Methods Of Modifying Behaviour CBT Flashcards
(15 cards)
What is the aim of CBTp?
Aims:
- collaborate to inform understanding+ maintenance of symptoms (educate on SZ)
- normalise the stigma around psychotic symptoms
- acceptance of symptoms (reduce stress + help to cope with it)
What are the essential features of CBTp?
- Collaborative development of a shared formulation to inform the understanding and maintenance of psychotics symptoms and to aid in making sense of these experiences
- Normalisation of the psychotic experience to address the stigma that often is associated with psychosis
- Acceptance of psychotic symptoms which highlights the primary goal of this approach to reduce distress relating to the symptoms rather than attempting to alter the occurrence of the symptoms
What are the 5 phases of CBTp?
- Engagement and befriending
- Assessment of experiences
- Formulation development
- Application of intervention/skill building
- Consolidation of skills
What are 5 cognitive strategies?
- ABC model
- Dysfunctional thought diary
- Behavioural experiments
- Behavioural skills training
- Relapse prevention strategies
What is engagement and befriending?
- like goal setting
- where a trusting therapeutic relationship is formed
What is assessment of experiences?
Client discusses experience and triggers and therapist offers an explantion
What is formulation development?
Thsi is where the client learns what they have and why they have it, they also learn what they have to do in this stage aswell
(-abc model)
What is application of intervention and skill building?
Thai is where cognitive strategies are introduced
What is consolidation of skills?
This is where the client goes on to do all of these things on their own without the therapists help
- practice strategies
What is the ABC model?
The patient describes the activating agent, beliefs/behaviours (irrational) and consequences.
These beliefs can then be challenged or diluted and changed.
To challenge the beliefs they’re asked for evidence of how their belief is right.
What is a dysfunctional thought diary?
This is where clients record how they felt, what they did.
They write down automatic negative thoughts, challenge to think differently and write these down and provide evidence that they were right originally.
Client and therapist then discuss
What are behavioural experiments?
This is where clients identify actions they can do to lesson the voices they hear.
Client then rates severity of voices
What is behavioural skills training?
Relaxation, pleasant activity scheduling etc can be used to deal with the residual symptoms of SZ like anxiety and depression.
Problem solving is an example
1. Identify a problem
2. Generate potential solutions
3. Evaluate alternatives
4. Decide on a solutions
5. Evaluate the outcome
What is relapse prevention strategies?
Identify early relapse indicators.
SZ assess how they get along with others+ what others may have noticed about them.
Therapist+ client develops plans that could be taken.
Includes when they notice warning signs what they will say to family and friends and what strategies the client can do to help themselves.
Applying explanations to methods of modifying
If SZ is caused by cognitive factors like attentional biases, selections attention and negative self schemas we can treat SZ through CBTp.
CBTp aims to change the maladaptive thought patterns of people with SZ to help reduce symptoms and help them to organize their thoughts in a more rational way.
For example, CBT uses the abc model to help rationalise thoughts. Activating events lead to irrational beliefs that then create undesirable consequences (SZ symptoms)
