Cognitive Behavioural Strategies Flashcards

1
Q

What is Behaviour Modification?

A

Behaviour Modification is a therapeutic approach that uses principles of learning theory to change maladaptive behaviours. It involves the application of operant conditioning techniques to increase desirable behaviours and decrease undesirable ones.

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2
Q

Regarding Operant Conditioning, what is positive and negative Reinforcement?

A

Positive Reinforcement: Adding a stimulus to increase the likelihood of a behaviour (e.g., giving a child a treat for completing homework).

Negative Reinforcement: Removing a stimulus to increase the likelihood of a behaviour (e.g., turning off a loud alarm when a task is completed).

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3
Q

Regarding Operant Conditioning, what is positive and negative Punishment?

A

Positive Punishment: Adding a stimulus to decrease the likelihood of a behaviour (e.g., scolding a child for misbehaviour).

Negative Punishment: Removing a stimulus to decrease the likelihood of a behaviour (e.g., taking away a toy for breaking a rule).

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4
Q

In Operant Conditioning, what are the differences between Continuous and Partial Reinforcement?

A

Continuous Reinforcement: Reinforcement is provided every time the desired behaviour occurs. Leads to rapid acquisition of behaviour but also rapid extinction once reinforcement stops. Often used during the initial stages of learning to establish a new behaviour.

Partial Reinforcement: Reinforcement is provided only some of the time the desired behaviour occurs. This can include fixed or variable schedules of reinforcement. Leads to slower acquisition of behaviour but greater resistance to extinction. Commonly used to maintain established behaviours over time.

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5
Q

In Operant Conditioning, what is the difference between Fixed-Ratio Schedule and Variable-Ratio Schedule?

A

Fixed-Ratio Schedule: Reinforcement is given after a set number of responses (e.g., a salesperson receives a bonus after every 10 sales).

Variable-Ratio Schedule: Reinforcement is given after an unpredictable number of responses (e.g., gambling or lottery systems).

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6
Q

In Operant Conditioning, what is the difference between Fixed-Interval Schedule and Variable-Interval Schedule?

A

Fixed-Interval Schedule: Reinforcement is given after a fixed amount of time has passed (e.g., a weekly pay check).

Variable-Interval Schedule: Reinforcement is given after varying amounts of time (e.g., checking for emails).

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7
Q

In Behaviour Modification, what is Shaping?

A

Shaping involves gradually teaching a new behaviour through the reinforcement of successive approximations of the desired behaviour.

The technique involves reinforcing any behaviour that is similar to the desired behaviour, then gradually require behaviours that are closer to the desired behaviour before providing reinforcement.

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8
Q

In Behaviour Modification, what is Extinction?

A

Extinction is the process of reducing a behaviour by withholding reinforcement for that behaviour.

The technique involves identification and elimination of the reinforcement that maintains the unwanted behaviour. Over time, the behaviour will decrease and eventually stop.

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9
Q

In Behaviour Modification, what is Modelling?

A

Modelling involves learning new behaviours by observing and imitating others.

The technique involves demonstrating the desired behaviour and encouraging the individual to imitate it.

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10
Q

What is Exposure Therapy?

A

Exposure Therapy is a behavioural treatment technique used to help individuals confront and reduce their fear and anxiety responses to specific situations, objects, or thoughts. It is commonly used to treat various anxiety disorders, including phobias, social anxiety disorder, and post-traumatic stress disorder (PTSD).

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11
Q

In Exposure Therapy, what is Gradual Exposure?

A

Gradual Exposure is where clients are gradually exposed to the feared object or situation in a controlled and systematic manner. Exposure is typically conducted in a hierarchical manner, starting with less anxiety-provoking situations and gradually progressing to more challenging ones.

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12
Q

In Exposure Therapy, what is the difference between In Vivo Exposure and Imaginal Exposure?

A

In Vivo Exposure: Direct exposure to the feared object or situation in real life (e.g., a person afraid of dogs spends time with a friendly dog).

Imaginal Exposure: Exposure through imagination, where clients visualise the feared situation or object (e.g., imagining a traumatic event).

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13
Q

In Exposure Therapy, what is the Interoceptive Exposure?

A

Interoceptive Exposure involves exposure to physical sensations that are feared (e.g., intentionally inducing dizziness in a client with panic disorder).

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14
Q

In Exposure Therapy, what is Habituation?

A

Habituation is the process of reducing fear responses through repeated exposure to the feared stimulus, leading to a decrease in anxiety over time. The goal is to help clients realise that their anxiety decreases naturally after prolonged exposure, without any actual harm occurring.

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15
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16
Q

In Exposure Therapy, what is Systematic Desensitisation?

A

Systematic Desensitisation is a specific type of exposure therapy that combines gradual exposure with relaxation techniques.
Clients learn relaxation strategies (e.g., deep breathing, progressive muscle relaxation) and apply them while being gradually exposed to the feared stimuli.

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17
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18
Q

In Exposure Therapy, what is Flooding?

A

Flooding is a more intensive form of exposure where clients are exposed to the most feared object or situation for a prolonged period without gradual build up. This method can be effective but is often more distressing and less commonly used than gradual exposure.

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19
Q

How does Exposure Therapy assist in treating Phobias?

A

Phobias: Clients are gradually exposed to the feared object or situation (e.g., heights, spiders) to reduce their fear response.

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20
Q

How does Exposure Therapy assist in treating Social Anxiety Disorder?

A

Social Anxiety Disorder: Exposure to social situations that provoke anxiety (e.g., public speaking, social gatherings).

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21
Q

How does Exposure Therapy assist in treating PTSD?

A

PTSD: Imaginal exposure to traumatic memories to process and reduce the emotional impact of the trauma.

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22
Q

How does Exposure Therapy assist in treating Panic Disorder?

A

Panic Disorder: Interoceptive exposure to physical sensations associated with panic attacks (e.g., increased heart rate, shortness of breath).

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23
Q

What is Behavioural Activation?

A

Behavioural Activation (BA) is a therapeutic approach used primarily to treat depression. It focuses on helping individuals engage in activities that are aligned with their values and interests, thereby improving their mood and reducing depressive symptoms.

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24
Q

What is the premise of Behavioural Activation?

A

The premise of Behavioural Activation is that engagement in rewarding and meaningful activities can help counteract the patterns of avoidance, inactivity, and withdrawal that often accompany depression.

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25
Q

In Behavioural Activation, what is Activity Scheduling?

A

Activity Scheduling involves planning and scheduling activities that are likely to improve the client’s mood and provide a sense of accomplishment.

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26
Q

What are Cognitive Interventions?

A

Cognitive Interventions are techniques used in Cognitive Behaviour Therapy (CBT) to help individuals identify, challenge, and modify distorted or maladaptive thought patterns. These interventions aim to change the way individuals think about themselves, others, and the world, thereby improving their emotional and behavioural responses

27
Q

Regarding Cognitive Interventions, what is Cognitive Restructuring?

A

Cognitive Restructuring is a process of identifying and challenging negative or distorted thoughts and replacing them with more realistic and positive ones. The therapist helps the client recognise cognitive distortions (e.g., all-or-nothing thinking, catastrophising) and develop healthier thinking patterns.

28
Q

Regarding Cognitive Interventions, what are Thought Records?

A

Thought Records is a tool used to track and evaluate automatic thoughts, emotions, and responses to various situations. Clients record situations that trigger strong emotions, their automatic thoughts, the emotions and behaviours that follow, and evidence for and against their thoughts.

29
Q

Regarding Cognitive Interventions, what is Socratic Questioning?

A

Socratic Questioning is a technique that involves asking guided questions to help clients examine the validity and utility of their thoughts. Therapists use a series of questions to challenge the client’s beliefs and assumptions, leading them to discover alternative perspectives.

30
Q

Regarding Cognitive Interventions, what is Decatastrophising?

A

Decatastrophising is a technique used to help clients evaluate and reduce the perceived severity of feared outcomes. Clients are encouraged to consider the worst-case scenario, the likelihood of it happening, and how they would cope if it did occur.

31
Q

Regarding Cognitive Interventions, what are Behavioural Experiments?

A

Behavioural Experiments involve planned activities used to test the validity of clients’ beliefs and assumptions in real-life situations. Clients design and carry out experiments to gather evidence about their thoughts and beliefs.

32
Q

Regarding Cognitive Interventions, what is Mindfulness-Based Cognitive Therapy?

A

Mindfulness-Based Cognitive Therapy (MBCT) combines traditional cognitive therapy with mindfulness strategies to help clients become more aware of their thoughts and feelings in the present moment. Clients practice mindfulness meditation and exercises to observe their thoughts without judgment and reduce automatic, negative reactions.

33
Q

Regarding Cognitive Interventions, what is Cognitive Behavioural Journaling?

A

Cognitive Behavioural Journaling involves writing down thoughts, feelings, and behaviours to identify patterns and triggers. Clients keep a journal to log situations, their emotional responses, and their thoughts and behaviours related to those situations.

34
Q

How do Cognitive Interventions assist treating Depression?

A

Depression: Cognitive restructuring to challenge negative thought patterns contributing to depressive symptoms.

35
Q

How do Cognitive Interventions assist treating Anxiety Disorders?

A

Anxiety Disorders: Thought records and decatastrophising to address catastrophic thinking and reduce anxiety.

36
Q

How do Cognitive Interventions assist treating PTSD?

A

PTSD: Socratic questioning and behavioural experiments to challenge trauma-related beliefs and assumptions.

37
Q

How do Cognitive Interventions assist treating OCD?

A

OCD: Thought records and cognitive restructuring to address obsessive thoughts and reduce compulsive behaviours.

38
Q

What are Acceptance Strategies?

A

Acceptance Strategies are therapeutic techniques used to help individuals accept their thoughts, feelings, and experiences without judgment or resistance. These strategies are central to Acceptance and Commitment Therapy (ACT) and other mindfulness-based approaches. The goal is to reduce the struggle against unwanted experiences and promote psychological flexibility.

39
Q

Regarding Acceptance Strategies, what is Mindfulness?

A

Mindfulness involves paying attention to the present moment with an attitude of openness and non-judgment. Clients practice mindfulness meditation and exercises to become more aware of their thoughts, feelings, and sensations without trying to change them.

40
Q

Regarding Acceptance Strategies, what is Cognitive Defusion?

A

Cognitive Defusion is changing the way one interacts with or relates to thoughts, rather than trying to change the thoughts themselves. Clients learn to see their thoughts as just thoughts, not as facts or truths, by using metaphors, visualisation, and language exercises.

41
Q

Regarding Acceptance Strategies, what is Acceptance and Commitment?

A

Acceptance is accepting thoughts and feelings as they are, and Commitment involves committing to actions that align with personal values. Clients clarify their values and set goals based on those values, while learning to accept and coexist with their internal experiences.

42
Q

Regarding Acceptance Strategies, what is Values Clarification?

A

Values Clarification is involves identifying and articulating what is truly important and meaningful to the individual. Clients engage in exercises and discussions to explore their core values and how they want to live their lives.

43
Q

Regarding Acceptance Strategies, what is Experiential Acceptance?

A

Experiential Acceptance involves fully experiencing thoughts, feelings, and sensations without trying to avoid or escape them. Clients practice exercises that encourage them to stay with their experiences, even if they are uncomfortable, and to observe them with curiosity and openness.

44
Q

Regarding Acceptance Strategies, what is Behavioural Commitment?

A

Behavioural Commitment involves taking actions that are consistent with one’s values, even in the presence of difficult thoughts and feelings. Clients set specific, value-based goals and create action plans to achieve them, while learning to accept and manage any obstacles that arise.

45
Q

How do Acceptance Strategies assist in treating Anxiety Disorders?

A

Anxiety Disorders: Acceptance strategies help clients accept and tolerate anxiety, reducing avoidance behaviours.

46
Q

How do Acceptance Strategies assist in treating Depression?

A

Depression: Encouraging acceptance of negative thoughts and feelings can reduce rumination and increase engagement in meaningful activities.

47
Q

How do Acceptance Strategies assist in treating Chronic Pain?

A

Chronic Pain: Acceptance strategies help individuals cope with pain by reducing the struggle against it and improving quality of life.

48
Q

How do Acceptance Strategies assist in treating PTSD?

A

PTSD: Acceptance of traumatic memories and associated feelings can reduce avoidance and facilitate healing.

49
Q

What are Self-Management Strategies?

A

Self-Management Strategies are techniques that help individuals take an active role in managing their thoughts, emotions, and behaviours. These strategies empower clients to regulate their own actions and make positive changes in their lives. Self-management is often a key component in various therapeutic approaches, including Cognitive Behaviour Therapy (CBT) and Dialectical Behaviour Therapy (DBT).

50
Q

Regarding Self Management Strategies, what is Goal Setting?

A

Goal Setting involves establishing clear, achievable goals to guide behaviour change. Clients set specific, measurable, attainable, relevant, and time-bound (SMART) goals.

51
Q

Regarding Self Management Strategies, what is Self-Monitoring?

A

Self-Monitoring involves tracking one’s own behaviours, thoughts, and emotions to increase self-awareness. Clients keep logs or journals to record specific behaviours and their triggers.

52
Q

Regarding Self Management Strategies, what is Time Management?

A

Time Management involves planning and organising time effectively to enhance productivity and reduce stress. Clients use tools such as planners, to-do lists, and scheduling apps to manage their time.

53
Q

Regarding Self Management Strategies, what is Assertiveness Training?

A

Assertiveness Training involves learning to express thoughts, feelings, and needs in a clear, direct, and respectful manner.
Clients practice assertive communication techniques through role-playing and real-life practice.

54
Q

What is Relapse Prevention?

A

Relapse Prevention is a cognitive-behavioural approach designed to help individuals maintain behavioural changes and prevent a return to problematic behaviours or substance use. This strategy is particularly important in the treatment of substance use disorders, but it is also applicable to other areas such as managing chronic illnesses, mental health disorders, and maintaining healthy lifestyle changes.

55
Q

What are the 3 Phases of Relapse

A

Emotional Relapse: Increased stress, poor self-care, and emotional triggers that set the stage for relapse.

Mental Relapse: Internal conflict between wanting to stay sober and wanting to return to the addictive behaviour.

Physical Relapse: Actual return to the problematic behaviour or substance use.

56
Q

What is a Relapse Prevention Plan?

A

A Relapse Prevention Plan is a structured plan that outlines specific strategies to prevent and manage relapse. Clients and therapists collaborate to create a comprehensive plan that includes coping strategies, support networks, and emergency contacts.

57
Q

What is Progressive Muscle Relaxation?

A

Progressive Muscle Relaxation (PMR) is a relaxation technique that involves systematically tensing and then relaxing different muscle groups in the body. The goal is to help individuals reduce physical tension and stress, promote relaxation, and increase awareness of bodily sensations.

58
Q

What is Systematic Tensing and Relaxing?

A

Systematic Tensing and Relaxing in PMR involves tensing specific muscle groups for a few seconds and then relaxing them, progressing through the body. Clients are guided to tense a muscle group (e.g., the muscles in their hands), hold the tension for about 5-10 seconds, and then release the tension, noticing the difference between tension and relaxation.

59
Q

What are 4 benefits of Progressive Muscle Relaxation?

A

Physical Relaxation
Emotional-Wellbeing
Improved Sleep
Pain Management

60
Q

What is Breathing Retraining?

A

Breathing Retraining is a therapeutic technique designed to help individuals learn how to control their breathing patterns to improve physical and emotional well-being. It is commonly used to manage symptoms of anxiety, panic disorders, and other conditions where improper breathing patterns contribute to discomfort.

61
Q

What is Diaphragmatic (Abdominal) Breathing?

A

In Diaphragmatic (Abdominal) Breathing, clients are taught to breathe deeply into their diaphragm, causing their abdomen to rise and fall with each breath.

The purpose is to promote relaxation and reduce stress by encouraging deep, efficient breaths that engage the diaphragm rather than shallow chest breathing.

62
Q

What is Paced Breathing?

A

Paced Breathing involves controlling the timing of breaths to slow down the breathing rate. (e.g. inhale for 4 seconds, exhale for 4 seconds)

The purpose is to regulate the breathing rate and promote a sense of calm.

63
Q

What is Breath Counting?

A

Breath Counting is a mindfulness exercise where clients focus on counting each breath to enhance concentration and reduce anxiety.

The purpose is to shift focus away from stressors and promotes mindfulness.