Treatment

Question 1

CBT rationale

Answer 1

• Incorporate vignette diagnosis and effectiveness of CBT.
• Time-limited, goal-oriented, collaborative
• It has been studied across cultural groups

Question 2

4 P’s of CBT

Answer 2

• Predisposing Factors: those that put someone at risk of developing a mental health problem. Those include: genetics, life events, temperament
• Precipitating Factors: specific events/triggers to the current problem
• Perpetuating Factors: those that maintain the current problem once it has been established
• Protective Factors: those factors that are strengths or reduce the severity of the problem

Question 3

CBT Formulation: Treatment Goals

Answer 3

• Determine long-term and short-term goals for the client

Question 4

CBT Formulation: Thoughts and Strategies

Answer 4

• Automatic negative thoughts: actual images or thoughts that go through the person’s mind
• Intermediate beliefs/assumptions: these are if, then statements (I must do blank to achieve blank)
• Core Beliefs: Statements about self or world. These are global, rigid, and overgeneralized

Question 5

Stages of CBT Treatment

Answer 5

• Stage 1: Psychoeducation (1-3 weeks)
• Stage 2: Cognitive restructuring (4-12)
  
  • Behavioral activation, fear hierarchy, exposure therapy, identifying emotions
  • Homework
  • Can incorporate other treatment modalities (DBT skills, Mindfulness, ACT)
• Stage 3: Termination and Relapse Prevention
  
  • Consolidation of learning, review progress, discuss possibility of booster sessions.