Case Formulation Info Flashcards
Structure of CBT
- Contracting for treatment
- ABC aspect of formulation
- Syndromal aspect
- Strengths + protective factors
- Discussion about reservations
Include goal setting
Third wave CBT
Emphasised mindfulness, emotions, acceptance, the relationship, values, goals and meta-cognition
Aim towards process-based therapy (PBT) - evidence-based
Behavioural and mental health is about health, not just the absence of disorders
Relational Frame Theory (RFT)
Behavioural theory of language and cognition
ACT views language as the primary root of suffering
Mutual entailment, combiatorial entailment, transformation of function
CBT Cognitive Strategies
Coping strategies: card with problem on one side, strategy on the other
Pie chart analysis of who is at fault
Cost-benefit analysis of negative thought
Thinking in shades of grey
Positive adaptive schemes indentified through socractic questioning
Aim to modify negative automatic thoughts + cognitive distortions (question evidence for certain beliefs)
Core belief test (downward arrow technique)
Belief surverys
CBT Behavioural Strategies
Communication skills
Problem-solving
Worry practice (planning)
Pleasant event scheduling
Graded challenges
Time -out (anger management)
Distraction and thought stopping
Relaxation
Physical exercise
ABC Formulation
How antecedent factors (A), intervening beliefs (B), and consequences (C) maintain the client’s problems
Rational Emotive Behavioural Therapy (REBT)
Not the events, but the beliefs about the events that lead to emotional and behavioural reactivity
Distinguished between irrational/rational beleifs, and healthy/unhealthy responses
Aims to reduce irrational beliefs and promote rational beliefs
Cognitive Theories of Psychopathology
Maladaptive schemas are formed during challenging childhood experiences
A schema is a set of core beliefs (about loss -> depression, about imminent danger -> anxiety disorder, about entitlement + fairness -> anger management issues)
Schemas can be active/inactive, and trigger negative automatic thoughts/cognitive distortions when activated
CBT
Believes negative learning is learnt in the same was as normal learning - attempts to make it more positive
Breaks big problems down into smaller parts
Focuses on current problems, not the past
Things in CBT derived from classical conditioning
Extinction (exposure therapy)
Systematic desensitisation (exposure to fear + relaxation, imaginal or in vivo, can also do flooding)
Things in CBT derived from operant conditioning
Modification of problem behaviour
Maintained by antecedent conditions (like dirt in OCD)/specific consequences (positive/negative reinforcement)
Could use token economies
Broaden-and-build theory
Certain discrete postive emotions all share the abiloty to broaden people’s momentary thought-action repertoires and build their enduring personal resources (physical, intellectual, social, psychological)
Positive psychology
Study of positive emotions, character, and insitutions
ACT
About taught willingness and behaviour
Cognitive defusion
Healthy distancing and non-judgemental awareness
Aims to let clients live in accordance with their values
Models of ELS
Poverty, maltreatment, institutional rearing
Cummulative risk models
