Cognitive behavioural therapy

Question 1

Cognitive therapy

Answer 1

1. ID thoughts
2. challenge thoughts
3. replace thoughts (with a realistic or balanced pov)
4. does that change my feelings or my behaviour

Question 2

‘the plan’ : behavioural changes

Answer 2

• fear hierarchy and behavioural assessment (assessing fear levels based on examples, helps to determine if fear rating are accurate + starting point for treatment)
• exposure using the hierarchy; habituation and extinction
• decrease safety behaviour

Question 3

‘the plan’ : cognitive changes

Answer 3

• with education
• guided threat reappraisal (ID what client might think are triggers of fear and then challenge thier presets)
• feedback (monitoring fear and physiciological symptoms) –> provide evidence that body or mind is habituating
• increased self-efficacy

Question 4

Habitutation

Answer 4

temporary decrease in emotional response as a result of repeated presentation
- occurs in sessions and between sessions

Question 5

Extinction

Answer 5

decreased in learning response as a results of repeated presentation and the absence of reinforcement
-new links are created

Question 6

safety behaviours

Answer 6

• may limit success in treatment ( does not allow for them to feel completely vulnerable= misattribution model, threat transmission model, context learning) –> reduces the availability/processing threat disconfirming info, defensive behaviour activate alarm processes
  ie. hand behind back, pill in pocket ect. ( person dependent )
• Exposure only>placebo=safety use= safety available>wait list ( treatment efficiency)

Question 7

Safety behaviour studies

Answer 7

• treatment specificity (how/groups)

- procedure

Question 8

Anxiety

Answer 8

• upcoming

- adaptive quality

Question 9

Panic

Answer 9

• present ( in the moment )
• response (fight or flight)
• adaptive for immediate risk

Question 10

Maintaining factors

Answer 10

• cognitive
  ie. ‘spiders are horrible’
• behavioural
  ie. avoid places where spiders are

Question 11

Treatments

Answer 11

• will include education to increase rational thinking
• need to reduce the emotional processing associated with conflict ( fear structure in memory exist therefore they need to be activated and manipulated to help en still change)
• monitoring and feedback
• ID safety behaviour

Question 12

Feedback ( Telch et al.2000)

Answer 12

• indi with fear
• exposure only vs. exposure + heart rate feedback vs. exposure + paced tone control / stimulus control
• experimental > paced tone control> exposure control

Question 13

why do safety behaviors interfere with treatment

Answer 13

• misattribution model
• reduces the availability or processing of conflict
• threat transmission model ( defensive behaviours activate alarm processes
• context learning

Question 14

Use of safety behaviour ( Sloan+ Telch (2002))

Answer 14

• exposure vs. exposure+safeties vs. exposure+ guided threat reappraisal
• GTR helped the most to achieve high endstate functioning (pre/post test results)

Question 15

Safety behaviour

Answer 15

• exposure vs. sb available vs. sb used vs. placebo vs. wait-list
• only the exposure only group saw any effect and wait-list had no effect at all ( exposure > sb available=sb used> wait list