Chapter 1,2,3: Introduction, Treatment Overview, Cognitive Conceptualization

Question 1

recovery oriented cognitive therapy

Answer 1

• cognitive model
• a focus on adaptive beliefs and behaviour strategies
• factors that maintain a positive mood
• a focus on clients strengths, personal qualities, skills and resources.
• problems in previous week and address them + future aspirations, values, steps to be taken each week towards goals

Question 2

A typical CBT intervention

Answer 2

• Discuss goal
• Steps towards it e.g. in coming week
• Obstacles in the way
• what to remind yourself before taking the step

*another approach is to ask clients to imagine successfully taking the step, how do they feel emotionally in the image?, experience that feeling right there in the session….helps them to follow through behaviorally

Question 3

Anything you want the client to remember

Answer 3

write it down e.g. agenda, coping card, action plan etc

Question 4

Identify Automatic thoughts by

Answer 4

ask yourself what was going through my mind? when

• you notice shift in your mood
• you want to behave in a certain way e.g. avoiding or adapting
• you notice a shift in your body and physiological symptoms

Question 5

Adaptive Beliefs

Answer 5

EFFECTIVE CORE BELIEFS
• “I am reasonably competent, effective, in control, successful, and useful.”
• “I can reasonably do most things, protect myself, and take care of myself.”
• “I have strengths and weaknesses [in terms of effectiveness, productivity,
achievement].”
• “I have relative freedom.”
• “I mostly measure up to other people.”
LOVABLE CORE BELIEFS
• “I am reasonably lovable, likeable, desirable, attractive, wanted, and cared
for.”
• “I am okay, and my differences don’t impair my relationships.”
• “I am good enough [to be loved by others].”
• “I am unlikely to be abandoned or rejected or end up alone.”
WORTHY CORE BELIEFS
• “I am reasonably worthwhile, acceptable, moral, good, and benign.”

Question 6

Dysfunctional Negative Beliefs

Answer 6

helplessness (being ineffective— in getting things done, self- protection, and/or measuring up to others);
• unlovability (having personal qualities resulting in an inability to get
or maintain love and intimacy from others); and
• worthlessness (being an immoral sinner or dangerous to others).

Question 7

Perception of an event sequence

Answer 7

Core beliefs

Intermediate beliefs (rules, attitudes, assumptions)

Trigger Situation

Automatic thoughts <=> Emotion <=> Behavior

Question 8

Intermediate Beliefs (Attitudes, Rules, Assumptions)

Answer 8

• Attitude: “It’s terrible to fail.”
• Rule: “I should give up if a challenge seems too great.”
• Assumptions: “If I try to do something difficult, I’ll fail. If I avoid
doing it, I’ll be okay.”

Question 9

Internal and external events triggering negative automatic thoughts

Answer 9

• Discrete events (such as failing to get a job offer)
• A stream of thoughts (such as thinking about being unemployed)
• A memory (such as getting fired from a job)
• An image (such as the disapproving face of a boss)
• An emotion (such as noticing how intense one’s dysphoria is)
• A behavior (such as staying in bed)
• A physiological or mental experience (such as noticing one’s rapid
heartbeat or slowed- down thinking)