CBT Flashcards
What kind of socialisation techniques can you use for health anxiety?
Symptom tracking
Intelligent disease metaphor - how would a brain tumour know when it was being reassured?
Selective attention (and for panic disorder)
How could we challenge reassurance?
What is the effect of reassurance on your feelings/symptoms?
How would that work if you were actually ill?
Name 5 change techniques.
Behavioural experiments Testing predictions Survey Paradoxical procedures Reducing reassurance seeking
What are paradoxical procedures?
Increasing coping strategies, e.g. checking
What are 4 hypothesis testing procedures that can be used in CBT?
Pie charts
Theory A/Theory B
Cost/benefit
Evidence/Counter-evidence
In an assessment interview, what are the main pieces of information needed?
Background Info about the problem Stage of change Strengths/weaknesses/other problems Expectations of therapy
When formulating what questions do we need to answer?
What is the problem?
How did it originate?
What is preventing it from being resolved?
How much impact is it having on the person’s life?
Is the person ready to change?
WHIMC
For what does WHIMC stand and to what does it apply?
What? How? Impact Maintaining Change stage When gathering information to formulate
What kind of listening is important in sessions?
Reflective
Name 5 aspects of reflective listening.
Paraphrasing Amplified reflection Affirmation Summarising Reflection of feeling
What is a key feature of a formulation?
It has room for an intervention.
What are the stages of change?
Pre-contemplation Contemplation Preparation Action Maintenance Relapse
What kinds of questions can you ask to assess stage of change?
How do you feel about your… ?
What concerns do you have about… ?
What is the goal of the therapist for a pre-contemplative client?
Move them from ‘NO!’ to ‘I’ll think about it…’
What types of assessment are there?
Interview Self-monitoring Observation Questionnaire Informer
Who is the person to cite for formulation research?
Butler
What are the three strategy areas for intervention techniques in CBT?
Behavioural
Cognitive coping strategies
Cognitive restructuring
List 4 behavioural techniques.
Contingent reinforcement
Activity planning
Relaxation
Role-play/modelling
List 4 cognitive coping strategy techniques.
Problem solving
Self instructional training
Motivation to change
Psychoeducation
List 7 cognitive restructuring techniques.
Thought monitoring Challenging NATs Reality testing Reattribution Making assumptions explicit Identify core beliefs Schema focussed interventions
Who do you name drop for social phobia?
Clark
Who do you name drop for Panic Disorder?
Clark
Who do you name drop for OCD?
Salkovskis
Who do you name drop for GAD?
Dugas
Who do you name drop for PTSD?
Ehlers and Clark
What is one of the central processes in CBT?
Guided discovery
List 5 ways of eliciting NATs.
Recounting a specific episode Worst consequence scenarios Naming emotions/affect shifts Exposure tasks (either in vivo or analogue) Thought diaries
List 5 verbal reattribution techniques.
Defining and operationalising terms Questioning the evidence + Counter evidence (to be done separately) Labelling distortions Psychoeducation Pie charts
Who developed the Triple Column Technique?
Burns (1989)
What is the Triple Column Technique?
Write down NAT and belief rating
ID distortion present
Substitute a rational response (can make these into flashcards)
What are verbal techniques used for?
Loosening beliefs and presenting a foundation for attitude change
What is involved in behavioural reattribution?
Exposure
What is the aim of a behavioural experiment?
Disconfirmation
What process should be followed for a behavioural experiment?
P - prepare (focus on target thought, ID stimuli and behaviours, present rationale)
E - expose
T - test
S -summarise
In what form can dysfunctional appraisals appear?
NAT
Misinterpretation
Worry
Why is avoidance/safety behaviours problematic?
Do not allow disconformatory information to be gathered
They can increase arousal
Can increase salience/frequency of cognitions
Can attribute bad things not happening to that instead of to the fact that they would not happen.
What are the cognitive biases in schema theory?
Information Processing
Judgement
Evaluation
Memory
