3.2.5 CBT components

Question 1

What fields of psychology does CBT draw from?

Answer 1

Cognitive and behavioural fields of psychology

Question 2

What are the cognitive aspects

Answer 2

Altering the way a patient thinks about the world

Question 3

What are the behavioural aspects

Answer 3

Altering patients behaviour through learning

Question 4

What cant CBT do for schizophrenics

Answer 4

Prevent hallucinations or delusions

Question 5

How does CBT help schizophrenics

Answer 5

Helps them to cope with their symptoms

Question 6

How may CBT help a schizophrenic who hears voices

Answer 6

May help them attribute these voices as originating in their own mind, rather than from an external source

Question 7

How can schizophrenics who have delusions be helped by CBT

Answer 7

These delusions can be tested and challenged in a controlled environment so that the schizophrenic may see them for the false beliefs that they are

Question 8

What symptoms of schizophrenia is CBT more effective in treating

Answer 8

Positive symptoms

Question 9

How could CBT also help reduce schizophrenics negative symptoms

Answer 9

CBT may provide them with the right cognitive skills which will give them confidence which may have the knock on effect that negative symptoms avolition and asociality may also be reduced

Question 10

What is the order of therapy in CBT for a schizophrenic

Answer 10

1) Engagement strategies 2) Psycho-education 3) Cognitive strategies 4) Behavioural skills training 5) Relapse prevention strategies

Question 11

Give a brief description of engagement strategies

Answer 11

• Preliminary sessions - Allow patient to speak in detail to therapist about their symptoms and concerns - Build a relationship and trust - Patient is encouraged to see themselves as an expert in their own symptoms

Question 12

Give a brief description of psycho education

Answer 12

• Normalises the patients symptoms - Increases patients understanding of the context in which their symptoms occur - Gives therapist chance to further assess patients understanding of own symptoms

Question 13

What are the 3 cognitive strategies used

Answer 13

• Verbal challenge - Homework - Behavioural experiments

Question 14

Describe verbal challenge

Answer 14

ABCDE model used to challenge irrational thoughts/beliefs.

Question 15

shorten the ABCDE model

Answer 15

A = ACTIVATING

B = BELIEFS

C = CONSEQUENCE

D = Dispute

E = effect

Question 16

Describe the ABCDE model

Answer 16

Activating events

leads to a Belief (rational/irrational)

and the Consequence is healthy/unhealthy emotions

Therapist then Disputes these beliefs

the effect is that they will have more rational thoughts/beliefs

Question 17

Describe a homework activity that could be used

Answer 17

Patients can keep a dysfunctional thought diary recording how they feel and what they did. These notes will then be challenged in therapy

Question 18

Describe behavioural experiments used

Answer 18

Patients are given practical exercises for example listening to music to drown out voices as an experiment to see if they can control their symptoms

Question 19

Describe behavioural skills training

Answer 19

Strategies such as relaxation and problem solving are taught to help patient deal with symptoms

Question 20

Describe 5 steps patients are told to problem solve ITECE

Answer 20

1) Identify the problem
2) Think of possible solutions
3) Evaluate possible solutions
4) Choose a solution
5) Evaluate the outcome

Question 21

Describe relapse prevention strategies

Answer 21

Patient and therapist work togther to identify early warning signs of relapse. Plans are developed that can be used when these warning signs appear