Therapy

Question 1

What is our therapy?

Answer 1

Cognitive Behavioural Therapy

Question 2

What are the aims of CBT?

Answer 2

-People who have mental health issues have faulty thinking processes
-CBT aims to challenge these thoughts and replace them with healthy thoughts
-CBT starts with an assessment where the client tells them their problems they need help with
-CBT aims to create goals for the client to achieve for the session

Question 3

What is component 1 of CBT?

Answer 3

Dysfunctional thought diary

Question 4

DFD- what should the client do at home?

Answer 4

As a way of homework the client must keep a dysfunctional thought diary to record any events leading to the automatic negative emotions

Question 5

DFD- what should the client do in the session

Answer 5

-The client must record the emotions and rate how much they believe it to be true
-After this, the client must right a rational response to this and rate their belief of thus
-Then the client will re-rate their original automatic thought

Question 6

What happens if we have a automatic negative thought at home?

Answer 6

At home- they have the automatic negative though e.g. my friend looked at me funny, they must hate me, when they’ve had this thought they need to rate it
In therapy- talk to therapist about it and they will help you rationalise e.g. they don’t hate you, is that realistic? and then after you write this you rate your belief again
And then the client should re rate the original thought e.g. i am actually liked

Question 7

What is component 2 of CBT?

Answer 7

Cognitive restructuring

Question 8

What is cognitive restructuring?

Answer 8

Identifying and changing the clients thinking pattern
This is done collaboratively known as therapy in therapy

Question 9

Example of cognitive restructuring?

Answer 9

1)Client: automatic negative thoughts e.g. there’s too much to revise, life is over!!!
Therapist: Where is your evidence, this is a FALSE BELIEF
2) Therapist: what can you do if you fail CATASTROPHIZING
3)Therapist: is there anything you can do to reduce failing? RATIONALISING

Question 10

What is component 3 of CBT?

Answer 10

Pleasant activity scheduling

Question 11

What is pleasant activity scheduling?

Answer 11

This us behavioural
Clients must plan a pleasant activity for themselves over a period of time
-The client must then keep a record of these activity’s and how they make them feel, this helps with behavioural activation

Question 12

PAS- how should this make you feel?

Answer 12

-Accomplished
-Break from normal routine
-Feel fun and engaging

Question 13

What are the steps of pleasant activity scheduling?

Answer 13

Having a plan for each day over the week
Behavioural activation
Outcome

Question 14

PAS- what would a plan for each day over week look like?

Answer 14

Monday- See a film
Tues- go out for coffee
etc.

Question 15

PAS- what would behavioural activation look like?

Answer 15

Helping change bad behaviour
Keep a record of activities’ to notice how they’ve helped

Question 16

PAS- what would our outcome look like?

Answer 16

Client begins to move away from negative thinking and realises they can control negative thoughts and manage activity behaviour

Question 17

Applying assumption to therapy- internal mental processes?

Answer 17

IMP means that the best way to understand behaviour is to investigate how an individual thinks about a situation
The cognitive approach means bad mental health is due to maladaptive or negative thoughts and beliefs
-CBT helps this due to the dysfunctional thought diary as it can identify irrational thought processes
And cognitive restructuring can change negative perception, and to present evidence to show this is irrational

Question 18

Applying the assumption to the therapy- schemas?

Answer 18

The cognitive triad of unrealistic negative thoughts e.g.
The self- i am a bad person
The world- my life is terrible
The future- things will never change
-If you have a negative thought a schema may be created causing every thought you have to be negative
-In therapy the aim is to stop this schema interfering with everyday life
-CBT allows us to challenge the negative schema, meaning we will ultimately be able to respond appropriately

Question 19

Applying the assumption to the therapy- Computer analogy?

Answer 19

This suggests we input and store information like computers
CBT can help this as its the process it tries to change
-CBT aims t provide the individual with skills and techniques to challenge irrational thoughts and help the client think rationally about their thoughts so this links to computer analogy as CT challenges to aim clients cog processes compared to software processes
-E.g. asking client to provide evidence for irrational thoughts