CBT for children And adooescents Flashcards
What is Cognitive Behavioural Therapy (CBT)?
An evidence-based psychological intervention recommended for treating anxiety and depression in children and adolescents.
Focuses on modifying maladaptive thoughts and behaviours to improve emotional well-being.
What are the objectives of CBT for children and adolescents?
- Understanding the evidence base supporting CBT
- Learning to apply adapted CBT techniques
- Recognizing challenges in CBT interventions.
What did the systematic review by Sigurvinsdóttir et al. (2019) find about CBT for childhood anxiety disorders?
- Group-based CBT is superior to wait-list control
- Individual and remote CBT are more effective than wait-list and attention control
- Family-based CBT is superior to treatment as usual and wait-list control
- SSRIs were not more effective than individual CBT
- Combination treatment (CBT + medication) was the most effective approach.
What were the findings of the systematic review by Oud et al. (2019) regarding CBT for depression?
- CBT effectively reduces depressive symptoms immediately and at follow-up
- Combining behavioural activation with cognitive restructuring improves long-term outcomes
- Psychoeducation, relaxation, format, setting, and dose showed no significant influence on outcomes.
What does the Social Graces model emphasize in therapy?
- Recognizing biases that may affect therapy
- Understanding clients’ diverse backgrounds, including culture, immigration status, and language barriers.
Give an example of how to apply the Social Graces model in therapy.
- Using interpreters for non-English-speaking families
- Considering trauma from war-torn countries
- Respecting spiritual beliefs regarding mental health.
What are the key assessment areas in CBT for children?
- Developmental history
- School functioning
- Family system
- Risk behaviours.
What tools are used for assessment in CBT?
- Strengths and Difficulties Questionnaire (SDQ)
- Revised Children’s Anxiety and Depression Scale (RCADS)
- Mood and Feelings Questionnaire (MFQ)
- Trauma screening (CRIES).
What engagement strategies can be used in CBT assessments?
- Use emotion-based games
- Visual aids such as distress graphs
- Adjust assessment settings based on client needs.
What are the key elements of CBT formulations for children?
- Patient’s self-view
- Worldview
- View of others.
What is the general approach to CBT for different age groups?
- Ages 5-12: Respond better to behavioural interventions
- Ages 13+: Can incorporate cognitive techniques used in adult CBT.
What is the structure of a CBT session according to Beck (1976)?
- Mood check-in
- Review previous session and homework
- Agenda setting
- Implement CBT strategies.
What techniques are used in CBT for anxiety?
- Psychoeducation
- Thought challenging
- Behavioural experiments and problem-solving.
What techniques are utilized in CBT for depression?
- Psychoeducation
- Behavioural activation techniques
- Increased reliance on visuals and real-life metaphors.
What adaptations are essential for younger clients in CBT?
- Focus on emotional literacy
- Use more repetition and visual aids
- Shorter sessions with breaks.
Fill in the blank: CBT is the _______ treatment for many childhood mental health conditions.
[first-line]
True or False: Engaging caregivers and school systems enhances treatment effectiveness in CBT.
True
Explain the social Graceesss by Burnham (1993)
Recognising biases that may affect the therapeutic relationship such as gender, geography race, religion, age , ability class economic status, education sexuality, spirituality
What are examples of social graces in therapy?
Language- using interpreter when needed
Immigration -consider trauma from water countries
Culture -respecting spiritual beliefs
Families structure - adopting schedule for single parent households
Neighbourhood - addressing external factors such as violence or gangs
Who is a good example from GOSH research that could be used to explain how children develop
BroffenBrenner systems
What are the different types of abuse and neglect?
Physical abuse, emotional abuse, sexual abuse physical neglect, emotional neglect
Explain how interventions should be tailored depending on the children’s age
Children aged between five and 12 respond better to be behavioural interventions
Children aged
13 and over can use more adult CBT elements such as cognitive restructuring
For both there should be removed to check in and a bridge between the previous session and the current session and getting feedback and then setting the agenda for the present session
What are ways to assess mood for children?
Feeling scales or charts
Explaining what anxiety is such as running from the bear in the woods
