Allison's CBT Conceptualization

Question 1

CBT Conceptualization Outline; the 4 categories

Answer 1

• Identifying Information/Problem List (dx and sx)
• Hypothesized etiology of the problem (background)
• Hypothesized maintaining variables
• Summary and integration

Question 2

What is included in ‘identifying information?’

Answer 2

• name, age, sex, ethnic background, marital staus, occupation
• brief description of appearance and presentation

Question 3

What is included in ‘problem list?’

Answer 3

• 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

Question 4

What is included in ‘hypothesized etiology of the problem?’

Answer 4

• biological variables
• early life events
• social learning theory/modeling
• core beliefs/cognitive distortions
• conditioning

Question 5

What is included in ‘hypothesized maintaining variables?’

Answer 5

• 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

Question 6

What is included in ‘summary and integration?’

Answer 6

• briefly restate the the conceptualization of the patient
• strengths and weaknesses
• potential therapeutic obstacles

Question 7

All or nothing thinking

Answer 7

view situation in 2 categories instead of continuum (i.e.; not perfect = failure)

Question 8

Arbitrary inference

Answer 8

drawing arbitrary conclusions in the absence of evidence

Question 9

Catastrophizing

Answer 9

predict the future negatively without considering more likely outcomes

Question 10

Emotional reasoning

Answer 10

you think something is true because you “feel” is so strongly

Question 11

Labeling

Answer 11

put a fixed, global label on self or others (i.e.; I’m a loser, or He’s no good)

Question 12

Magnification/Minimization

Answer 12

magnifying the negative, minimizing the positive

Question 13

Mind Reading

Answer 13

believe you know what others think, failing to consider more likely possibilities

Question 14

Overgeneralization

Answer 14

sweeping negative conclusion that goes far beyond the current situation

Question 15

Personalization

Answer 15

see yourself as cause of some external event (i.e.; others are laughing at me)

Question 16

Probability Overestimation

Answer 16

overestimates the likelihood of the occurance of a negative event

Question 17

Tunnel Vision

Answer 17

only see the negative aspects of a situation

Question 18

CBT and Depression/Dysthymic Disorder

Answer 18

• 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

Question 19

CBT and Bipolar Disorder

Answer 19

• 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

Question 20

CBT and Generalized Anxiety Disorder

Answer 20

• 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