Intro to CBT Ch. 1-5 Flashcards
(17 cards)
What are the seven basic principles of CBT?
Cognitive Behavioral Continuum Here and Now Interpersonal interacting systems Empirical
What are the three levels of cognition?
Thoughts/images - Automatic thoughts - Negative auto thoughts
Core beliefs
underlying assumptions
Draw the generic CBT model
Experiences Beliefs/assumptions ------Critical incidents Cognitive Affect Physiology Behaviour
summarize the characteristics of CBT
–Collaboration between the client and therapist
–Time limited and brief. rarely exceeds 20 sessions
- structured and active engagement – CBT is a structured process that requires active engagement from both the client and therapist.
Problem orientated – specific problems discussed at the onset of therapy and becomes the focus for treatment.
– Empirical - CBT can adjust to the clients needs based on evidence
What are Bordins three components of a successful working alliance?
- agreement on tasks
- agreement on goals
- a positive client - therapist bond
The roles of the therapist
- Therapist must collaboratively and empathetically engage client in therapy
- Therapist must gain an understanding of the clients current bearings
- some education might be helpful
- Therapist should be warm, empathetic, genuine.
Wright and Davis found that clients wanted their therapist to be?
- Respectful
- competent
- offer a safe place
- treat concerns seriously
The client can trust the therapist to set and maintain clear and appropriate boundaries. what are four benefits from these boundaries?
- Feel safe
- Trust that the therapist acts in their best interest
- able to disclose deep and meaningful information
- trust they can understand the therapist
What is a formulation?
A formulation is an individualized picture that helps us understand and explain a persons problems.
What are the benefits of a formulation?
- Helps us to understand the problem
- Bridge between CBT theory and development and the maintenance of a problem.
- Monitor therapeutic relationships
- Fosters development of new thought patterns.
What are triggers?
Triggers are factors that make the problem more likely to occur.
What are modifiers?
Modifiers are contextual factors that can make a difference to the severity of the problem when it does occur.
Name and describe the Maintaining processes in ch. 4.
– Performance anxiety: when a person thinks they are going to do bad, they do do bad which then confirms their belief.
– Reduction of activity: Psychological and neurological implications that connect low mood with reduced activity. something used to bring you joy, and now does not.
– Escape/avoidance: A normal safety seeking behaviour that can also be unhelpful at times.
– Self fulfilling prophesies: A person having negative thoughts leads to negative behavior which then confirms their belief.
Scanning/hypervigilance: Found in people with health anxiety. They tend to focus on the parts they don’t like about themselves.
– Short term rewards: most basic maintaining process because they tap into our basic learning processes.
– Catastrophic misinterpretation: found in panic disorders and OCD. When you mistake a panic attack for a heart attack.
– Perfectionism: desire to reach the highest standards.
– Fear of fear: Scared to experience anxiety again because you’ve experienced it before.
What are vulnerability factors?
Anything in a persons history that as left them vulnerable to developing a problem.
What are precipitants?
Anything that lead to the actual onset of a problem. AKA critical events
Why is measurement used in CBT?
- Empiricism is central to CBT
- enhance your understanding of a clients problem
- evaluate the impact of interventions and therapy.
What 10 factors need to be considered when designing a formulation?
- Simplicity
- measures in more than one system
- relevance
- defined targets
- provide clear, simple, and recorded instructions
- use sensitive and meaningful measures
- provide aids to record
- train clients to use measures
- collect data as soon as possible after the event
- pay attention to the monitoring.
