Intro to CBT Flashcards
What’s the big picture goal of CBT?
Get people to think differently, more objectively situations they encounter.
Should you wait until “the patient is ready to change” before starting CBT?
No. CBT might be useful in helping them even realize they have a problem.
What’s collaborative empiricism?
Figuring out what’s going on with patient by generating hypothesis and testing them. (kind of like the rest of medicine… but with talking and asking questions as the diagnostic test)
CBT works mostly on the conscious levels, but what unconscious processes does it try to tap into?
“Early maladaptive schemas” - unlovability, incompetence, mistrust, dependence, entitlement, etc.
Does CBT more focus on past or present issues?
More on present - figuring out how patient thinks about / deals with situations and how to modify that in the future.
Why would CBT therapists resent CBT being called the “power of positive thinking”?
Because the goal is objective thinking, not denial / repression.
7 key elements of a CBT session?
Agenda Mood check Capsule summaries / Feedback Focus on key cognitions / behaviors Homework A collaborative alliance
What are 3 standard techniques used in CBT?
Rational responding - objective questions about situation, eg. “How else could I have responded to this situation?”
Self monitoring.
Behavioral experiments.
3 advanced techniques of CBT?
Role-playing: swapping roles, devil’s advocate, etc.
Metaphors
Guided Imagery
How can homework be treated as a no-lose situation?
If they do it, it’s a good time to practice skills.
If they don’t do it, it’s an opportunity for them to analyze the thought processes that keep them from doing it.
Why do you ask somebody how likely they are do their homework?
Asking them why they feel unsure if they’ll do it can give insight into the problematic thought processes.