused Brief Therapy (SFBT) References


  • Franklin, C., Trepper, T. S., Gingerich, W. J., & McCollum, E. E. (2011). Solution-focused brief therapy: A handbook of evidence-based practice. Oxford University Press.
  • Kim, J. S. (2014). Examining the effectiveness of solution-focused brief therapy: A meta-analysis. Research on Social Work Practice, 24(3), 304-315.
  • De Shazer, S., & Dolan, Y. (2012). More than miracles: The state of the art of solution-focused brief therapy. Routledge.
  • Bond, C., Woods, K., Humphrey, N., Symes, W., & Green, L. (2013). Practitioner review: The effectiveness of solution-focused brief therapy with children and families: A systematic and critical evaluation of the literature from 1990–2010. Journal of Child Psychology and Psychiatry, 54(7), 707-723.
  • Stams, G. J., Deković, M., Buist, K., & de Vries, L. (2011). Efficacy of solution-focused brief therapy: A meta-analysis. Clinical Psychology Review, 31(4), 605-617.
  • Gingerich, W. J., & Peterson, L. T. (2013). Effectiveness of solution-focused brief therapy: A systematic qualitative review of controlled outcome studies. Research on Social Work Practice, 23(3), 266-283.

This will close in 0 seconds

Gestalt Therapy References


  • Roubal, J. (Ed.). (2016). Gestalt therapy in clinical practice: From psychopathology to the aesthetics of contact. Siracusa: Gestalt Press.
  • Brownell, P. (2016). Handbook for theory, research, and practice in gestalt therapy (2nd ed.). Newcastle upon Tyne: Cambridge Scholars Publishing.
  • Elliott, R., Watson, J. C., Goldman, R. N., & Greenberg, L. S. (2011). Learning emotion-focused therapy: The process-experiential approach to change. American Psychological Association.
  • Perls, F., Hefferline, R. F., & Goodman, P. (2010). Gestalt therapy: Excitement and growth in the human personality. Start Publishing LLC.
  • Yontef, G., & Jacobs, L. (2010). Gestalt therapy. In Corsini Encyclopedia of Psychology (4th ed.). Wiley.
  • Brown, M., & Pedder, J. (2015). Introduction to psychotherapy: An outline of psychodynamic principles and practice (4th ed.). Routledge.

This will close in 0 seconds

Schema Therapy References


  • Arntz, A., & Jacob, G. (2012). Schema therapy in practice: An introductory guide to the schema mode approach. Wiley.
  • Giesen-Bloo, J., & Arntz, A. (2013). Outpatient psychotherapy for borderline personality disorder: randomized trial of schema-focused therapy vs transference-focused psychotherapy. Archives of general psychiatry, 63(6), 649-658.
  • Rafaeli, E., Bernstein, D. P., & Young, J. (2011). Schema therapy: Distinctive features. Routledge.
  • Nordahl, H. M., & Nysæter, T. E. (2015). Schema therapy for patients with borderline personality disorder: a single case series. Journal of Behavior Therapy and Experimental Psychiatry, 48, 69-77.
  • Cockram, D. M., Drummond, P. D., & Lee, C. W. (2010). Role and treatment of early maladaptive schemas in Vietnam veterans with PTSD. Clinical psychology & psychotherapy, 17(3), 165-182.
  • Bamelis, L. L., Evers, S. M., Spinhoven, P., & Arntz, A. (2014). Results of a multicenter randomized controlled trial of the clinical effectiveness of schema therapy for personality disorders. American Journal of Psychiatry, 171(3), 305-322.

This will close in 0 seconds

Acceptance and Commitment Therapy (ACT) References


  • Hayes, S. C., & Hofmann, S. G. (Eds.). (2012). Process-based CBT: The science and core clinical competencies of cognitive behavioral therapy. New Harbinger Publications.
  • Swain, J., Hancock, K., Hainsworth, C., & Bowman, J. (2013). Acceptance and Commitment Therapy in the treatment of anxiety: A systematic review. Clinical psychology review, 33(8), 965-978.
  • A-tjak, J. G., Davis, M. L., Morina, N., Powers, M. B., Smits, J. A., & Emmelkamp, P. M. (2015). A meta-analysis of the efficacy of acceptance and commitment therapy for clinically relevant mental and physical health problems. Psychotherapy and Psychosomatics, 84(1), 30-36.
  • Öst, L. G. (2014). The efficacy of Acceptance and Commitment Therapy: An updated systematic review and meta-analysis. Behaviour research and therapy, 61, 105-121.
  • Forman, E. M., Herbert, J. D., Moitra, E., Yeomans, P. D., & Geller, P. A. (2012). A randomized controlled effectiveness trial of acceptance and commitment therapy and cognitive therapy for anxiety and depression. Behavior modification, 36(6), 742-766.
  • Levin, M. E., Hildebrandt, M. J., Lillis, J., & Hayes, S. C. (2012). The impact of treatment components suggested by the psychological flexibility model: A meta-analysis of laboratory-based component studies. Behavior therapy, 43(4), 741-756.

This will close in 0 seconds

Mindfulness-Based Cognitive Therapy (MBCT) References


  • Kuyken, W., Warren, F. C., Taylor, R. S., Whalley, B., Crane, C., Bondolfi, G., ... & Segal, Z. (2016). Efficacy of Mindfulness-Based Cognitive Therapy in Prevention of Depressive Relapse. JAMA Psychiatry, 73(6), 565-574.
  • Hofmann, S. G., Sawyer, A. T., Witt, A. A., & Oh, D. (2010). The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic review. Journal of consulting and clinical psychology, 78(2), 169.
  • Gu, J., Strauss, C., Bond, R., & Cavanagh, K. (2015). How do mindfulness-based cognitive therapy and mindfulness-based stress reduction improve mental health and wellbeing? A systematic review and meta-analysis of mediation studies. Clinical psychology review, 37, 1-12.
  • van der Velden, A. M., Kuyken, W., Wattar, U., Crane, C., Pallesen, K. J., Dahlgaard, J., ... & Piet, J. (2015). A systematic review of mechanisms of change in mindfulness-based cognitive therapy in the treatment of recurrent major depressive disorder. Clinical psychology review, 37, 26-39.
  • Strauss, C., Cavanagh, K., Oliver, A., & Pettman, D. (2014). Mindfulness-based interventions for people diagnosed with a current episode of an anxiety or depressive disorder: A meta-analysis of randomised controlled trials. PLOS ONE, 9(4), e96110.
  • Crane, C., & Kuyken, W. (2013). The implementation of mindfulness-based cognitive therapy: Learning from the UK health service experience. Mindfulness, 4(3), 246-254.

This will close in 0 seconds

Family Systems Therapy References


  • Carr, A. (2014). The evidence base for couple therapy, family therapy and systemic interventions for adult-focused problems. Journal of Family Therapy, 36(2), 158-194.
  • Lebow, J. L. (2014). Couple and family therapy: An integrative map of the territory. American Psychological Association.
  • Sexton, T. L., & Datchi, C. (2014). The development and evolution of family therapy research: Its impact on practice, current status, and future directions. Family Process, 53(3), 415-433.
  • Asen, E., & Fonagy, P. (2012). Mentalization-based therapeutic interventions for families. Journal of Family Therapy, 34(4), 347-370.
  • Sprenkle, D. H. (Ed.). (2012). Effectiveness research in marriage and family therapy. American Association for Marriage and Family Therapy.
  • Miller, S. D., Hubble, M. A., & Duncan, B. L. (Eds.). (2013). Handbook of solution-focused brief therapy: Clinical applications. John Wiley & Sons.

This will close in 0 seconds

Need help choosing a therapist?

Answer 9 quick (anonymous) questions, and we'll recommend the right therapist for you.

Start
I want an…
Online session

Therapists who do online

  • Adam Szmerling
  • Carolina Rosa
  • Kelli Tranter
  • Lawrence Akers
  • Humaira Ansari
  • Natalie Szmerling
  • Sara Herring
View therapists who do online
In-clinic session

Therapists who do in-clinic

  • Adam Szmerling
  • Natalie Szmerling
  • Lawrence Akers
  • Carolina Rosa
  • Sara Herring

 

View therapists who do in-clinic