Flashcards in Adapting CBT Deck (18):
What interview schedule can you use when working with families?
Darlington Family Interview Schedule
What needs to be considered when assessing whether someone is suitable for CBT?
Can they link emotions and events?
Can they link beliefs with this?
What needs to be emphasised when doing cognitive therapy with people with learning disabilities?
Psychoeducation in emotional recognition and language
What kinds of things are most useful to ask people with learning disabilities?
Immediate and concrete
Present or recent past
Short and simple
What are maturity factors in CBT?
Natural changes that occur with age.
What are the Specific Challenge Factors for older adults in CBT?
Illness, social isolation, bereavement etc.
Name four factors that can contribute to your understanding of an older person.
What are the key findings from Laidlaw et al. (2003)?
Evidence for CBT in older adults is stronger than for other forms of therapy
Individual therapy is better than group for older adults
Psychotherapy seems as effective as medication
There is very little literature studying the outcomes on the older-old.
What did Laidlaw et al. (2003) address?
The effectiveness of CBT with older adults.
Who studied the effectiveness of CBT with older adults?
Laidlaw et al. (2003)
Who outlines the challenges of psychotherapy with older adults?
Laidlaw and Pachana (2009)
What are the 6 extra factors added to formulation for older adults by Laidlaw et al. (2003)?
What is the best approach to formulating with older adults?
Concrete and staged 'mini'-formulations to socialise
What adaptations may be helpful to intervention when working with older adults?
Increased emphasis on rapport and relationship building
Increased emphasis on socialisation to therapy and psycho-education
Including others can often be useful (e.g. co-therapists)
Greater attention to behavioural and interpersonal factors in formulation
What kinds of cognitive strategies are most helpful when working with older adults?
'Re-activating' positive coping strategies
More emphasis on the 'usefulness' and meaning of NATs
Aware of internalised ageism
Instead of looking for evidence, what should we address in older adults?
Reflecting on the effect/impact of thinking in a certain way
Reflecting on helpfulness of thought/response
Look at the motivation to continue to respond in this way
What procedural modifications need to be made for older adults?
Tackling cognitive changes
Tackling sensory impairment
Awareness of physical health
Consider therapy setting and format
Be aware of verbosity from the client