8. cognitive therapy + cbt overview

Question 1

what are the 7 core features of CBT?

Answer 1

1. structured
2. short-term
3. present-oriented
4. empirical
5. main goal is to modify dysfunctional thinking
6. tx based on cognitive case conceptualization
7. techniques designed to produce cognitive change

Question 2

core features of CBT

what’s the difference between talk therapy and CBT?

Answer 2

talk therapy doesn’t have a structure, CBT does – it’s goal oriented

Question 3

CBT is short-term. why? what does it stem from?

Answer 3

designed to be short because of its medical roots

Question 4

true or false:

CBT addresses the core of a client’s problems, thus digging into their past is imperative.

Answer 4

False – CBT is present-oriented

Question 5

empirical nature of CBT

what is a nomothetic perspective?

Answer 5

using research study data to make informed decisions about tx that’ll be administered

Question 6

empirical nature of CBT

what is an idiographic approach in CBT?

Answer 6

collection of data on an ongoing basis
making judgements based off of said data

Question 7

what is a cognitive case conceptualization or formulation for individual client?

Answer 7

model used to explain how individual came to have their issues and what maintains them

Question 8

CBT

what are the two kinds of thoughts that CBT aims to change?

Answer 8

automatic thoughts
basic beliefs

Question 9

explain the 4 steps of the cognitive model

what is an automatic thought

Answer 9

the way a situation is interpreted in the heat of the moment

Question 10

what is a basic belief?

also known as a core belief

Answer 10

• fundamental beliefs that we have about ourselves and about the world
• they develop early, based on childhood experiences, generalized, resistant to change

Question 11

which kind of thought is harder to target and why?

Answer 11

core beliefs, because they’re more generalized and they developed earlier

Question 12

explain the 4 steps of the cognitive model

Answer 12

1. situation
2. thought
3. emotion
4. behaviour

Question 13

explain the 4 steps of the cognitive model

what is the situation?

what’s another name we attribute

Answer 13

the antecedent

Question 14

explain the 4 steps of the cognitive model

what’s the emotion?

Answer 14

the feeling that occurs as a result of the thought

Question 15

fill in the blank

the _ doesn’t produce the _ and the behaviour itself

Answer 15

1. situation
2. emotion

Question 16

explain the 4 steps of the cognitive model

what’s the behaviour?

Answer 16

the action in response to the emotion

Question 17

what’s the evolution of an automatic thought?

Answer 17

1. automatic thought (initial interpretation)
2. intermediate beliefs (rules, attitudes, assumptions)
3. core beliefs (the final boss of the beliefs)

Question 18

what’s another way that symptoms manifest in people who don’t verbalize their emotions?

Answer 18

physiologically

Question 19

what are the 10 principles of CBT?

Answer 19

1. based on constant evolution based on info provided by client
2. requires good therapeutic alliance
3. emphasis on collaboration and active participation
4. goal oriented, problem focused (in and out of sessions)
5. present focused (how to make changes that will be useful today)
6. teaching the client to be their own therapist
7. aims to be short term
8. structured sessions
9. teach clients to identify, evaluation, respond to dysfunctional beliefs
10. uses diff techniques to change thinking, mood, behaviour

Question 20

principles of CBT

what are some things what we aim to teach the clients?

Answer 20

cognitive models + techniques
teach HOW to evaluate dysfunction thoughts

Question 21

principles of CBT

what are the kinds of clients that’ll need a year or more in tx?

Answer 21

• long standing px
• comorbidities
• those with complicated dx

Question 22

principles of CBT

what kinds of clients are the most straight forward?

Answer 22

depression, anx, phobias

Question 23

how do we teach px to identify, evaluation, and respond to dysfunctional beliefs?

Answer 23

• guided discovery (help client to discover on their own, give them a gentle push)
• behavioural experiments (go and test out your hypotheses – making sure you’re not setting up your client for failure)

Question 24

principles of CBT

what other kinds of techniques (besides cognitive strategies) are used to change thinking, mood, and behaviour?

Answer 24

• relaxation
• mindfulness
• activity scheduling

Question 25

is CBT mechanistic?

Answer 25

naur - not JUST sx but taking into consideration individual psychological factors and what makes them long lasting

Question 26

does CBT deal with the past?

Answer 26

naur - present focused

Question 27

what element of CBT deals with the past?

Answer 27

focus on the maintaining thoughts

Question 28

is CBT adversarial?

Answer 28

naur - clients question themselves
let’s think about that!

Question 29

true or false

CBT is only for the mentally sound

Answer 29

kinda yeah cus if you can’t verbalize your feelings, how is CBT gonna be of any benefit to you babygirl?