Therapy Flashcards
What is our therapy?
Cognitive Behavioural Therapy
What are the aims of CBT?
-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
What is component 1 of CBT?
Dysfunctional thought diary
DFD- what should the client do at home?
As a way of homework the client must keep a dysfunctional thought diary to record any events leading to the automatic negative emotions
DFD- what should the client do in the session
-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
What happens if we have a automatic negative thought at home?
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
What is component 2 of CBT?
Cognitive restructuring
What is cognitive restructuring?
Identifying and changing the clients thinking pattern
This is done collaboratively known as therapy in therapy
Example of cognitive restructuring?
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
What is component 3 of CBT?
Pleasant activity scheduling
What is pleasant activity scheduling?
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
PAS- how should this make you feel?
-Accomplished
-Break from normal routine
-Feel fun and engaging
What are the steps of pleasant activity scheduling?
Having a plan for each day over the week
Behavioural activation
Outcome
PAS- what would a plan for each day over week look like?
Monday- See a film
Tues- go out for coffee
etc.
PAS- what would behavioural activation look like?
Helping change bad behaviour
Keep a record of activities’ to notice how they’ve helped
PAS- what would our outcome look like?
Client begins to move away from negative thinking and realises they can control negative thoughts and manage activity behaviour
Applying assumption to therapy- internal mental processes?
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
Applying the assumption to the therapy- schemas?
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
Applying the assumption to the therapy- Computer analogy?
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
