Cognitive Behavioral Therapy Flashcards
why is CBT appealing
clear treatment approach, patients have sense of control/mastery, provides specific tools to use, encourages practice and compliance
main goals of CBT
seeks to modify behaviors and beliefs, attitudes and cognitive styles.
1. unlearn unwanted reactions and learn new behaviors
2. challenge distorted thoughts about situations
3. test out alternatives in the real world
three big factors of CBT
- Cognitions (thinking)
- behaviors (doing)
- emotions (feeling)
all three. influence each other, if you change one of these you change the others
what does affect mean
it’s a word for a client’s mood/feelings
underlying assumptions of CBT
- attend to overt behavior
- behavior is learned, can be unlearned
- most effective = integration cognitive + behavioral
- focus on present to change behavior
- presenting problem is focus of treatment
- clear, specific goals
- therapist should be active, directive, prescriptive
- relationship important, but not enough
- therapist is applied behavioral scientist
CBT vs psychodynamic
CBT focuses on thoughts & behaviors, it’s structures/manualized, emphasizes current behavior
psychodynamic focuses on interpersonal dynamics/relationships, less structured, emphasizes current behavior AND past experiences
what is Ellies’s Cognitive Model
ABCs
A - Activating event
B - Belief
C - Consequence
common CBT techniques
- operant conditioning, positive reinforcement
- socratic questioning
- self-monitoring
- systematic desensitization
- behavioral experiments
- cognitive rehearsal
- assertiveness and social skills training
- activity scheduling/behavioral activation
- homework
goal of mindfulness approaches
aim to enhance clients’ ability to recognize thought processes and detach from distressing thoughts and emotions through mindfulness exercises, accept feelings and emotions
mindfulness-based treatments
- mindfulness-based stress reduction
- dialectical behavioral therapy
- acceptance & commitment therapy