CBT

Question 1

Theory of Change

Answer 1

Change occurs by learning to modify dysfunctional patterns. Once a patient understands the relationship between thoughts, feelings, and behaviors, they are able to modify change the patterns of thinking to cope with stressors in a more positive manner.

Question 2

Role of the therapist

Answer 2

Collaborative teacher who uses structural learning experiences to teach patients to Monitor and write down negative thoughts and mental images. The goal is to recognize how those ideas affect their mood, behavior, and physical condition. Therapist also teaching coping skills such as problem-solving and scheduling pleasurable experiences. Therapist creates structural sessions and provides home for clients to continue to work on problem in between visits.

Question 3

Treatment goals

Answer 3

Patient learn to recognize negative patterns of thought, evaluate their validity, and replace them with healthier waste of thinking. Patient symptoms or problems are relieved patient developed positive positive coping skills and strategies

Question 4

Negative cognitive triad

Answer 4

1. View of Self (“ I’m not Worth anything.”)
2. View of the World (“everybody hates me.”)
3. View of prospects for the future (“There are no hopes for my future.”)

Question 5

Automatic Thoughts

Answer 5

Thoughts about ourselves or others that individuals are often not aware of and thus are not assessed for accuracy or relevancy.

Question 6

Maladaptive Automatic Thoughts

Answer 6

These are automatic thoughts that are typically centered on negative themes or distorted reflections that are accepted as true.

Question 7

Schemas

Answer 7

A network of rules or templates for information processing that are shaped by developmental influences and other life experiences. These rules dictate how individuals think about an interpret the world and play a role in regulating self-worth and coping skills. Changing schema is a major target of CBT.

Question 8

Overgeneralization

Answer 8

A single negative event is seen as a never-ending pattern of defeat. One mistake leads to “I never do anything right.”

Question 9

Arbitrary Inference

Answer 9

Cognitive distortion that leads to drawing conclusions without evidence or facts to support those conclusions.

Question 10

Selective Abstraction

Answer 10

Attending to detail while ignoring total context. Taking detail out of context and missing the totality of the situation.

Question 11

Personalization

Answer 11

Seeing yourself as a cause of negative external event.

Question 12

Polarized thinking

Answer 12

Thinking and extremes, viewing things as black or White.

Question 13

Interventions:

Answer 13

Teach the client about negative triad.

Question 14

Interventions: Socratic questioning

Answer 14

Questioning allows the therapist to stimulate the client self-awareness, Focus on the problem definition, expose the clients belief system, and challenge the rational beliefs what revealing the clients cognitive processes.

Question 15

Interventions: reframing

Answer 15

Thinking differently by reframing negative or untrue assumptions and thoughts into ones that promote adaptive behavior unless and lessen anxiety and depression.

Question 16

Interventions: cognitive restructuring

Answer 16

Teaches the client identify irrational distorted or maladaptive beliefs, question the evidence for the belief and generate alternative responses..

Question 17

Interventions: homework

Answer 17

To assist with cognitive restructuring, clients are often assigned homework typically CBT homework assignments may include activities and behavior activation, monitoring automatic thoughts, reviewing the previous therapy session, and preparing for the next therapy session.

Question 18

Interventions: Self monitoring

Answer 18

Also call diary work, self monitoring is used to record the amount of degree of thoughts and behaviors. This provides the client and therapist information regarding the degree of a client negative affirmations.

Question 19

Interventions: behavioral experiments

Answer 19

Experiment process includes experiencing, observing, reflecting, and planning. These steps are conducted through thought testing, discovery, activity, and or observation.

Question 20

Interventions: systematic desensitization

Answer 20

Systematic desensitization Pairs relaxation with exposure to something stressful. Clients are taught to relax and inside producing situations.

Question 21

Interventions: anxiety management training

Answer 21

Teaches skills for specific situation using imagery. The client practices relaxation until anxiety is reduced and continues with imagery.

Question 22

Interventions: assertiveness training

Answer 22

Teaches the client to specify desires and needs using minimally effective responses to assert their position. Use with unassertive or overly aggressive clients.

Question 23

Interventions: behavioral activation

Answer 23

Increases activity for depressed or passive clients by using activity scheduling and incentives.

Question 24

Interventions: Communication skills training

Answer 24

Used in couples therapy to help couple talk about feelings and problems.

Question 25

Interventions: downward arrow

Answer 25

Used to uncover underline assumptions. "If this is true what does it mean about you and your life?"

Question 26

Interventions: exposure

Answer 26

Client faces fear stimuli without resorting to escape or avoidance maneuvers. Can be done in real life or with imagery.

Question 27

Interventions: finding alternatives

Answer 27

Clients review all possible options and alternatives for either interpreting a situation or resolving a problem.

Question 28

Interventions: labeling distortions

Answer 28

Teaches apply to recognize and label particular distortions and thinking that can lead to problems with interpretations of events.

Question 29

Interventions: mastery/ pleasure ratings

Answer 29

Clients use activity chart and rate mastery or pleasure that they derive from activity.

Question 30

Interventions: opposite action

Answer 30

Client is encouraged to engage in behavior that is counteractive or opposite to what they may feel at the time (e.g., feeling very angry, say something kind or decent).

Question 31

Interventions: problems solving training

Answer 31

Teaches a step approach of orienting to the problem, problem definition, generation of the alternatives, decision-making and solution implementation, and verification of results.

Question 32

Intervention: relaxation training

Answer 32

Teaches a client to relax muscles to condition relaxation response to counter attention. Uses imagery, music, and other stimuli to assist in acquiring response.

Question 33

Interventions: successive approximation

Answer 33

Client and therapist collaborated developing a plan for the client to engage in steps that approximate an ultimate goal to allow the client to have success at each step along the way to the goal.

Question 34

Interventions: three column technique

Answer 34

Client collects automatic thoughts and lists the situation in which the thought occurred, the automatic thought, and associative feeling.

Question 35

Phases of treatment: beginning

Answer 35

Establish a saving supportive therapeutic relationship; complete of functional analysis to assess and defined the problem and negative thought patterns; educate and explain CBT; psych collaborative goals.

Question 35

Interventions: thought record

Answer 35

Expands on three column technique, with columns to record alternative responses to the automatic thought and behavior or emotional outcomes of changing the thought

Question 36

Phases of treatment: early/ middle

Answer 36

Identify negative thought patterns; uncover negative schema; assign homework to self monitor thoughts,, and behavior; cognitive distortion; reframe thoughts; learn and practice new skills and behaviors.

Question 37

Phases of Treatment: end

Answer 37

Review gains; identifies skills learn; rehearse for new situation; anticipate future struggles.