8. cognitive therapy + cbt overview Flashcards
overview of core features, intro to cognitive model, principles of cbt according to j. beck, myths about cbt
what are the 7 core features of CBT?
- structured
- short-term
- present-oriented
- empirical
- main goal is to modify dysfunctional thinking
- tx based on cognitive case conceptualization
- techniques designed to produce cognitive change
core features of CBT
what’s the difference between talk therapy and CBT?
talk therapy doesn’t have a structure, CBT does – it’s goal oriented
CBT is short-term. why? what does it stem from?
designed to be short because of its medical roots
true or false:
CBT addresses the core of a client’s problems, thus digging into their past is imperative.
False – CBT is present-oriented
empirical nature of CBT
what is a nomothetic perspective?
using research study data to make informed decisions about tx that’ll be administered
empirical nature of CBT
what is an idiographic approach in CBT?
collection of data on an ongoing basis
making judgements based off of said data
what is a cognitive case conceptualization or formulation for individual client?
model used to explain how individual came to have their issues and what maintains them
CBT
what are the two kinds of thoughts that CBT aims to change?
automatic thoughts
basic beliefs
explain the 4 steps of the cognitive model
what is an automatic thought
the way a situation is interpreted in the heat of the moment
what is a basic belief?
also known as a core belief
- fundamental beliefs that we have about ourselves and about the world
- they develop early, based on childhood experiences, generalized, resistant to change
which kind of thought is harder to target and why?
core beliefs, because they’re more generalized and they developed earlier
explain the 4 steps of the cognitive model
- situation
- thought
- emotion
- behaviour
explain the 4 steps of the cognitive model
what is the situation?
what’s another name we attribute
the antecedent
explain the 4 steps of the cognitive model
what’s the emotion?
the feeling that occurs as a result of the thought
fill in the blank
the _ doesn’t produce the _ and the behaviour itself
- situation
- emotion
explain the 4 steps of the cognitive model
what’s the behaviour?
the action in response to the emotion
what’s the evolution of an automatic thought?
- automatic thought (initial interpretation)
- intermediate beliefs (rules, attitudes, assumptions)
- core beliefs (the final boss of the beliefs)
what’s another way that symptoms manifest in people who don’t verbalize their emotions?
physiologically
what are the 10 principles of CBT?
- based on constant evolution based on info provided by client
- requires good therapeutic alliance
- emphasis on collaboration and active participation
- goal oriented, problem focused (in and out of sessions)
- present focused (how to make changes that will be useful today)
- teaching the client to be their own therapist
- aims to be short term
- structured sessions
- teach clients to identify, evaluation, respond to dysfunctional beliefs
- uses diff techniques to change thinking, mood, behaviour
principles of CBT
what are some things what we aim to teach the clients?
cognitive models + techniques
teach HOW to evaluate dysfunction thoughts
- long standing px
- comorbidities
- those with complicated dx
principles of CBT
what kinds of clients are the most straight forward?
depression, anx, phobias
how do we teach px to identify, evaluation, and respond to dysfunctional beliefs?
- 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)
principles of CBT
what other kinds of techniques (besides cognitive strategies) are used to change thinking, mood, and behaviour?
- relaxation
- mindfulness
- activity scheduling
is CBT mechanistic?
naur - not JUST sx but taking into consideration individual psychological factors and what makes them long lasting
does CBT deal with the past?
naur - present focused
what element of CBT deals with the past?
focus on the maintaining thoughts
is CBT adversarial?
naur - clients question themselves
let’s think about that!
true or false
CBT is only for the mentally sound
kinda yeah cus if you can’t verbalize your feelings, how is CBT gonna be of any benefit to you babygirl?
