Beck Ch 10

Question 1

What does the Initial part of the session Consist of? (for regular sessions not the first session) (4)

Answer 1

1. Conduct a mood/medication/other treatment check.
2. Set the agenda.
3. Ask for an update (positives and negatives), and review Action Plan from the previous week.
4. Prioritize the agenda.

Question 2

What does the Middle Part of Session consist of? (2)

Answer 2

5. Work on agenda item 1, summarize, make intervention(s), assess need for further interventions, and discuss Action Plan items.
6. Work on agenda items 2 and 3 (if time).

Question 3

What does the End of Session consist of? (3)

Answer 3

7. Summarize the session.
8. Review the Action Plan for the coming week. 9. Elicit feedback.

Question 4

What are the objectives of the initial part of the session?

Answer 4

1. reestablish rapport,
2. collect data to find out what issues/goals will be important to
   cover in the session, and
3. draw conclusions about what the client accomplished as a follow-up to the previous session.

Question 5

When working with a new client, what are 2 things that you can do in the first couple of sessions that can help socialize them to the CBT format?

Answer 5

1. Provide rationales for each part of the session
2. Make periodic summaries throughout

Question 6

What is a tool that can help clients with the initial part of the session?

Answer 6

Giving them a copy of the Preparing for Therapy Worksheet before the session to review. It gives them some questions to reflect on that relate to important information for the therapist to know.

Question 7

What six questions are on the Preparing for Therapy Worksheet?

Answer 7

1. What did we talk about last session that was important? How much do I believe my therapy notes?
2. What has my mood been like, compared to other weeks?
3. What positive experiences did I have this week? What did I learn? What do these experiences say about me?
4. What else happened this week that’s important for my therapist to know?
5. What are my goals for this session? Think of a brief title for each (e.g., connecting more with people, getting more done around the house, and concentrating better at work).
6. What did I do for my Action Plan? (If I didn’t do an item, what got in the way?) What did I learn?

Question 8

When a client is feeling better during a mood check in, what is important to do? Why?

Answer 8

Ask them why they think their mood improved

Ask them what it means that they were able to do the things they did

Help client attribute their improved mood to changes in their thinking and behaviour

Question 9

What does a medication/other treatment check consist of?

Answer 9

If relevant, you will ask about adherence, effects and side effect, and if needed help them write a list of questions for their prescriber

Question 10

What do you need to do to set the initial agenda?

Answer 10

1. Ask client their goal for the session
2. Ask client if there is anything even more important to discuss
3. check notes from previous session and ask about any items we didn’t have time to cover
4. Propose topics you’d like to cover

Question 11

What might you say to start setting the agenda?

Answer 11

” Let’s set the agenda, if that’s okay, so we can figure out what’s most important to you to talk about. What’s your goal for today’s session?”

Question 12

If a client starts describing a situation at length during agenda setting, what should you do? Provide an example

Answer 12

You should gently interrupt and give a label to the goal or issue

e.g., “Well, I’ve made some headway in my apartment, but there’s still a lot to do to clean it up. Some of the stuff is really hard and . . .”

Clinician: (gently interrupting) Okay (writing down the goal), “Cleaning hard stuff in the apartment.” Anything else?