Aaron Beck - Cognitive Behavioral Therapy - ANSWER The Cognitive Model proposes that all dysfunctional thinking (which influences the patient's mood and behavior) is common to all psychological disturbances.
Basic Principles of CBT - ANSWER 1. CBT is based on an ever-evolving formulation of pati...
Cognitive Behavioral Therapy Correct
Questions & Answers!!!
Aaron Beck - Cognitive Behavioral Therapy - ANSWER The Cognitive Model proposes
that all dysfunctional thinking (which influences the patient's mood and behavior) is
common to all psychological disturbances.
Basic Principles of CBT - ANSWER 1. CBT is based on an ever-evolving formulation of
patients' problems and an individual conceptualization of each patient in cognitive
terms.
2. CBT requires a sound therapeutic alliance.
3. CBT emphasizes collaboration and active participation.
4. CBT is goal oriented and problem focused.
5. CBT initially emphasizes the present. Here and Now
6. CBT is educative, aims to teach the patient to be his/her own therapist and
emphasizes relapse prevention.
7. CBT aims to be time limited.
8. CBT sessions are structured.
9. CBT teaches patients to identify, evaluate, and respond to dysfunctional thoughts and
beliefs.
10. CBT uses a variety of techniques to change thinking, mood, and behavior.
Overview of Treatment -Developing the therapeutic relationship - ANSWER
Demonstrate good counseling skills and accurate understanding (empathy)
Share your conceptualization and treatment plan
Collaboratively make decisions
Seek feedback
Vary your style
Help patient solve their problems and alleviate their distress
Major goal of treatment is to make the process of therapy understandable to you and
the patient.
Identifying and Responding to Dysfunctional Cognitions - ANSWER An important part of
therapy sessions is to help the patients respond to their inaccurate or unhelpful ideas -
(automatic thoughts)
Guided Discovery - Ascertain which cognitions are most upsetting to patients and ask
them a series of questions to help them gain an understanding that these cognitions are
ideas and not necessarily truths.
Behavioral Experiments - Try to design an experiment that patients may conduct in the
session.
Emphasizing the Positive - helps patients to recognize the positives
Facilitating cognitive and behavioral change between sessions = Homework
, Cognitive Conceptualization - ANSWER Cognitive conceptualization provides the
framework for understanding the patient. What is the patient's diagnosis? Current
problems? Dysfunctional thoughts?
The Cognitive Model - ANSWER The Cognitive Model hypothesizes people's emotions,
behaviors, and physiology are influenced by their perceptions of events:
Situation/event
Automatic thoughts
Reaction (emotional, behavioral, physiological)
**** It is not the situation in and of itself that determines what people feel but rather how
they construe a situation.
Automatic thoughts come up spontaneously; they are often rapid and brief.
Core Beliefs - ANSWER In childhood, people develop certain ideas about themselves,
other people and the world. Core beliefs are the most fundamental level of belief; global,
rigid, and overgeneralized.
Core beliefs influence the development of an intermediate class of beliefs, which
consists of (often unarticulated) attitudes, rules and assumptions.
**** It is important for the therapist to learn to conceptualize the patient's difficulties in
cognitive terms in order to know when to work on a specific problem.
Try to understand what they are going through.
Conceptualization a patient in cognitive terms is crucial to determine the most efficient
and effective course of treatment.
View therapy as a journey, and the conceptualization as the road map.
The Evaluation Session - ANSWER Effective CBT requires you to evaluate patients
throughly, so you can formulate the case, conceptualize the individual patient, & plan
treatment.
Always try to meet with the patient alone at first.
Assessment Phase:
Patient demographics
Chief complaints and current problems
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