Lecture 10 - What happens when CBT does not work? Flashcards
What are the limitations of CBT?
Only reduces symptoms
Inadvertently encourages emotional avoidance strategies
Inadvertently generates negative beliefs
What is Acceptance and Commitment Therapy? (ACT)
It is rooted in Relational Frame Theory (RFT) (Linguistic concept)
Incorporates psychological acceptance
Incorporates mindfulness processes
Encourages commitment to behavioural changes
It is more psychological flexible having more coping strategies
It is more psychological flexible having more perspectives to see the problem
It is more psychological flexible as has more creativity to deal with novel problems.
What is Psychological Inflexibility?
F usion with thoughts
E valuation of experience
A avoidance of experience
R season-giving for behaviour
What is Psychological Flexibility?
A ccepts reactions
C hoose a valued direction
T ake action
What are the processes of ACT?
Focus on accepting life as it is with good and bad thoughts , they are just thoughts
Cognitive defusion - thoughts don’t kill
Acceptance
Observing self as context
Focuses on the here and now
Values - discovering what is important to self
Committed action
What is Dialetical Behaviour Therapy used for?
Therapy to treat borderline personality disorder
What is Dialetical Behaviour Therapy effective for treating?
TBIs traumatic brain injury
Eating disorders
Mood disorders and suicidal ideation
Anxiety disorders
Overlaps with ACT
What are the principles of DBT? Dialectical behaviour therapy
Cannot change clients and therapists all the time
Thesis + Anti-Thesis =. Synthesis
Alters adversarial nature of client-therapist relationship in favour of alliance based on intersubjective tough love.
Has 4 components: individual treatment - Group treatment - Therapist consultation team - Phone coaching
How do you make DBT work?
Using:
Mindfulness
Distress tolerance
Emotion regulation
Build effective Health habits
Build interpersonal effectiveness
How to apply Motivational interviewing?
Identify the behavioural changes
Express empathy
Develop discrepancies
Avoid arguments
Roll with resistance
Support self-efficacy
How do you develop discrepancies in MI (Motivational Interviewing)?
Affirmations
Recognise existing strengths
How do you avoid Arguments in MI?
Reflecting Pros and Cons
Facilitate the identification of ambivalence
How do you Roll with resistance in MI?
Follow up with Developing discrepancy
How do you support Self-efficacy in MI?
Identify client’s driven strengths
Skip stages that client is good at
