Psychotherapy (incl CBT)

Question 1

Historical Perspective of CBT

Answer 1

Where CBT fits in chronologically
Evolution of CBT
Skinner and Operant conditioning (1953)
Wolpe and reciprocal inhibition (1958)
Aaron Beck in late 1970s

Question 2

Indications for CBT

Answer 2

Depression
OCD
Phobic Disorders
PTSD
Eating Disorders
Bipolar Affective Disorder
Psychosis
Personality Disorder
Sleep Disorder
Substance use Disorders

Question 3

Cross Sectional Formulation - CBT

Answer 3

Question 4

How is CBT delivered?

Answer 4

• Usually 1:1 but can be group
• Face to face, telephone or video
• 8-12 sessions (16 maximum)
• 50 minute sessions, weekly or fortnightly
• Formulation, agenda, tasks, blueprint letter
• Structured and problem-focused

Question 5

• Usually 1:1 but can be group
• Face to face, telephone or video
• 8-12 sessions (16 maximum)
• 50 minute sessions, weekly or fortnightly
• Formulation, agenda, tasks, blueprint letter
• Structured and problem-focused
  
  • What type of psychotherapy?

Answer 5

CBT

Question 6

CBT - Cognitive part vs Behavioural part

Answer 6

• Cognitive - focus on abnormal thinking patterns
  
  • Negative automatic thoughts (NAT)
  • Dysfunctional assumptions
  • Core beliefs
  • Cognitive distortions
• Behavioural - focus on factors that provoke and maintain symptoms
  
  • Avoidance
  • Increased attention

Question 7

CBT - Cognitive part vs Behavioural part

• Cognitive - focus on abnormal thinking patterns
  
  • … … thoughts (NAT)
  • … assumptions
  • Core beliefs
  • Cognitive distortions
• Behavioural - focus on factors that provoke and maintain symptoms
  
  • …
  • Increased …

Answer 7

• Cognitive - focus on abnormal thinking patterns
  
  • Negative automatic thoughts (NAT)
  • Dysfunctional assumptions
  • Core beliefs
  • Cognitive distortions
• Behavioural - focus on factors that provoke and maintain symptoms
  
  • Avoidance
  • Increased attention

Question 8

Unhelpful thinking Patterns

Answer 8

• Mental Filter
• Judgements
• Mind-reading
• Emotional Reasoning
• Prediction
• Mountains and Molehills
• Compare and Despair
• Catastrophising

Question 9

CBT - Conclusions

Answer 9

Good evidence base - equivalent to other therapies

Very positive evidence base

Used in combination with other treatments often