Lecture 3 - Case formulation in CBT

Question 1

How do we prepare for the Probing process?

Answer 1

With Active listening:

Listen for:
Experiences - what has happened

Patterns of behaviour - How the client has behaved or responded to a situation

Patterns of thought - What beliefs they have about themselves, other people, events in their lives, as well as what sense they make of their own and others’ behaviours.

Feelings, emotions and moods - Their feelings as they tell their story

Strengths and resources - Clients have strengths and resources not only problems.

Non-verbal messages -Cues as facial expressions, body movements and voice tone.

Question 2

How do we respond to Active Listening?

Answer 2

Head nodding
Encouragers
Paraphrasing
Summarising
Using Keywords said by the client
Ask questions

Question 3

What is SOLER?

Answer 3

Sit squarely
Open posture
Lean in and Lean back occasionally
Eye contact
Relax and be Natural

Question 4

Probing - Case formulation - Components

Answer 4

Identify Vulnerability or predisposing factors - Biological, personality, socialization

Identify Precipitants - Events or symptoms in the PAST - exacerbated the client’s condition

Identify Triggers - Events or symptoms in the PRESENT - pushes the client over the edge

Identify Problem - Current event that pushes the client over the edge into exhibiting dysfunctional behaviour - it is recurring

Identify Perpetuating factors -Reinforcers that increase or maintain a client’s dysfunctional behaviour.

Identify Preventive factors - Adaptive coping strategies which clients use to deal with their problem.

Question 5

What is a dysfunctional behaviour?

Answer 5

If the behaviour is trigged by an activating event

If the abnormal behaviour rewards the client

If there are any thoughts and actions that they trigger the behaviour

The behaviour punishes the client in the long run - sabotage effect