Mindfulness

Question 1

cog based and mindful therapies represent a reaction to

Answer 1

both behavioral and psychodynamic therapy

Question 2

the goal of cognitive therapy is to

Answer 2

increase logical thinking and fix faulty thinking because the way we think/interpret effects how we respond to events

Question 3

What are the 3 steps to revising cognitions?

Answer 3

o Identify illogical cognitions (automatic thoughts)
o Challenge them
o Replace them with more logical cognitions

Question 4

how do therapists function with clients?

Answer 4

as teachers

o Educate clients about the cognitive model o Use handouts, mini-lectures, readings
o Written assignments/homework
o Aspire for clients to ultimately be able to use the lessons learned to teach themselves rather than remaining dependent on the teacher

Question 5

what is an example of written homework?

Answer 5

Keep a record of events, interpretations, and feelings

Question 6

what is an example of behavioural homework?

Answer 6

Perform certain behaviors to examine the validity of a

cognition that may be illogical

Question 7

what is a potential homework outline?

Answer 7

1. describe sitch
2. mood
3. thought
4. evidence for the thought
5. evidence against the thought
6. alternative thoughts
7. rate mood

Question 8

Cog therapy is typically (3)

Answer 8

o Relatively brief—often 15 sessions or less
o Structured and planned: Sessions may not be as free-flowing or spontaneous as
in other therapies
o Focused on particular goals determined by client and therapist at the outset

Question 9

What is Albert Ellis’s approach to cog?

Answer 9

Rational Emotive Behaviour Therapy (REBT)

Question 10

Rational Emotive Behaviour Therapy (REBT) Emphasizes a connection between

Answer 10

rationality and emotion

Question 11

What is Albert’s ABCDE model?

Answer 11

o Activating Event (studying)
o Belief (NEED to pass)
o Emotional Consequence (anxiety)
o Dispute (who says you do?)
o Effective New Belief (its not the end of the world
• These five columns provide a format for written records of client experiences
• Also provide a model of understanding and change for client

Question 12

What is Beck’s approach to Cog?

Answer 12

the cognitive triad

Question 13

what is the cognitive triad?

Answer 13

Thoughts about self, external world, future all contribute to our mental health

Question 14

Beck has the Dysfunctional Thought Record instead of

Answer 14

ABCDE format for recording client experiences

• Different column headings, but similar concepts

Question 15

Beck listed some common thought distortions…

Answer 15

• All-or-nothing thinking (no gray area)
• Catastrophizing (unrealistically expecting the worst)
• Magnification/minimization (mountain out of molehill)
• Personalization (assume too much responsibility)
• Overgeneralization (negative thoughts applied too broadly)
• Mental filtering (ignoring positive events and focusing only on negative events)
• Mind reading (presuming to know what others think)

Question 16

what is Beck approach to cog therapy?

Answer 16

says out beliefs are hypothesis and even thought we may think there facts in therapy we put them to the test

Question 17

mindfulness and acceptance based therapies are known as the

Answer 17

third wave therapies

Question 18

What is acceptance and commitment therapy? (ACT)

Answer 18

• Learn to Accept internal psychological experience and stop avoiding
• C= Commit to one’ own personal values
• T = taking action consistent with one’s own values
• Move from FEAR to ACT

Question 19

What is dialectic behaviour therapy for ? why?

Answer 19

• borderline personality disorder BPD

- conceptualized as problem of emotional regulation

Question 20

What are the 3 core practices of DBT?

Answer 20

o Problem solving: think through stressful situations
o Validation – get offended very easily. If they lash out, they only remember what the other person did not what they did that may have hurt the other person.
o Dialectics - resolving simultaneous contradicting feelings (wanting to kill yourself but wanting to live)

Question 21

what is emotional regulation?

Answer 21

o – identifying, describing, and accepting rather than avoiding negative emotions;

Question 22

what is Distress tolerance

Answer 22

being able to tolerate the pain, emphasizes the development of self-soothing techniques, impulse control

Question 23

Interpersonal effectiveness

Answer 23

o clients determine appropriately assertive social skills in order to preserve relationships that might otherwise be damaged by extreme emotional outbursts;

Question 24

Mindfulness skills

Answer 24

– if you’re ever nervous to pull yourself back to the ‘now’

Question 25

What are symptoms of BPD?

Answer 25

o Avoid real or imagined abandonment
o Pattern of unstable/intense interpersonal relationships
o Unstable self-image or sense of self
o Impulsivity in 2 areas self-damaging (e.g., substance abuse, sex to make the pain go away)
o Suicidal behavior/self-mutilation
o Emotion dysregulation
o Chronic feelings of emptiness (loneliness, almost like grief)
o Difficulty controlling anger
o Stress related paranoid ideation

Question 26

Therapists’ Working Assumptions about the Client

Answer 26

1) The client wants to change, and despite appearances, is trying his/her best as a particular time.
2) His/her behavior pattern is understandable given his/her background and present circumstances.
3) In spite of this, he/she needs to try harder if things are able to improve
4) Clients cannot fail at DBT

Question 27

how does the therapist need to be?

Answer 27

• Accepting
• Centered & firm
• Nurturing, but benevolently demanding – the attitude someone has to have when working with these clients
• Almost like authoritative parenting
  Warm
  Clear Limits