Lecture 3 - Treating Anxiety: CBT Flashcards
What does Beck (1976) propose about disorders?
Dysfunction occurs from an individuals interpretation of events which influences behaviour
Situation -> Negative Automatic Thoughts -> Reaction (Emotion / Behaviour)
What do cognitive theory principles argue?
- Emotional disorders maintained by thinking disorder
- Negative interpretations involve distortions in thinking
- Biased processing manifests as automatic thoughts (content specific)
- Distortions and automatic thoughts reflect the operation of underlying beliefs (schemas)
What is Clark’s Panic Model (1986)?
Panic results from catastrophic misinterpretation of internal sensations
Trigger Stimulus (internal or external) -> perceived threat -> apprehension (scared) -> Body sensations -> Interpret sensations as catastrophic (going to have a heart attack)
LOOP!
What is the recovery rate in GAD and MDD with CBT?
50%
Higher in panic and social phobias
How did Covid effect CBT?
- Less people attended online
What is the paradigm shift - beyond CBT
Metacognitive Therapy - Wells
What is Metacognitive Therapy?
Psychological distress maintained by style of thinking (worry and rumination impacts threat perception and unhelpful coping strategies)
- Focuses on reducing worry by modifying metacognitive beliefs
- Choosing to leave thoughts alone
What are behaviours?
Control processes that maintain psychological distress, prolong maladaptive thinking and maintain maladaptive metacognition - more thinking, suppression of trigger thoughts, avoidance
What does CBT focus on in anxiety?
Reducing the amount of worry through applied relaxation, general cognitive therapy and coping rehearsal during imaginal exposures.
What are the recovery rates of Metacognitive Therapy?
72-80%
65% patients recovered after MCT compared with 38% after CBT
