Beck Ch 6 Flashcards
What is the most important objective in the first therapy session?
How is this achieved?
Inspire hope
- By providing psychoeducation (e.g., research shows that CBT is effective for the client’s condition)
- reiterating the general treatment plan,
- Directly expressing your confidence that you can help the client feel better
- Identifying the client’s values, aspirations, and goals.
What is done in the initial part of session 1
- Do a mood (and, when relevant, a medication or other treatment) check. 2. Set the agenda.
- Ask for an update (since the evaluation) and review the Action Plan.
- Discuss the client’s diagnosis and provide psychoeducation.
What do you do in the Middle Part of Session 1
- Identify aspirations, values, and goals.
- Do activity scheduling or work on an issue.
- Collaboratively set a new Action Plan; check on likelihood of completion.
What do you do in the End of Session 1
- Provide a summary.
- Check how likely it is that the client will complete the new Action Plan.
- Elicit feedback.
How do you do a mood check?
By having clients fill out a measure
Or if they aren’t willing or able to complete a form, ask them to rate their mood on a scale from 0-10
Or have them fill out a symptom checklist
Make sure to check the clients’ suicidality (and/or aggressive and homicidal impulses
What time period should a mood check apply to?
Not just mood on that day, overview of mood for the whole week
What are the components of setting the agenda?
- Introduction: stating you will set the agenda
- Rationale for why we set the agenda
- What the session will cover: Update and action plan review + Set goals and new action plan
- Client additions: ask client if they have anything to add
In traditional CBT how would you ask for an update?
How is this different from CT-R
“What happened between last session and this session that I should know?”
Then you will ask
“What happened that was positive?”
For CT-R: Would start with the positive and help clients draw adaptive conclusions
What could you say to introduction the review of action plan?
“Can we look at your Action Plan and see what else you were able to get done? Do you have it with you?”
How might you elicit values from a client?
“What’s really important to you in life? Or what used to be really important to you?”
What are values and how are they important?
Values are long-standing beliefs about what is most important in life. People’s values shape their choices and behavior.
When they perceive they’re not living up to their values, they often become distressed.
Having clients reflect on what’s really important to them aids in identifying their aspirations and setting goals.
What are some areas of values
- Relationships
2.Relaxation - Recreation
- Health and fitness
- Self-improvement
- Productivity
- Creativity
- Community
- Nature
What are some things you could say to elicit client aspirations? (4)
“What do you want for your life?”
“What are your hopes for the future?”
“What do you want your future to look like?”
“When you were growing up, what did you want your life to be like? What did you hope for?”
It isn’t client’s aspirations alone that are important, what else is important?
The meaning that clients put to their aspirations
What might you ask to help clients understand the meaning of their aspirations?
“What would be especially good about [achieving your aspirations and goals]?”
“How would you feel about yourself? What would it say about you? How might other people view you or how might they treat you differently?”
“What would it suggest about your future?”
“How would you feel [emotionally] if all this came true? Can you get that feeling right now?”
