Question | Answer |
What is Cognitive Behavioral Therapy? | The use of conceptualization and techniques to facilitate conceptual restructuring of behavior and emotions |
In cognitive behavior therapy what is meant by cognitive? | Thoughts, beliefs, assumptions |
In cognitive behavior theapy what is meant by behavioral? | Greeting challenge calmly, taking positive actions |
What are the two congnitive processes CBT opperates on, which is the principle target? | Short term appraisals and expectations and Longterm persistent beliefs***principle target |
What can negative appraisals of the self cause? | Feelings of Pesimism, helplessness and a vicious negative cycle |
How do client's congnitive processes effect client psychopathology? | It effects their deep schematat-who they are, and the meaning of their life, Cognitive distortions-how they frame the world and intentions of others |
What are some features of CBT? | It is individual, dynamic, brief, present and forward looking, requires homework |
What does CBT focus on identifying within the client | Schemata, Assumptions, Automatic thoughts, Core beliefs, |
What are assumptions? | Rules and Values predisposing to negative emotions |
What are automatic thoughts and cognitive distorions? | Concious spontaneous negative thoughts |
What is mind reading? | The belief you know what others are thinking |
What is fortune telling? | Predicting the future |
What is catastrophizing? | Belief that negative outcomes will be unbearalbe. |
What is labeling? | Assigning negativity to a person or self globally |
What is discounting? | Trivializing positives |
What is a Negative filter? | focus on the negatives of situations |
What is overgeneralizing? | when something is always, globally, ineviable |
What is Dichotomous thinking? | All or non, good/bad simplism |
What are shoulds? | Focus on how things "should" be not how they are |
What is personalizing? | Taking all the blame for group errors |
What is blaming? | You blame others for your errors and negative feelings |
What are unfair compairisons? | Always comparing yourself to "your betters" |
Inability to disconfirm? | Reject information that's counter to the negative |
What are the four target areas of change? | The enviroment
Thoughts and attitudes
Knowledge
Skills |
How is CBT done by OTs? | List OP problems, listen for language about thinking, use individual motivation and stratagies, set homework or plan or concern, reflect and compare to past statements/performance |
What personality features are common to all great OTs? | Self doubt, humility and a self questioning attitude that constantly looks for improvement, anticipating the needs of others and providing appropriate boundaries. |
How is CBT performed by an occupational therapist different than a psychologist? | An occupational therapist focuses not on psychotherapy, but on occupation. How it's effected, and satisfaction. |
When reporting and documenting how does OT differ from other professions? | It should focus specifically on implications on occupation, what the clients specific occupations are and OT goals |
What is the occupational process? | Build rapport
Assess the client
Evaluate the outcome
Recommend and Collaborate
Intervention
Follow-up |
How is good documentation a safeguard? | If there is a reporting oversight, you can say there is no reason to believe this time differed |
What are the 6 major occupational therapy modes? | Advocacy, Collaborating, Empathizing, Encouraging, Instructing, Problem-solving |
What are the five axis of the dsm associated with? | Axis 1- Major psychiatric disorders Axis 2- Personality disorders, mental retardation Axis 3- Medical/physical disorders Axis 4- Contribuiting enviromental factors Axis 5- 100 Scale of global function. |
What are some common features of borderline personality disorder | Impulsivity,
Unstable relationships
Para suicide attempts
Frantic effort to avoid abandonment
Paranoia and suspicion with stress
Feelings of emptyness
Lack of skills
Frequent admissions |
What are some features of Dialectic Behavioral Therapy? | Mindfullness, Interpersonal effectiveness, Distress tolerance, Emotional regulation
Weekly individual sessions, 24/7 consultation |
What is the DBT therapy process? | Contract
Rules
Diary
Target behaviors
Work on quality of life
Work skills
Improve self respect |
What are the 4 basic skills DBT works on? | Interpersonal effectiveness
Emotional regulation
Distress Tolerance
Mindfulness |
What are examples of DBT rules? | Call ahead if you can't attend
Missing a day you are dropped
Must attend therapy
No drugs, alcohol or discussion of suicide
No talking outside of group, confidentiality
Must accept help if they ask |
What is the key sign a client is ready for change? | If they are already thinking of excuses or buts not to. Desire, Ability, Reasons, Need, Commitment, Taking steps |