From the author: Summary. The factors of increasing the effectiveness of the psychotherapeutic process and psychological counseling are considered based on the use of cognitive resources of the client’s consciousness, which is defined as “psychological psychotherapy” and the purpose of which, like any type of psychotherapy, is to develop the adaptability of the client (patient) at four levels of its organization - psychophysiological, psychological , social and behavioral. Resources of consciousness in the process of psychotherapy. Summary and keywords. The factors of increasing the effectiveness of the psychotherapeutic process and psychological counseling are considered based on the use of cognitive resources of the client’s consciousness, which is defined as “psychological psychotherapy” and the purpose of which, like any type of psychotherapy, is to develop the adaptability of the client (patient) at four levels of its organization - psychophysiological, psychological , social and behavioral. In accordance with these levels, it is proposed to use methods of psychological therapy and counseling corresponding to these levels, when the client is the subject of the psychotherapeutic process, which is the main difference between psychological therapy and medical psychotherapy, in which the patient is the object of the psychotherapeutic process. Methodological recommendations are given and schemes for conducting consulting with a focus on the resources of the client’s consciousness. Key words: cognitive adaptive therapy, psychotherapy, consciousness, awareness, psychotherapy, psychosomatics, professional, psychological health. In this work, the author focuses on the methodological and practical aspects of psychotherapeutic counseling, referring to all theoretical and methodological issues to works that were published earlier and given in the list of literature [1-21]. Cognitive adaptive therapy, from a practical point of view, is defined as any type of psychological or psychotherapeutic assistance in which the leading object of therapeutic influence is the cognitive processes of the patient or, as in the case of psychological assistance, the subject of their carrier, which contribute to the development of adaptability of the client or patient. For example, art therapy, Autohypnotraining, stress and time management, catharsis therapy, awareness therapy, group analysis [1 - 5; 20] and other types of therapy in which psychological, non-medical factors are leading [6; 7; 8]. Psychological therapy (for brevity, hereinafter referred to as psychotherapy or mental therapy) is the provision of assistance to the client, as a subject of the treatment process, through the development of his cognitive functions and the resources of his consciousness, as a person, subject of activity and individuality (B.G. Ananyev, 1980; [9]). Modern researchers of psychosomatic disorders (PSD) identify six concepts of PSD [Parfenov Yu.A. et al., 2013], of which psychodynamic corresponds most of all to the specifics of the object and subject of the study. The psychodynamic concept considers PSD as a result of a violation of biological and social mechanisms of adaptation to the environment [1; 8] or weakness of psychological defense mechanisms [9]. Therefore, the development of adaptability of top managers is, at the same time, a method of preventing PSD [2], and a form of development of a person’s psychosomatic reliability and his cognitive functions [9] (as a form of professional health of a manager; Nikiforov G.S., 2013; 2015). In addition In addition, managers, especially top managers, are constantly under stress and, at the same time, post-traumatic stress disorder. Therefore, modern studies of the relationship between professional activity and a number of somatic diseases have shown that company managers, owners, lawyers, lawyers are eight times more likely to suffer from myocardial infarction and other psychosomatic disorders than representatives of other professions [20; 21], which determines the relevance of the study, from the perspective of psychosomaticreliability, as the professional health of managers [22]. Secondly, the relevance of the study lies in the fact that in modern organizations, the work of top officials determines 80–90% of both the performance of the organization as a whole and the potential of HR, in particular ( moral and psychological climate, well-being and health status of subordinates). In other words, the prevention of occupational health problems among top managers determines 90% of professional health and, consequently, the psychological health and “psychosomatic reliability” of the organization’s personnel as a whole (Nikiforov G.S. and others, 2006).The object of the study was the directors of large organizations in the city of St. Petersburg, who attended advanced training courses or consulted on the psychology of management and methods of effective management of human resources of their organization - more than 350 people aged from 22 to 70 years and above. The results of the study were published [19], therefore, we will further focus on the study of the relationship between professional activity and a number of somatic diseases from the perspective of the practice of psychological and psychotherapeutic counseling of top managers because managers are eight times more likely to suffer from myocardial infarction and other psychosomatic disorders than representatives of other professions [8; 16], which determines the relevance of the study, from the position of psychosomatic reliability, as a manifestation of the professional health of managers and staff [9 – 15]. From the position of this approach, the target of PSR can be the properties of a person as an individual, a person, a subject of activity and individuality - determining the content and “boundaries” of which allows, in the psychology of professional health, to determine the type of PSD and select adequate methods for the prevention of this disorder. Depending on the definition of the boundaries of PSD in the form of professional burnout of a manager’s personality, our works have identified four groups of methods for the HR burnout prevention system, which are outlined in the form of recommendations and published in the “Psychological Journal” and other central publications (from 1986 to 2015). From these works, four types of PSR targets are highlighted below and links are given to sources that describe the interim results of the study and the methodological basis for choosing methods for the prevention of psychosomatic diseases, including the features of their use in the practice of psychological counseling, psychotherapy, training, coaching: 1 - at the individual level, - the psychophysiological aspect of burnout, which is determined mainly by the age-sex and individually typical properties of a person and the secondary properties of the individual - the structure of organic needs and the dynamics of human psychophysiological functions. The highest integration of properties at the individual level is temperament, the type of which determines the appropriate method of working with it, for example, Autohypnotraining (V.I. Natarov, 1986), stress and time management, such as regulating the daily routine, work, rest and sleep.2 - on at the individual level, the psychological aspect of burnout is more represented, as a consequence of the violation of the interpersonal and intrapersonal “boundaries” of a person as an individual, which are determined by his status in society, roles and value orientations, motivation of behavior, which together or separately can be the subject of various personal growth trainings. However, the personality itself as a whole is the subject of training, especially at such a level of integration of personal properties as character (V.I. Natarov, 2002);3 - at the level of the subject of activity, a person is characterized through his activities to transform the reality in which he lives and with your consciousness as a reflection of this reality. The integration of a person’s subjective properties manifests itself as his professional creativity, and professional burnout – as its absence. Therefore, for example, stress and time management are creativity and its condition in professional activity and self-realization (V.I.Aleksandrov, 2013)4 – at the level of individuality, which is the highest integration of the synthesis of various human properties, a holistic, complex interaction with a person’s worldview system is assumed, when forms of professional burnout manifest themselves as a loss of meaning and significance of one’s professional life, for example, downshifting[11]. Therefore, the form of burnout at this fourth level may vary depending on the culture, upbringing and training of the person. Methods for preventing professional burnout of the individual are based mainly on the creation of professional, organizational and corporate cultures that implement the organization’s mission adequately to the laws of the state, the needs of society and the rules of the professional subculture (V.I. Alexandrov, 2010), which manifests itself at the level of professional activity, as , respectively, reliability, loyalty and professional competence of personnel, HR [17]. Practical psychologists and doctors, after determining the type of PSD and choosing methods of working with it, are recommended to take into account the factors and levels of cognitive organization and maturity of the patient’s cognitive adaptation: 1 - how he navigates his environment and his basic attitude towards the world around him (whether the world is hostile or friendly), which is formed before the age of 1.5-2 years (E. Erikson and others); how does the client answer the question - where am I? 2 - the patient’s reactive or proactive behavior in this environment and in relation to the PSR; (what am I doing in this environment!?) 3 – what abilities of the patient most influence or manifest themselves in the PSR and which ones can be used for the treatment process in the triad of doctor-disease-client; (how do I do this?) 4 – level of intentions and development of volitional, goal-oriented regulation of behavior; (what can I really do and want?) 5 – level of values ​​– why do I want this? (to be healthy or not to get sick, running from illness or going to health)6 – level of beliefs, trust and faith, - placebo effect and “miracles of faith”;7 – level of individuality and self-identification of the patient with illness, treatment, recovery or health (who me!? - everyone in my family had good health and lived a long time... and I’m an exception... the gypsy told me a fortune... jinxed me):8 - level of purpose, awareness of one’s mission and meaning, the meaning of the disease in the subjective world of the client? 9 - level of self-determination of meaning and meaning the meaning of one’s Life, mission in relation to the World and environment around a person. The answer to the question - why do I need this World? Most relevant for teenagers and young people planning their social and professional lives; patients experiencing age-related crises and retiring. To one degree or another, it may explain the high mortality rate among adolescents, men of pre-retirement age and those retiring. And the fact that every third Russian student plans to go to live abroad: 10 - the level of self-realization or self-actualization in the real, scientific, professional, virtual, artificial or subjective creativity and world. Including through the creation of these worlds and “going into them” from the real into ... illness or health. This level of creativity is achieved only by mature individuals and professional leaders, who realize themselves through the creation of their own organizational and corporate cultures, on the basis of which the World in which they live is created. It is recommended to take into account seven factors that determine the patient’s proactive position in the doctor-illness-patient triad and put the client on the side of the psychotherapist, not the disease; and these seven factors are a condition for achieving the result and goals of the cognitive therapy process: 1 – the patient must really want to recover and be healthy, that is, have a healthy motivation, as an actual need, to be healthy; 2 – the client must realize the value of the opportunities that he provides recovery as a condition for achieving one’s goals in one’s life; 3 – the doctor must be able to build contact (at the level of rapport) and instill confidence in the client in himself and his methods, so that the patient believes in the finalthe goal of the treatment process is one’s own recovery; 5 - the methods and form of the cognitive therapy process must correspond to the moral and ethical values ​​and level of cognitive organization, maturity of the client, which are listed above; 6 - the recovery process is recommended to be built on the basis of the patient’s abilities and individual characteristics (deformalization of the process) , forming in the patient faith in the ability to overcome the disease (with the help of a doctor): 7 – not throughout the entire treatment process, it is recommended to maintain the patient’s belief that recovery is a well-deserved result of the joint efforts of the doctor and the patient; and that responsibility for the outcome of the treatment process is distributed in equal shares between the doctor and the patient. In cognitive therapy for PSD, factors that block the processes of cognitive therapy [12] and the patient’s transition to a higher level of maturity of cognitive adaptation (out of the ten listed above) should be taken into account:1 – secondary benefit from PSZ: 2 – psychosomatic traumatic experience in the early stages of development: 3 – conflict between different parts of the value system or levels of a person’s organization. For example, the instinct of self-preservation at the individual level and freedom of speech at the personal level under conditions of an authoritarian or dictatorial regime. 4 - parental instructions for life path scenarios (Ian Stewart, Van Joines Modern transactional analysis and other sources) The basis of people’s early negative decisions are twelve constantly repeated therefore, twelve orders (of parents): Do not live (Get lost, Die). 2. Don't be yourself. 3. Don't be a child. 4. Don't grow up (stay small). 5. Don't make progress. 6.Don't (don't do anything). 7. Don't be the first (don't be a leader, don't stick your head out). 8. Don't belong. 9. Don't be close. 10. Don't feel good (don't be healthy). 11. Don't think. 12. Don't feel. These orders from parents have a significant, unconscious impact on the person’s life scenario and, as a result, on the quality of life in general.5 – self-punishment or feelings of guilt, when the PSZ is a punishment for the patient’s “sin” or “misconduct” in relation to significant others...6 – beliefs, self-fulfilling and self-programming prophecies like “my heart will burst from overexertion”, “I just wish I could live until retirement” and the like. The scope of the article does not allow us to dwell in more detail on the features of cognitive therapy at each of the above ten levels of cognitive adaptation maturity; and provide methodological recommendations for the use of seven factors of the effectiveness of cognitive therapy for PSZ and outline methodological recommendations for working with each of the seven factors blocking the process of cognitive therapy. This material is in the list of references [1-18] and will be the content of subsequent publications of the author or seminars and master classes, if they are planned as part of subsequent congresses or publications in this journal. References 1. Aleksandrov A.A. Analytical-cathartic therapy: from theory to practice. Tutorial. St. Petersburg, Publishing house North-Western State Medical University named after. And I. Mechnikova, 2012, 91 p.2. David Clark (Oxford) on the results of the IAPT program) Beck Institute for Cognitive Behavior Therapy's 3. Natarov V.I., Nemchin T.A. Psychological assistance to students in the university sanatorium. Methodological letter of the Ministry of Health of the USSR “Organization of a psychological assistance office in the conditions of a sanatorium of a university dispensary” (dated 03.26.87.) Publishing house of the USSR Academy of Sciences. M., 19894. Ananyev B.G. Selected psychological works (Man as a subject of knowledge): In 2 volumes. T.1. – M.: Pedagogika, 1980. – 232 pp., ill.- (Proceedings of Doctoral Member of the Academy of Pedagogical Sciences of the USSR).5. Natarov V.I. Autohypnotraining (method of mental self-regulation). Psychological Journal. T. 8. 1986. pp. 105–110.6. Natarov V.I. Principles of forming sociotherapeutic groups at universities // In the book: Current problems of increasing the effectiveness of the educational process in higher education. – L.: Publishing house LTI, 1987. P. 144 – 150 (in collaboration with A.S. Solovyov).7. Natarov V.I. and others. Technologies of socio-psychological training: Textbook. M.: Consortium “SocialHealth of Russia", 2001.8. Natarov V.I. Group-analytical psychotherapy: methods, principles. Psychological Journal. T. 15. 1994. pp. 127–137. Publishing house: Russian Academy of Sciences.9. Psychology of professional health. Textbook/Ed. Prof. G.S. Nikiforova. – St. Petersburg: Rech, 2006. – 480 p.10. Natarov V.I. The influence of a socio-psychological training course on self-esteem of “I-image” // Psychological Journal. 1990. T.11. No. 5. P.89 – 104.11. Natarov V.I. Neuropsychic stress and psychoprophylaxis of the health status of students // Psychological journal. 1988. T.9. No. 3. pp. 87 -93. Publishing house of the Academy of Sciences of the Russian Federation, (in collaboration with Nemchin T.A.)12. Natarov V.I. Acmeotherapy: instant psychotherapy (health psychology), psychology of the subject of faith (psychology of maturity), sociology of success (psychology of professionalism) // Journal of a practical psychologist. 1999. No. 9. P. 134 -142.13. Natarov V.I. Methodological recommendations for conducting groups of socio-psychological training as an active method of teaching // Bulletin of Psychosocial and Correctional Rehabilitation Work. 1997. No. 3. pp. 3 – 17; No. 4. P. 3 – 18.14. Natarov V.I. Active teaching methods (in social and psychotherapeutic work) // Bulletin of Psychosocial and Correctional Rehabilitation Work. 1999. No. 3. P. 3 – 1415. Natarov V.I. Group-analytical socio- and psychotherapy: method and principles: Educational manual for the group leader. St. Petersburg: Publishing house of St. Petersburg State Technical University Min. Science, Higher School and Tech. Politics of the Russian Federation, 1993.16. Natarov V.I. Development of acmeological adaptability in socio-correctional, psychotherapeutic and advisory work. Journal of practical psychologist No. 10-11, 2000. From 72 – 88.17. Alexandrov V.I. The national idea is the basis of the policy for developing the state’s competitiveness in a post-industrial society (socio-psychological aspects). In the book: Psychology of Power 2008. St. Petersburg: St. Petersburg State University Publishing House, 2007. P.23 –2918. Alexandrov V.I. (Natarov) Development of professional maturity of top managers as the prevention of professional burnout and deformation of the personality of managers // In the book: Acmeological foundations of the professional culture of a modern manager. St. Petersburg: 2008. From 15-17.19. Natarov V.I. Cognitive psychotherapy of psychosomatic diseases among managers in the practice of doctors and psychologists. In the book Current problems of psychosomatics in general medical practice. Issue 15 edited by: Academician of the Russian Academy of Sciences Mazurova V.I. - St. Petersburg: Alta Astra Publishing House - 2015. P.99 – 10820. Alexandrov A.A. Analytical-cathartic therapy: from theory to practice. Textbook. St. Petersburg, Ed. Northwestern State Medical University I.I. Mechnikova, 2012. 91 p21. Natarov V.I. The influence of a socio-psychological training course on self-esteem of “I-image”. Psychological Journal. T.11.No.5, 1994 p.89-104.22. Aronson Elliot. Social animal. St. Petersburg 1999..Article published: Natarov V.I. Cognitively adaptive resources of the client’s consciousness in the process of psychotherapeutic and psychological counseling. Journal “Psychotherapy”, No. 3—2016, pp. 65—69. scientific and practical journal “Psychotherapy”, No. 3—2016, pp. 65—69. editorial office, magazine website and magazine contents deputy. Ch. editor of the journal “Psychotherapy” ..[1] The author of the article was the organizer and director1 of the work of the psychological assistance office in the sanatorium of the Leningrad State University dispensary (St. Petersburg State University, under the scientific supervision of Professor, Doctor of Psychological Sciences T.A. Nemchin, 1982 - 1990); 2 - psychological assistance office of the North-Western Correspondence Polytechnic Institute (under the scientific supervision of Professor, Doctor of Medical Sciences A.S. Solovyov, 1985 - 1993); 3 - section “Acmeotherapy: irrationally and rationally altered states of consciousness” in the Association of Training and Psychotherapy city ​​of St. Petersburg, 1994-2005...O chall wrote: I have chosen several specialists, I want to talk in demo mode for a short consultation to make the final choice. Will you take it? Vladimir Natarov: 1. I have clients booked 1-2 months in advance... now for April and May... and 2. we decide in what mode to work with the client after 1-4 consultations3. preference is given to those