Cognitive Behavioral Therapy

Question 1

Cognitive-Behavior Therapy (CBT)

Answer 1

Combines theories/techs. of behavior and cognitive approach.
(both were derived from empirical tradition of clinical psych)
–> so both emphasize data collection to gauge efficacy
–> deemphasize historical/global personality variables
–> similar role for therapists - objective, educational stance towards client, directive and active questioning, assignments, and challenging.

Question 2

CBT Theoretical Foundations:

Answer 2

combination of cognitive and behavior

Question 3

Clinical Applications

Answer 3

All techniques used by either cog/behavioral therapy traditionally.

• -Sessions tend to be more structured - each with an agenda
• -Sessions tend to progress in predictable ways

Durring each session common to..

• review hw progress
• reivew goals/strategies of therapy
• ID specific problems and ~ thoughts and then apply CBT model
• summarize progress
• assign hw for next session

Early on…

• ID mood shifts
• Spot auto thoughts, ID cog errors
• Keep 2 column/2 column thought records
• Conduct behavioral activation

Middle…

• shift to 5 column thought records
• Graded exposure to fears
• Start to get into changing schemas

Later on…

• modify schemas
• 5 column thought records
• plan of action to manage problems
• practice revised schemas
• complete exposure
• prepare termination

Question 4

CBT Relapse Prevention

Answer 4

CBT for substance use disorders.
–> idea that relapse more likely when you engage in thoughts that lead to relapse: like “I owe myself a drink”

then.. once relapse occurs - shame/guilt generate negative emotions that increase probability of continued use.

outcome =
–> ABSTINENCE VIOLATION EFFECT

so. ..
- teach you to monitor ‘risky’ cognitions and replace them with different ways to think.
- also - see relapse as a setback not an excuse to resume use

Question 5

Dialectical Behavior Therapy

Answer 5

Created by Martia Linehan - DBT

used for ppl who display symptoms ~ with borderline personality disorder (like mood swings, fragile self image, impulsive behavior, poor interpersonal relationships)
–> helps them see that almost all events can be thought about from different perspectives.

-tries to encourage seeing world in more integrated/balanced way

• Helps clients contain erratic behaviors (‘containment goals’)
  then. .. helps them confront any traumatic experiences that could have contributed to their emotional problems.
• -> seeks to eliminate self blame and reduce PTSD symptoms, and resolve blame questions.

-Also applied to eating disorders (bulimia), and adolescents with multiple disorders.