Allison's CBT Conceptualization Flashcards
CBT Conceptualization Outline; the 4 categories
- Identifying Information/Problem List (dx and sx)
- Hypothesized etiology of the problem (background)
- Hypothesized maintaining variables
- Summary and integration
What is included in ‘identifying information?’
- name, age, sex, ethnic background, marital staus, occupation
- brief description of appearance and presentation
What is included in ‘problem list?’
- referral source/ reason for referral
- disorder and symptoms
- history of problem (duration/onset/frequency/intensity)
- impacts on functioning (imparment; family, social, occupational)
- why seeking help now
- attempted soulutions/ previous treatment
What is included in ‘hypothesized etiology of the problem?’
- biological variables
- early life events
- social learning theory/modeling
- core beliefs/cognitive distortions
- conditioning
What is included in ‘hypothesized maintaining variables?’
- antecedent/ situation (whats the trigger?)
- (reiterate etiology) + automatic thoughts/cognitive distortions
- responses; comensatory strategies (usually problem behavior) usualy maintains the problem
- consequences (reinforcers of responses)
- leads to repetitive patterns in present
- situation > automatic thought > emotion > behavior
What is included in ‘summary and integration?’
- briefly restate the the conceptualization of the patient
- strengths and weaknesses
- potential therapeutic obstacles
All or nothing thinking
view situation in 2 categories instead of continuum (i.e.; not perfect = failure)
Arbitrary inference
drawing arbitrary conclusions in the absence of evidence
Catastrophizing
predict the future negatively without considering more likely outcomes
Emotional reasoning
you think something is true because you “feel” is so strongly
Labeling
put a fixed, global label on self or others (i.e.; I’m a loser, or He’s no good)
Magnification/Minimization
magnifying the negative, minimizing the positive
Mind Reading
believe you know what others think, failing to consider more likely possibilities
Overgeneralization
sweeping negative conclusion that goes far beyond the current situation
Personalization
see yourself as cause of some external event (i.e.; others are laughing at me)
Probability Overestimation
overestimates the likelihood of the occurance of a negative event
Tunnel Vision
only see the negative aspects of a situation
CBT and Depression/Dysthymic Disorder
- Stressful life events activate stress hormones, wide-ranging effects on (sero, nore, dop); if remain activated, structural and chemical changes in brain may increase susceptibility to recurrent cycling
- Diminished sense of control (learned helplessness)
- Avoidance
- Low positive reinforcement narrows adaptive behavior
CBT and Bipolar Disorder
- Emotional lability and impoverished ability for emotional and behavioral control
- Stressful lfe events leads to disruption in daily routines and sleep-wake cycles (diruption of circadian rhythm), which may increase onset of mania or imablance (sero, nore, dop); if remain activated, structural and chemical changes in brain may increase susceptibility to recurrent cycling
- Low self-efficacy, believing they cannot manage or express emotions
- Impulsive behavior relieves emotional tensions (negative reinforcement)
- Emotional expression (critical comments, hostility, emotional overinvolvement) increases relapse
- Mainia as pleasurable - stop taking meds to have high again
CBT and Generalized Anxiety Disorder
- Uncontrollable worry; world is threatening and may not be able to cope with or control it
- Anxious apprehension; overarousal, attentional focus on threat-related stimuli
- Probability Oversetimation overestimates the likelihood of the occurance of a negative event
- Catastropic thiking predict future negatively
- Magical thinking think worry will preent negative events (negative reinforcement with bad does not happen)
- Worry is negatively reinforcing avoidance of more threatening imagry, distressing autonomic activity, and negative cognition and emotions
