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Ella W Tuominen @ellatuominen.bsky.social · 13d

Gratuluji Ondrej! 😄 This is amazing

Ella W Tuominen @ellatuominen.bsky.social · Jul 30

💡 Overall, CBT remains a gold standard for many mental health conditions, but it’s not a universal solution. Limitations in study quality and variable effects remind us of the importance of continued innovation, personalization, and better research designs to improve outcomes for all patients.

Ella W Tuominen @ellatuominen.bsky.social · Jul 30

🚩 The real-world effectiveness of CBT might be less pronounced than what many controlled trials report, mainly due to the use of inactive control groups. Future research needs to focus more on comparing CBT to active treatments or standard care to provide a clearer picture of its practical value.

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Ella W Tuominen @ellatuominen.bsky.social · Jul 30

🧐 Research quality varied: about 10% of the trials included had a low risk of bias and the effectiveness of CBT appeared inflated in studies using waitlist controls. Comparisons against usual care showed more modest gains, calling into question how broadly this translates to real-world settings.

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Ella W Tuominen @ellatuominen.bsky.social · Jul 30

📊 Large effects were seen for PTSD and phobias, moderate for depression, anxiety, and eating disorders, but small for psychotic and bipolar disorders, indicating that CBT isn’t necessarily a one-size-fits-all solution or a sufficient standalone treatment for these conditions.

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Ella W Tuominen @ellatuominen.bsky.social · Jul 30

A quick summary:
🧠 A major meta-analysis shows #CBT is effective across many adult mental health disorders, with the strongest results for PTSD and specific phobias. Effectiveness and dropout rates vary by condition, highlighting the need for tailored care.

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Ella W Tuominen @ellatuominen.bsky.social · Jul 30

Thank you - had fun writing this one! :) Such an important piece of work too

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Ella W Tuominen @ellatuominen.bsky.social · Jul 30

Diving into how #CBT tackles a wide range of mental health conditions in my new blog, reviewing @pimcuijpers.bsky.social and co new meta-analysis. If you care about evidence-based therapy and when to explore options beyond the basics, check it out on @thementalelf.bsky.social ➡️ buff.ly/DbNCq8k ☀️

The strengths and limitations of CBT across mental health conditions

CBT is a cornerstone of mental health care, but how well does it work across disorders? New meta-analysis offers some answers and raises new questions.

www.nationalelfservice.net

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Ella W Tuominen @ellatuominen.bsky.social · Jul 30

My new blog covering @pimcuijpers.bsky.social and collegues paper on CBT's effectiveness across a wide range of mental disorders is out now on the @thementalelf.bsky.social ! Take a look below 👇

The Mental Elf @thementalelf.bsky.social · Jul 30

Is CBT equally effective across all mental disorders?

This unified meta-analysis looked at 375 RCTs & nearly 33,000 people with 11 different diagnoses.

Spoiler: it’s not a one-size-fits-all therapy. 🧠

#CBT #MentalHealth #Psychotherapy

🧵THREAD

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Ella W Tuominen @ellatuominen.bsky.social · Jul 17

Got to share some exciting recent and upcoming work at #CPConf2025 this week. Such a fun conference - talks at a cinema in recliner seats with a tub of popcorn was a first, but I could get used to it. Also thrilled to have won a travel award, thank you and see you next time!

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Ella W Tuominen @ellatuominen.bsky.social · Jul 17

Thank you so much for a brilliant conference! Looking forwards to the next one already

Tobias Hauser @tobiasuhauser.bsky.social · Jul 17

Congratulations to all the Travel Award Winners at #CPConf2025 - we were very fortunate to have so many fantastic young scientists at our conference!

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Reposted by Ella W Tuominen

Tobias Hauser @tobiasuhauser.bsky.social · Jul 15

#CPConf2025 is exploring multidimensional reward functions #RufusTempleOrchestra

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Ella W Tuominen @ellatuominen.bsky.social · Jul 16

Great talk at the poster spotlights Laura!

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Reposted by Ella W Tuominen

Claire Gillan @clairegillan.bsky.social · Jun 18

In our preprint "Limited evidence for reduced learning rate adaptation in anxious-depression, before or after treatment", led by @stephsuddell.bsky.social and Lili Zhang, we fail to find a robust association between anxious-depression and learning rate adaptation
osf.io/preprints/ps...

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Reposted by Ella W Tuominen

Peter Kirk @peterakirk.bsky.social · May 2

Check our latest work ‘Linking Subjective Experience of Anxiety to Brain Function using Natural Language Processing’. Our analyses link movie-evoked brain activity and subsequent interview recordings in a pediatric sample with and without anxiety disorders (doi.org/10.31234/osf...).

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Reposted by Ella W Tuominen

Toshi Furukawa @toshi-frkw.bsky.social · Apr 23

Published today in Nature Medicine. In one of the world’s largest RCTs of its kind (n=3,936), a smartphone app teaching 5 key cognitive-behavioral therapy skills improved subthreshold depression—and the effects lasted 6 months.

www.nature.com/articles/s41...

Cognitive behavioral therapy skills via a smartphone app for subthreshold depression among adults in the community: the RESiLIENT randomized controlled trial - Nature Medicine

A trial that used a master randomized design found that the skills commonly found in smartphone-based cognitive behavioral therapy, when tested alone or in combination with behavioral activation, were...

www.nature.com

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Reposted by Ella W Tuominen

Eiko Fried @eikofried.bsky.social · Apr 25

New systematic review and meta‐analysis looks at

-harm reporting
-risk of bias
-action mechanism specification
-incremental therapeutic effect size

in psilocybin-for-depression RCT literature. I'll briefly summarize below. 🧵

🧪 #psychscisky #episky #medsky #psychiatry

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Ella W Tuominen @ellatuominen.bsky.social · Apr 25

Thank you Alex for chairing a brilliant session - so happy to have got to be a part of it!

Alex Shackman @ajshackman.bsky.social · Apr 23

#SoBP2025 #FearAnxiety #MiceMonkeysHumans - Join us for what promises to be a really excellent symposium on Thursday afternoon!

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Ella W Tuominen @ellatuominen.bsky.social · Apr 25

At #2025SOBP this week! I was thrilled to present yesterday on bridging the translational gap between animal and human models in anxiety research with computational modeling. Introduced the RL task developed by @ymyymmr.bsky.social and the anxiolytic/anxiogenic manipulations we've been working on.

Ella W Tuominen @ellatuominen.bsky.social · Mar 19

Got to present the work by Dr Yumeya Yamamori that I'm currently continuing concerning the impact of anxiety increasing (threat of shock) and reducing (benzodiazepine) study manipulations on avoidance at the @uclpals.bsky.social postgraduate group's weekly seminar this week🙌 next up SOBP in Toronto!

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Ella W Tuominen @ellatuominen.bsky.social · Mar 5

#Depression #Trauma #ChildhoodAdversity #Neglect #Abuse #SevereDepression #ChronicDepression #TreatmentResistantDepression #Psychoanalysis #PsychoanalyticTherapy #CBT

Ella W Tuominen @ellatuominen.bsky.social · Mar 5

Additionally, the significant time commitment and costs required for psychoanalytic psychotherapy do raise practical challenges in many healthcare settings as covered in my previous Mental Elf blog: www.nationalelfservice.net/treatment/ps...

Long-term psychoanalytic psychotherapy treatment-resistant depression

Long-term psychoanalytic psychotherapy for treatment-resistant depression - Ella Tuominen considers the Tavistock Adult Depression Study.

www.nationalelfservice.net

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Ella W Tuominen @ellatuominen.bsky.social · Mar 5

While the study’s five-year follow-up provides rare insights into long-term treatment effects, the large difference in therapy session numbers between the two interventions complicates interpretation. More treatment is likely to be better for outcomes.

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Ella W Tuominen @ellatuominen.bsky.social · Mar 5

Key findings: psychoanalytic therapy showed superior outcomes for patients with higher levels of childhood trauma, especially those with histories of sexual abuse and family instability. The study highlights the need for personalized care based on trauma history.

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Ella W Tuominen @ellatuominen.bsky.social · Mar 5

🧵 Wrote another blog for @thementalelf.bsky.social covering an interesting 5-year study comparing psychoanalytic and cognitive-behavioral therapies for chronic depression in those with experiences of childhood adversity 🧠💡

www.nationalelfservice.net/treatment/ps...

Childhood adversity and adult depression: Psychoanalysis vs CBT

Ella Tuominen considers a study on childhood trauma and response to long-term psychoanalytic vs CBT therapy for chronic depression in adults.

www.nationalelfservice.net

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