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CBT

U Pitt

QuestionAnswer
Who is the founder of CBT? Aaron Beck
Beck devised a therapy that was ... short term, present oriented, to deal with depression by modifying behavior
Dysfunctional thinking which influences mood and behavior is which model? Cognitive model
For lasting improvements in patients' mood and behavior, therapist work at a deeper level of cognitions called Basic beliefs.
Therapist created experiences for patients to directly test their thinking Behavioral Experiments
Discussion that tests validity Collaborative empiricism
The proposition that one's thoughts influences one's emotions and behavior Cognitive model
Cognitive therapy is based on an ever evolving formulation of the client and their problems in cognitive terms a) current thinking and problematic behaviors b) precipitating factors c) developmental events and enduring patterns of interpreting events
Cognitive therapy requires a sound therapeutic alliance. basic ingredients--- warmth, empathy, caring, genuine regard, competence
Cognitive therapy emphasizes collaboration and active participation.
Cognitive therapy initially emphasizes the present. Attention shifts to the past in 2 circumstances: 1)the client expresses a strong desire to do so and not to do so would endanger the therapeutic alliance 2)when clients get stuck in their thinking and understanding the childhood roots for the beliefs can potentially help modify their rigid ideas
Cognitive therapy teaches clients to identify, evaluate and respond to their dysfunctional thoughts and beliefs
In order to develop a strong therapeutic relationship, you will need to: •Demonstrate good counseling skills and accurate understanding. •Share your conceptualization and treatment plan. •Collaboratively make decisions. •Seek feedback. •Vary your style. •Help client solve their problems and alleviate their distress.
A major goal of treatment is to--- make the process of therapy understandable to you and the client.
The overarching therapeutic goal is to --- improve the client’s mood during the session and to create a plan so the client can feel better and behave more functionally during the week
the therapist initiates a series of questions to help a client gain distance from the problem, evaluate the validity and utility of their cognitions/ or decatastrophize their fears
quick, evaluative thoughts that spring up spontaneously in response to a situation, rapid, brief and likely to be accepted uncritically. Automatic Thoughts
attitudes, rules, assumptions. “shoulds”, “if…then” statements Intermediate beliefs
the most central ideas about self, other, the world, begin in childhood and are often unarticulated Core Beliefs
Three Core Beliefs helplessness, unlovable, worthlessness
Why clients believe core beliefs so strongly -selective focus on data that confirms negative world view -discounts data contrary to core belief -fails to recognize contrary data
Core beliefs about others rigid, overgeneralized, dichotomous
Core beliefs about the world cannot get what client wants from the world due to obstacles.
Cognitive Conceptualization Diagram How did this client end up here?
A correct cognitive conceptualization aids the therapist -- in determining what the main interventions might be and how best to get to the therapeutic goal.
Goals of the assessment session •Formulate initial conceptualization •Determine adjunctive treatment needed •Initiate a therapeutic alliance •socialize the client into therapy. •Identify important problems and broad goals.
In assessment always rule out what first? medical problems
Helpful ending question Is there anything else I should know about you that I have not yet asked that may be relevant to our working together?
In initial assessment always ask about -- prior treatment, what helped, what did not help
Discuss expectations, both yours and the clients for working together. how many sessions, how often, what is your methodology, cancelation policy, etc
Principle No. 1. Cognitive therapy is based on an ever-evolving formulation of the patient and her problems in cognitive terms
Principle No. 2 Cognitive therapy requires a sound therapeutic alliance.
Principle No. 3 Cognitive therapy emphasizes collaboration and active participation.
Principle No. 4 Cognitive therapy is goal oriented and problem focused
Principle No. 5 Cognitive therapy initially emphasizes the present
Principle No. 6 Cognitive therapy is educative, aims to teach the patient to be their own therapist, and emphasizes relapse prevention
Principle No. 7 Cognitive therapy aims to be time limited
Principle No. 8 Cognitive therapy sessions are structured
Principle No. 9 Cognitive therapy teaches patients to identify, evaluate, and respond to their dysfunctional thoughts and beliefs
Principle No. 10 Cognitive therapy uses a variety of techniques to change thinking, mood, and behavior
What is ABC? Awareness, Belief, Consequences (Attention, Expericence, Actions)
Created by: DragonflyDM
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