Changes in Cognitive-Affective Balance, Life Balance, Depression, Anxiety, Self-Forgiveness, Psychological Flexibility, Valuing, Well-being, Spiritual Awakening, the Working Alliance, and Outcome in Psychotherapy
A Case Study (20 sessions)
By Philip Friedman, Ph.D

Introduction
This article demonstrates that the major change ingredients during psychotherapy over 20 sessions are cognitive-affective balance and life balance. 

Methods
This practice-based evidence approach demonstrates how to measure change, using digital assessments by Pragmatic Tracker and Blueprints weekly on a wide variety of empirical measures. The article utilizes the ICBEST model for psychotherapeutic interventions. Some of the specific interventions utilized in this case study include energy tapping, acceptance and commitment therapy, integrated forgiveness therapy, guided imagery, re-scripting, bilateral stimulation, breathing, meditation, psychological uplifter, the flash technique, “love in all directions” and “spiritual awakening’’ tools.

Results
Graphs of change show significant and often dramatic changes on digital assessments measured online by Pragmatic Tracker and Blueprint.

Conclusion
Although this was a case study of one client, the Cognitive- Affective Balance (CAB) and the Life Balance (LB) model for measuring change seem to apply to many change processes and particularly to most, if not all psychotherapy cases. Using the digital assessment systems developed by Pragmatic Tracker and Blueprint, it is relatively easy to measure these variables session by session, and track changes within a practice-based evidence model.