APPROACHES TO TREATMENT- cognitive

Question 1

What is the cognitive/behavioural approach to treatment??

Answer 1

= our interactions with the outside world, cause multiple reactions within our internal environment. Our internal reactions then inform our behaviour and future reactions

Question 2

What does Beck believe we created based on past experiences that can help us in future experiences- either positive or negative??

Answer 2

Schemas

Question 3

What 4 factors are on the inside of the circle in the Hot Cross Bun model?

Answer 3

1. behaviour
2. physical sensation
3. thoughts
4. emotion

Question 4

Which 2 researchers identified the Hot Cross Bun model in 1990??

Answer 4

Padesky & Mooney

Question 5

What is on the outside of the circle in the Hot Cross Bun model??

Answer 5

= Environment

Question 6

What is the aim of cognitive behavioural approach?

Answer 6

= successful cognitive restructuring

Question 7

What was the viscous circle originally referred to??

Answer 7

= Exacerbation cycle

Question 8

What is a vicious cycle in reference to the CBA??

Answer 8

= people created self-fulfilling prophecies that then maintain the distorted thinking and dysfunctional behaviours. To break these cycles, is biggest part of the CBA to treatment

Question 9

Automatic thoughts combine with schemas to develop what??

Answer 9

= cognitive biases

Question 10

All cognitive biases=

Answer 10

emotional reasoning
tunnel vision
personalisation
overgeneralisation
mind-reading
selective abstraction
labelling
all or nothing thinking
catastrophising

Question 11

Aspects associated with CBA clinical interviews:

Answer 11

agenda setting
note-taking
psycho-education
contract-setting
homework assignments
record keeping
direct conversation

Question 12

What is important to keep between professionals and clients during a clinical interview?

Answer 12

= to maintain a clear/strict therapist-client relationship

Question 13

What is the first part of the aim to diagnose and plan treatment in the CBA treatment?

Answer 13

= assessment

Question 14

What is the central premise of CBA to treatment?

Answer 14

= our reactions are determined by complex interplay of thoughts, emotions, behaviour & physical sensation

Question 15

3 core questions that guide all assessments are??

Answer 15

1. What is the problem?
2. What are the immediate/long term consequences of the problem?
3. What are the thoughts, emotions, physical sensations & behaviours associated with the problem?

Question 16

Examples of assessment tools:

Answer 16

Questionnaires/diaries/record forms

Question 17

What is formulation?

Answer 17

= an understanding of the patients identified problem, and its factors that contribute/maintain the problem

Question 18

What method is used to measure change?

Answer 18

= self-reports
- questionnaires, behaviour change, rating scales

Question 19

What is used to determine whether a cognitive behavioural approach is effective?

Answer 19

= meta-analysis

Question 20

Is the CBA effective?

Answer 20

2001 meta review found that it is effective with depression, panic disorder, bulimia and OCD