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Cognitive Behavioral Therapy in your pocket with the CBTReferee app

Cognitive Behavioral Therapy (CBT) is a type of psychotherapy that deals with dysfunctional emotions and feelings in a structured manner usually involving journaling, and reflecting on your journaled thoughts. The idea is to discover incorrect thinking and emotions. It has been found to be effective in quite a number of disorders including depression and post-traumatic stress disorder and OCD.

CBTReferee [iTunes Link] $4.99US, was written by Andrew Arrow to assist in his personal therapist-directed CBT. Finding himself always needing to carry around a notebook, since negative thoughts and feelings happen at random, he built quite a simple app for his own use. Finding it personally effective, he decided to put it in the app store, not really knowing if it would be useful for others. Feedback he received convinced him otherwise.

The app contains a brief description of CBT and clear instruction on how to properly utilize the app. It's just enough information to get started, and doesn't bog down in theory, so you can get up to speed quickly.

When a negative thought occurs, the app directs you to write it down immediately. Once done, tapping the next button takes you through a screen of ten potential fallacies inherent in your entry. Some of these include: Nothing or All (black and white thinking where one small flaw kills an entire concept), Conclusion Jumping (assuming facts that don't' exist), Emotions as Evidence (assuming that if you feel a certain way, it must be true), and many others.

With the journaled text visible, scroll through the list and check any of the options that you think may apply to your statement. Next, you are presented with a type-in screen titled:
Referee Says, where, based on your statement and the options you have chosen, you try to write as objective an assessment as possible, to negate the statement.
Finally you are presented with a screen showing a reverse chronological listing of each journaled entry. Tapping on one brings up a screen with the entry, the chosen options and the refereed response. From all of this, the idea is to try and discover patterns, and over time, become more objective and a better personal referee. This can lead to a fuller understanding of yourself, and the potential to avoid thinking similar erroneous thoughts over and over. This app isn't intended to be a panacea, but rather an indication of how you think and how that thinking can be improved to be less toxic.

In practice, I had one major concern: the listing of ten possible fallacies, at least for me, just scratched the surface, were sometimes too simplistic, and often didn't apply to my journaled entry. I would like to see that listing expanded with more categories, but outside of that I was quite impressed with CBTReferee's structure and simplicity.

This is not for everyone, nor is it meant to be. But for those that find journaling therapeutic, CBTReferee can be a helpful tool both to learn more about yourself and to find flaws in thinking that over time and with a growing number of entries, can shore up fuzzy lines of thinking into something more solid that you can do something about. You can also become more objective in unpacking your statements, which I consider important, since, with nothing mediating between you and the app, one may have a tendency to lie to themselves. The discovery of patterns may tend to lessen unfounded assumptions and improve your objectivity.

This is a very intriguing app, and one that I believe can be helpful to many interested in the niche market of self-help apps. It's an interesting niche and one that I will be exploring a bit more in further reviews.

Here are a few screen shots to give you a better idea.


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Cognitive Behavioral Therapy (CBT) is a type of psychotherapy that deals with dysfunctional emotions and feelings in a structured manner...
 

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Roger

"In practice, I had one major concern: the listing of ten possible fallacies, at least for me, just scratched the surface, were sometimes too simplistic, and often didn't apply to my journaled entry. I would like to see that listing expanded with more categories..."

They are called the ten cognitive distortions and the point of having them is that you can fit all dysfunctional thoughts into one of those 10 distortions. I didn't believe this at first but my CBT supervisor continues to amaze me at his ability to locate a distortion where I was stumped or didn't even see one. The simplicity of having 10 allows patients to easily remember anyone of the 10 after practicing it for only a month or two and through neuroplasticity they eventually find it easier to come up with rational interpretations to situations that previously would create inappropriate emotional responses. Chapters 3 & 4 of Feeling Good by David Burns does a great job of explaining this.

December 14 2009 at 7:30 PM Report abuse rate up rate down Reply
Dklemans

Looks like a great application! Could be very useful for better tracking symptoms and helping people to identify alternative thoughts, etc.

The discussion on here about psychology as a science is certainly interesting; psychology is much more empirically based than some might think, but there is much more to be done toward advancement. As a profession, psychologists should be more proactive and transparent in disseminating scientific findings as well as initiating more translational efforts to bridge the gap between science and practice.

December 14 2009 at 5:23 PM Report abuse rate up rate down Reply
cycladic

Thanks for popping in, Andrew Arrow. I'm looking forward to trying out your app!

And Ender's right: Feeling Good: The New Mood Therapy by David Burns is a gem and well worth reading if you're dealing with stress or depression.

December 14 2009 at 12:54 AM Report abuse rate up rate down Reply
Dave

Interesting app. Also, this is probably the best book on Cognitive Behavioral Therapy for people who are dealing with tough times in their life or depression, what have you:

http://tinyurl.com/yey5v5p

If the link above doesn't work, it's "Feeling Good" by David Burns (yeah, I know it's a cheesy title, but the book has helped me and others during tough spots in life).

December 13 2009 at 11:55 PM Report abuse rate up rate down Reply
Andrew Arrow

Hello, I'm the author of CBTReferee and just wanted to thank David Winograd and TUAW for telling everyone about the app. Great discussion on Psychology from dylanm, puhsitch, clif above, glad this story could start such an interesting discussion. Always looking for feedback on how to make the app better. Feel free to stop by cbtreferee.com and give suggestions on our uservoice page.

December 13 2009 at 8:37 PM Report abuse rate up rate down Reply
Sauri

Isn't it what anonymous imageboards like 4chan were made for? :P
When negative thoughts occur, I usually go and release them there :)

December 13 2009 at 1:02 PM Report abuse rate up rate down Reply
dylanm

I'm definitely not into Scientology (blech- I'm an aetheist), but I think Psychology is treated way too seriously. At best Psychology is to true understanding of the mind as Alchemy is to Chemistry. I've taken college Psych courses and they only confirmed how lost and over rated this "science" is. Let me tell you, they may have trade journals and conferences, but these guys aren't Physicists! Just look at how many completely contradictary schools of thought are taken seiously today in their "field". I could go on and on. Most therapy seems to offer little or no benefit over just lots of talking to a good listener.

December 13 2009 at 11:04 AM Report abuse rate up rate down Reply
9 replies to dylanm's comment
Jimbo

Hasn't everyone realized by now that psychology and psychiatry have done NOTHING to advance the state of Mankind?

December 13 2009 at 10:02 AM Report abuse rate up rate down Reply
1 reply to Jimbo's comment
sterling

Is that you Tom Cruise?

December 13 2009 at 10:20 AM Report abuse rate up rate down Reply
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