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Sorry, Jim. "Belittle" may be too strong a term. However, the practice used by SOME CBTherapists, maybe more often psychiatrists, of focusing on the now, can seem to be a de-emphasis of the feelings and leave the client feeling dismissed. A good therapist always deals with the relationship issue in order to help the client. My comment is based on two points of reference (which were included in another thread, one I did not send properly). Those points were made based on my own feelings as a patient and those of other patients I have talked to. I definitely use my feelings in my cognitively based therapy. I use the behavioral basics of reinforcement to enhance the potential for emotional and behavioral change. I also use "my" feelings to understand the client's feelings, as I often connect with their feelings in a way that allows me more insight. I am primarily CB in my approach, but as others have stated in the thread, I use imagery and any other tools available in my practice.

Thanks for the response, my doctor will appreciate it as he is the one who told me about the distinction between real and reality. I will be working on his delivery and my "hearing" to improve the sense of minimizing that I get. It is another cognitive distortion.

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