Cognitive Behavioral Therapies

Question 1

4 Types of Cognitive Behavioral Therapies

Answer 1

1) Cognitive
2) REBT - Rational Emotive Behavior Therapy
3) Reality
4) Dialectic Behavioral Therapy

Question 2

Cognitive Behavioral Therapy

Theory of Change

Answer 2

• Relationship between THOUGHTS, FEELINGS, BEHAVIORS
• Modify dysfunctional thought patterns
• COPE with stressors in a more positive manner

Question 3

Cognitive Behavioral Therapy

Therapist’s Role

Answer 3

• Collaborative teacher
• Uses STRUCTURED learning experiences
• Teach COPING skills
• Provides HOMEWORK

Question 4

Cognitive Behavioral Therapy

Treatment Goals

Answer 4

• Recognize PATTERNS of thought
• Evaluate validity
• Replace with healthier ways of thinking
• Develop positive COPING skills and strategies

Question 5

Cognitive Behavioral Therapy (Main Concept)

Negative Cognitive Triad

Answer 5

1. View of Self (“I’m not worth anything”)
2. View of the world (“Everyone hates me”)
3. View of the future (“No hopes in my future”)

Question 6

Cognitive Behavioral Therapy
Interventions
Cognitive Restructuring

Answer 6

Teaches client to IDENTIFY irrational, distorted, or maladaptive beliefs, QUESTION the evidence for the belief, and generate alternative responses

Question 7

Cognitive Behavioral Therapy
Phases of Treatment
Beginning

Answer 7

• Establish safe and supportive therapeutic relationship
• Complete a functional analysis to assess and define the problem
• EDUCATE and explain CBT
• Set collaborative GOALS

Question 8

Cognitive Behavioral Therapy
Phases of Treatment
Middle

Answer 8

• Identify NEGATIVE thought patterns
• Uncover negative schemas
• Assign HOMEWORK to self-monitor thoughts and moods and behaviors
• Label cognitive DISTORTIONS
• Reframe thoughts
• Learn and practice new skills and behaviors

Question 9

Cognitive Behavioral Therapy
Phases of Treatment
End

Answer 9

• REVIEW gains
• IDENTIFY skills learned
• REHEARSE for new situations
• ANTICIPATE future struggles

Question 10

Rational Emotive Behavior Therapy (REBT)

Theory of Change

Answer 10

Change occurs through the changing irrational BELIEFS to rational BELIEFS, which improves clients’ emotional and behavioral functioning

Question 11

Rational Emotive Behavior Therapy (REBT)

Therapist’s Role

Answer 11

• Instructor
• CONFRONTATIONAL
• Direct

Question 12

Rational Emotive Behavior Therapy (REBT)

Treatment Goals

Answer 12

Help clients alter illogical BELIEFS and thinking patterns in order to overcome psychological problems and mental distress

Question 13

Rational Emotive Behavior Therapy (REBT)

Key Concept: ABC

Answer 13

A - Activating Event: Something happens in the surrounding environment
B - Beliefs: You hold a belief about the even or situation
C - Consequence: There is an emotional response to the belief

Question 14

Rational Emotive Behavior Therapy (REBT)

Key Concept: Acceptance Triad

Answer 14

1) SELF ACCEPTANCE: I have good and bad points, I am allowed to have flaws. Despite my good and bad points, I am no more worthy or less worthy than any other person
2) OTHER ACCEPTANCE: Sometimes other people will not treat me fairly. There is no law that other people have to treat me fairly all the time. People who don’t treat me fairly are no more worth or less worthy than any other person
3) LIFE ACCEPTANCE: Life does not always work out the way you want. There is no rule that life has to go the way you want. Although life will not always be pleasant, it is never awful or completely unbearable.

Question 15

Rational Emotive Behavior Therapy (REBT)
Phases of Treatment
Beginning

Answer 15

• Provide psychoEDUCATION about REBT

- IDENTIFY underlying irrational thought patterns and beliefs and the resulting feelings and behaviors

Question 16

Rational Emotive Behavior Therapy (REBT)
Phases of Treatment
Middle

Answer 16

• CHALLENGE mistaken beliefs
• Therapist must dispute these beliefs using very direct and CONFRONTATIONAL methods (Ellis believed therapists need to be blunt, honest, and logical to push people toward changing their thoughts and behaviors)
• Clients are encouraged to change unwanted behaviors using meditation, journaling, and guided imagery

Question 17

Rational Emotive Behavior Therapy (REBT)
Phases of Treatment
End

Answer 17

• REVIEW progress made and apply learned skills to anticipated future struggles

Question 18

Dialectic Behavior Therapy

Theory of Change

Answer 18

• Change happens through MINDFULNESS skills to manage distress tolerance and emotional regulations, and improving interpersonal problem solving skills
• Emphasis on accepting UNCOMFORTABLE thought instead of struggling with them

Question 19

Dialectic Behavior Therapy

Therapist’s Role

Answer 19

• Ally

- Validate and offer alternatives

Question 20

Dialectic Behavior Therapy

Treatment Goals

Answer 20

Improve emotional and cognitive regulation

Question 21

Dialectic Behavior Therapy

Key Concept: Mindfulness

Answer 21

• The practice of being fully aware and present in this one moment
• ACCEPTANCE of feelings without judgment
• CBT + Mindfulness

Question 22

Dialectic Behavior Therapy
Phases of Treatment
Beginning

Answer 22

• Help client to move from being out of control to achieving behavioral control
• MINDFULNESS and distress tolerance skills are taught

Question 23

Dialectic Behavior Therapy
Phases of Treatment
Middle

Answer 23

• Fuller emotional experiencing
• Support the client to learn to live
• Define life goals
• Build self respect
• Find peace and happiness

Question 24

Dialectic Behavior Therapy
Phases of Treatment
End

Answer 24

• Finding a deeper meaning through a spiritual existence

Question 25

Reality Therapy | Theory of Change

Answer 25

Change occurs through IDENTIFYING and MEETING needs as well as developing satisfying interpersonal relationships

Question 26

Reality Therapy | Therapist's Role

Answer 26

- Main function is to create a NURTURING relationship with the client - SUPPORTIVE, non-judgmental, patient coach

Question 27

Reality Therapy | Treatment Goals

Answer 27

- Client learns more effective ways of meeting his or her needs - Clients learn to engage in self-evaluation - Clients gain a sense of inner control of their lives - Clients learn to change what they do as a key to changing how they feel and getting what they want

Question 28

Reality Therapy | Key Concept: Choice Theory

Answer 28

Asserts that each of us is a self-determining being who can choose future behaviors and hold ourselves consciously responsible for how we are acting, thinking, feeling, and also for our physiological states

Question 29

Reality Therapy | Key Concepts: Four Needs

Answer 29

1) Love / Belonging 2) Power / Achievement 3) Freedom 4) Fun / Relaxation

Question 30

Reality Therapy | Interventions

Answer 30

- Focus on areas where client has CHOICES - Focus on present CHOICES - Discuss feelings only when related to client's behaviors / CHOICES - Teach self-evaluation

Question 31

Reality Therapy Phases of Treatment Beginning

Answer 31

- Create a therapeutic environment - both supportive and challenging - Ask client what they want from therapy - Discuss direction of their lives - Define the WANTS of the client

Question 32

Reality Therapy Phases of Treatment Middle

Answer 32

- Explore CHOICES client is making in current relationships - Identify other possible CHOICES - Encourage client to focus on what they can control - Formulate ACTION PLAN for change

Question 33

Reality Therapy Phases of Treatment End

Answer 33

- REVIEW what client has learned | - Plan for maintenance of new behavior

Question 34

Cognitive Behavioral Therapy | ON TEST LOOK FOR

Answer 34

thinking PATTERNS affecting beliefs about the world