Cognitive Behavioral Therapy Interventions

Question 1

Socratic questioning

Answer 1

Questioning allows the therapist to stimulate the client’s self-awareness, focus on the problems definitions, expose the client’s belief system, and challenge irrational beliefs while revealing the client’s cognitive process.

Question 2

Reframing

Answer 2

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

Question 3

Cognitive restructuring

Answer 3

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

Question 4

Homework

Answer 4

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

Question 5

Self-monitoring

Answer 5

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

Question 6

Behavioral experiments

Answer 6

The experiment process includes experiencing, observing, reflecting, and planning. These steps are conducted through thought process testing, Discovery, activity, and or observation.

Question 7

Systematic desensitization

Answer 7

systematic desensitization pairs relaxation with exposure to something stressful. Clients are taught to relax and anxiety producing situations.

Question 8

Anxiety management training

Answer 8

teaches skills for specific situations using imagery. The client practices relaxation and tell anxiety is reduced then continues with imagery.

Question 9

Assertiveness training

Answer 9

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

Question 10

Behavioral activation

Answer 10

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

Question 11

Communication skills training

Answer 11

Used in couples therapy to help couples talk about fillings and problems.

Question 12

Downward arrow

Answer 12

Used to uncover underlining assumptions.

If this is true, what does it mean about you and your life?

Question 13

Exposure

Answer 13

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

Question 14

Finding alternatives

Answer 14

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

Question 15

Labeling distortions

Answer 15

teaches client to recognize and label particular distortions and thinking that can lead to problems and interpretations of events.

Question 16

Mastery/pleasure ratings

Answer 16

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

Question 17

Opposite action

Answer 17

Client is encouraged to engage in behavior that is be counterintuitive or opposite to what she or he may feel at the time.

For example, when feeling very angry say something kind or decent.

Question 18

Problem-solving training

Answer 18

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

Question 19

Relaxation training

Answer 19

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

Question 20

Successive approximation

Answer 20

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

Question 21

Three column technique

Answer 21

client collects automatic thoughts and lists the situation in which the thought occurred, the automatic thought, and the associated feelings

Question 22

Thought record

Answer 22

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

Question 23

Phases of treatment

Beginning phase for CBT

Answer 23

Establish safe and supportive therapeutic relationship,

complete a function analysis to assess and define the problem and negative thought patterns,

educate and explain CBT,

set collaborative goals.

Question 24

Phases of treatment

Middle phase

Answer 24

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 25

Phase of treatment End phase

Answer 25

Review games Identify skills learned Rehearse for new situations Anticipate future struggles

Question 26

List the eight main concepts for CBT

Answer 26

``` Negative triad Automatic thoughts Maladaptive automatic thoughts Schemas Over generalization Arbitrary interference Selective abstraction Personalization Polarized thinking ```