What is BCT therapy for alcohol addiction?
Behavioral Couples Therapy (BCT) Behavioral Couples Therapy is a form of behavior therapy that incorporates both the partner and the individual seeking help for alcohol or other drugs. The goal of Behavioral Couples Therapy (BCT) is to improve the couple’s relationship while building support for abstinence.
What is behavioral couples therapy (BCT)?
The goal of Behavioral Couples Therapy (BCT) is to improve the couple’s relationship while building support for abstinence. This means increasing positive activities and improving communication between partners, with both acceptance and change, to facilitate success in recovery from alcohol and other drugs.
What are recovery contracts in BCT?
One hallmark of BCT in promoting abstinence is ‘recovery contracts.’ These contracts involve the couple in daily rituals to reward abstinence. WHAT IS THE THEORY BEHIND BEHAVIORAL COUPLES THERAPY?
What is Bacillus Calmette-Guérin (BCG) therapy?
If you’re at a high risk of non-muscle-invasive bladder cancer returning after transurethral resection, we may recommend that you receive a type of immunotherapy called bacillus Calmette-Guérin (BCG) therapy. It is given once a week for six weeks.
What is BCG treatment used for?
Bacillus Calmette-Guerin or BCG is the most common intravesical immunotherapy for treating early-stage bladder cancer. It's used to help keep the cancer from growing and to help keep it from coming back. BCG is a germ that's related to the one that causes tuberculosis (TB), but it doesn't usually cause serious disease.
What happens after BCG treatment for bladder cancer?
Common side effects of BCG include needing to urinate more often; burning or pain when urinating; blood in the urine; a mild fever; and tiredness. These side effects usually last a couple of days after each BCG treatment session. Less often, the BCG may spread through the body and can affect any organ.
Is TB treatment for bladder cancer?
Some people may know BCG as a vaccine used to prevent tuberculosis (TB). But it is also a main treatment for non-muscle-invasive bladder cancer. BCG is a type of immunotherapy drug. Immunotherapy drugs encourage the body's immune system to fight cancer cells.
How long does BCG bladder treatment stay in your system?
BCG can remain in urine for 6 hours after your treatment, so each time you urinate, you should bleach the toilet in your home to neutralize the vaccine.
What is the life expectancy for someone with bladder cancer?
Survival rates can give you an idea of what percentage of people with the same type and stage of cancer are still alive a certain amount of time (usually 5 years) after they were diagnosed....5-year relative survival rates for bladder cancer.SEER Stage5-year Relative Survival RateAll SEER stages combined77%3 more rows•Mar 1, 2022
How many times can you have BCG treatments for bladder cancer?
BCG is in a liquid solution that is put into the bladder with a catheter. The person then holds the solution in the bladder for two hours before urinating. The treatment is usually given once per week for six weeks, starting approximately two to three weeks after the last TURBT.
What are the chances of bladder cancer returning after BCG treatment?
“Initially, it's effective,” says medical oncologist Noah Hahn, M.D. However, adds urologist Max Kates, M.D., “while up to 35 percent of patients have long-term, sustained remissions with intravesical BCG, as many as 60 percent of patients will have a recurrence of cancer within two years.
Is BCG better than chemo?
BCG is most commonly used in intravesical immunotherapy for NMIBC and appears to be more effective than intravesical chemotherapy in preventing tumor recurrence and progression. Especially for those with high-risk NMIBC, BCG immunotherapy is considered as a gold-standard treatment (29).
How successful is BCG for bladder cancer?
This method of treatment is considered a form of immunotherapy, which is an emerging form of cancer treatment. The success rate for BCG treatment for bladder cancer is about 90%, which is considered the best life-saving rate by any treatment.
Is BCG considered chemotherapy?
Is BCG treatment a form of chemotherapy? No. Although intravesical immunotherapy and intravesical chemotherapy are given the same way, these two treatments use different types of drugs. While chemotherapy drugs attack cancer cells directly, immunotherapy drugs harness the power of your immune system.
What are BCG side effects?
BCG side effectsfever, chills, aches, weakness, flu-like symptoms;cough or trouble breathing;pain or burning when you urinate;a weak stream of urine, trouble emptying your bladder;blood in your urine, dark urine;vomiting, upper stomach pain;jaundice (yellowing of your skin or eyes); or.More items...•
Does BCG cause hair loss?
Hair loss does not occur with BCG.
How to get rid of BCG in men?
Disinfect the urine by adding 2 cups of bleach into the toilet. Let it stand for about 20 minutes before flushing. You should also wash your genital area very carefully after you urinate, so your skin doesn’t become irritated from the BCG. Wash your hands thoroughly, too. Men can pass BCG to their partner during sex.
How does a BCG catheter work?
A urinary catheter is inserted through your urethra and into your bladder. Then the BCG solution is injected into the catheter. The catheter is clamped off so the solution stays in your bladder. Some doctors may remove the catheter at this time. You have to hold the medicine in your bladder.
How long after BCG treatment can you have sex?
Men can pass BCG to their partner during sex. For that reason, you should avoid sex for 48 hours after each treatment. Use a condom between treatments and for six weeks following your final treatment. Women should avoid getting pregnant or breastfeeding while on BCG therapy.
What to do before BCG?
Tell your doctor about all the medications you take. Certain immunosuppressants, antimicrobial therapies, and radiation therapies can interfere with BCG treatment. You’ll be advised to limit your fluid intake for four hours prior to ...
What is the procedure called to remove bladder cancer?
It usually follows a procedure called transurethral resection of bladder tumor (TURBT). It’s intended to help prevent recurrence. This treatment only affects cells inside the bladder. It’s not useful for later stage bladder cancer that has spread into or beyond the bladder lining, or to other tissues and organs.
What is the treatment for low grade bladder cancer?
Low-risk non-invasive (low-grade) bladder cancers grow slowly. They may be treated with 1 dose of intravesical chemo after TURBT. It's used to help keep the cancer from coming back. Intravesical chemotherapy or immunotherapy may used for intermediate non-invasive bladder cancers.
What is the best treatment for bladder cancer?
Immunotherapy causes the body’s own immune system to attack the cancer cells. Bacillus Calmette-Guerin or BCG is the most common intravesical immunotherapy for treating early-stage bladder cancer. It's used to help keep the cancer from growing and to help keep it from coming back.
How long does it take for a turbt to be done?
One dose of intravesical chemotherapy is done within 24 hours of TURBT. But other types of treatment are usually the next steps for Stage II to IV (2 to 4) bladder cancers because they have spread beyond the lining layer of the bladder wall.
How long after a turbt can you get a tumor?
After TURBT. Intravesical therapy is commonly used after transurethral resection of bladder tumor (TURBT). It's often done within 24 hours of the TURBT procedure. Some experts say it should be done within 6 hours. The goal is to kill any cancer cells that may be left in the bladder.
How long does bladder cancer treatment last?
This is called induction therapy. After a 4- to 6-week break, maintenance treatments are then done for at least 1 year. High-risk non-invasive bladder cancers might be fast-growing (high-grade), big, or there may be more than 1 tumor.
Can I use induction immunotherapy for stage III cancer?
It's seldom used for stage III. When it is, it's used along with other treatments in cases where surgery can't be done.
Does Gemcitabine work with Valrubicin?
Gemcitabine may cause fewer side effects than mitomycin and is less likely to be absorbed into the blood. Valrubicin might be used if BCG stops working. But not all experts agree on this treatment. The main side effects of intravesical chemo are irritation and a burning feeling in the bladder, and blood in the urine.
What is the treatment for bladder cancer?
Bacillus Calmette–Guerin is a form of immunotherapy that doctors can use to treat some forms of bladder cancer. Following surgery to remove the cancer, this treatment can help prevent the cancer from returning.
How does immunotherapy work?
Immunotherapy works by encouraging a person’s immune system to attack and destroy cancer cells. Intravesical means that the treatment specifically targets the bladder. Using a catheter, a healthcare professional will administer BCG into a person’s bladder in the form of a liquid drug.
How long do you have to hold your urine for BCG?
During the treatment, a person will need to hold their urine for around 2 hours. After this, the healthcare professional will ask the individual to empty their bladder. The BCG drug contains live bacteria that a person can pass to other people.
Can you drink caffeine after BCG?
They may ask the individual not to drink fluids for several hours before the procedure. They might also recommend that the person avoids consuming caffeine immediately after having BCG immunotherapy .
CBT or Medication for Non-psychotic and Psychotic Disorders
As a general rule, findings suggest that CBT can do anything that medications can do in the treatment of the nonpsychotic disorders and it can do so without causing problematic side effects. CBT also can address symptoms on a more enduring basis.
What if I just have a minor or specific problem?
There also are many problems in living not typically classified as psychiatric disorders that benefit from CBT.
Some Limitations of CBT
It can be sometimes be hard to find a good CBT therapist. ABCT maintains a website to help in that regard (see our Find a Therapist pages).
Additional Reading
Chambless, D. L., & Ollendick, T. H. (2001). Empirically supported psychological interventions: Controversies and evidence. Annual Review of Psychology, 52, 685-716.
The Early-Stage Bladder Cancer Treatment
Jennifer Welsh is a Connecticut-based science writer and editor with over ten years of experience under her belt. She’s previously worked and written for WIRED Science, The Scientist, Discover Magazine, LiveScience, and Business Insider.
Who Can Use BCG?
BCG is a treatment for early-stage bladder cancer that has not yet invaded the muscle of the bladder wall. Called non-muscle invasive bladder cancers (NMIBCs) or in situ bladder cancers, these account for about half of all bladder cancers. 3
What to Expect During BCG Treatment
First, make sure you haven’t had any fluids for four hours before the treatment. Right before you go into the treatment room your doctor or nurse will have you empty your bladder. 2
How to Prepare
To prepare for the BCG treatment, your doctor will likely have you undergo surgery to remove any visible cancer in the bladder. The surgery is called transurethral resection of bladder tumor (TURBT) and is usually done about two weeks before BCG therapy.
When to See a Doctor
There are a few side effects that can be especially dangerous, so make sure to talk to your doctor if you notice that you: 2
Other Treatments for Bladder Cancer
For many early-stage bladder cancers, BCG is the best option for treatment. Other treatments for bladder cancer include:
Summary
BCG treatment is a form of immunotherapy for non-muscle invasive bladder cancer. It is administered into the bladder through a catheter. It then activates the body's immune system to attack the cancer cells.
What is CBT therapy?
Fortunately, effective treatments are available that can help people fall asleep faster, stay asleep, and feel more rested during the day. Cognitive behavioral therapy for insomnia (CBT-I or CBTI) is a short, structured, ...
Who provides CBT I?
CBT-I is often provided by a doctor, counselor, therapist, or psychiatrist trained in this form of treatment. Practitioners with experience in CBT-I can be found through professional organizations such as the Society of Behavioral Sleep Medicine and the American Board of Sleep Medicine.
What are the behavioral interventions in CBT?
Behavioral interventions: Relaxation training, stimulus control, and sleep restriction promote relaxation and help to establish healthy sleep habits. Psychoeducational interventions: Providing information about the connection between thoughts, feelings, behaviors, and sleep is central to CBT-I.
What is the importance of sleep hygiene in CBT?
Educating clients about the importance of good sleep hygiene is a core component of CBT-I. Good sleep hygiene involves increasing practices that encourage and support sleep, while decreasing or eliminating those that discourage sleep.
What are the best relaxation techniques for CBT?
The best relaxation techniques are those that can be reasonably incorporated into a person’s routine. Here are a few relaxation techniques commonly taught in CBT-I: Breathing exercises: Many different breathing exercises may be taught in CBT-I. These exercises typically involve taking slow, deep breaths.
How many sessions are needed for CBT?
Treatment may be as short as two sessions when given by a primary care doctor 2. CBT-I is often called a multicomponent treatment because it combines several different approaches. Sessions may include cognitive, behavioral, and educational components.
Is CBT-I better than medication?
The American College of Physicians recommends that all adult patients receive CBT-I as a first-line approach 10. In some patients, CBT-I is more effective than medications 11.
