CFDT is designed to work with other care, not replace it. By improving nervous system regulation and cognitive function, it can help clients take part more fully in approaches such as CBT, DBT and mindfulness-based therapy. It can come first, run alongside, or follow other treatment, depending on the client.
Key terms
Dysregulation vs. disorder
Dysregulation
Dysregulation is a breakdown in regulating a function such as emotion or attention. It can show up as impulsivity, distractibility or trouble managing emotions.
Disorder
A disorder is a set of symptoms that meets diagnostic criteria, such as ADHD or generalized anxiety disorder.
CFDT targets the underlying regulation, so it can help people with or without a formal diagnosis.
Sequencing
Recommended order of care
01
Psychiatry
Psychiatry first, if medication is warranted. Medication can bring regulation that makes CFDT easier to start, but it can also dampen cognition. The CFD therapist documents observations and shares them with the prescriber.
02
Talk therapy
Decided case by case. Talk therapy is stronger for social thinking and self-narrative, but it can surface protected memories. It may come first if the client is regulated enough. Court-ordered or medical needs take priority.
03
Primary care
Medical evaluation first. Doctors rule out or treat physical causes, and CFDT starts once the client is medically stable.
Roles
Who does what
Prescribers manage medication, doses and side effects
Talk therapists lead on thought, learning and relationship patterns
CFD therapists focus on the neurological side of observable behavior