Cognitive Behavioral Therapy

Question 0

What are some characteristics of CBT?

Answer 0

• Structured, short term, present- oriented therapy
• Directed toward solving current problems and modifying dysfunctional thinking and behavior
• Based on cognitive conceptualization
• Modifies thinking and belief system to bring about enduring emotional and behavioral change
• For lasting change, works on deeper levels of cognitioin (basic beliefs)

Question 1

Who and how was Cognitive Behavioral Therapies developed?

Answer 1

• Aaron Beck in the 1960’s
• Trained in psychoanalysis
• Conducted studies on patients’ dreams to test psychoanalytic theory of depression
• Noticed themes of defectiveness, deprivation, and loss in depressed patients’ dreams and thoughts
• Developed cognitive theory of depression, and later anxiety

Question 2

What is the cbt view of nature?

Answer 2

• Clients’ beliefs have highly person meanings and can be discovered by the client
• People respond to cognitive representations of events rather than the events themselves
• Dysfunctional beliefs can be unlearned and more functional beliefs can be developed
• Dysfunctional emotions and behaviors change when cognitions are modified

Question 3

What are automatic thoughts?

Answer 3

personalized thoughts triggered by an event/ stimuli that lead to an emotional response

Question 4

What are core beliefs and how do they play a role in cbt?

Answer 4

• Our most basic, fundamental beliefs
• It is global and applies to situations in general
• Determines how individuals arrange, categorize, and interpret their experiences

Question 5

How do core beliefs develop?

Answer 5

Early in life as a result of biological, developmental, and environmental factors

Question 6

Can core beliefs be functional or dysfunctional?

Answer 6

they can be both

Question 7

Dysfunctional____ impair reality testing and ability to think reasonably. What is an example?

Answer 7

Schemas/ I am an unloveable

Question 8

What are intermediate beliefs?

Answer 8

• Development of Ib’s influenced by core beliefs
• Include attitudes, assumptions and rules
• Often unarticulated

Question 9

How do intermediate beliefs influence an individuals behaviors?

Answer 9

They influence how one views situations, which in turn influence how one thinks, feels and ultimately behaves

Question 10

What are goals of CBT?

Answer 10

• increase awareness of the role of cognition in emotional and behavioral problems.
• Increase ability to identify and respond to dysfunctional cognitions
• Therapists teach clients to become their own cognitive therapist

Question 11

What is the clients role in CBT?

Answer 11

• An active partner
• As a student, takes notes during sessions, and complete hw
• Moves from dependecy to independence

Question 12

What is the therapist’s role in the therapeutic process?

Answer 12

• Collaborative partner and teacher
• Provides support necessary or sufficient for success
• Therapist engenders responsible dependecy in client

Question 13

How are initial sessions essential to build rapport?

Answer 13

• The focus is on problem definition, goal setting and symptom relief.
• Therapist provides psycho-education in initial sessions
• Behavioral Interventions may be more prominent

Question 14

What do the middle sessions in the therapeutic process consist of?

Answer 14

• Emphasis shifts from symptoms to patterns of thinking
• Shift from focus on automatic thoughts to intermediate and core beliefs
• Termination

Question 15

What is guided discovery?

Answer 15

Asking questions to help clients help gain distance from thoughts, evaluate their validity and utility, and decatastrophize fears
Ex: What was going through your mind right now.

Question 16

What are some examples of guided discovery questions?

Answer 16

What is the evidence that your thought is true?
What is the evidence on the other side?
What is an alternative way of viewing this situation?
What is the worst that could happen, and how could you cope with if it did? what’s the most realistic outcome?
If your friend or family member were in this situation and had the same automatic thought, what advide would you give him or her?

Question 17

What is the purpose of behavioral experiments?

Answer 17

Therapist jointly designs behavioral experiments to test clients predictions when feasible.

Question 18

How is change affected by Behavioral Experiments?

Answer 18

Change is more profound if cognition is amenable to behavioral experimentation that will disconfirm its validity

Question 19

What is therapeutic process consist of?

Answer 19

Homework
emphasis on the positive
developed colaboratively
includes logs of activity
includes behavioral experiments
Bibliotherapy