Module3

Question 1

Aim of CBT

Answer 1

To help patient recognise problematic situations and triggers and to either avoid these or learn how to deal with their problematic behaviour

Question 2

Drugs that help with detoxification

Answer 2

Benzodiazepines, methadone, buprenorphine/naloxone

Question 3

Preservation treatment

Answer 3

Treatment method that involves prescribing medication that has the same chemical properties as the drug to which the person is addicted -> can prevent withdrawal symptoms and craving

Question 4

Assumptions of CBT

Answer 4

1. learned
2. therapeutic alliance
3. present focus
4. client therapist
5. guided discovery
6. scientist-practitioner (collaborative empiricism)

Question 5

How does CBT build therapeutic alliance?

Answer 5

• collaboration & participation
• effective treatment experience
• therapist variables

Question 6

Within structure of session CBT

Answer 6

1. review/recap of week (homework, issues that arose) + agenda setting
2. introducing the session theme
3. planning for the next session

Question 7

Relapse prevention

Answer 7

Therapy form that mainly aims to develop skills to identify and prepare for high-risk situations that lead to relapse to substance use
- self efficacy + cravings + coping

Question 8

2 factors of focus of cognitive therapy

Answer 8

1. proximal situational factors
2. distal background factors

Question 9

4 main components of Coping skills therapy

Answer 9

1. relapse prevention training
2. social and communication skills training
3. training in coping with urges/cravings
4. mood management

Question 10

Mindfulness-based CBT

Answer 10

Approach to therapy that involves the practice of mindfulness
Mindfulness= purposeful attention to the present and an openness to accept things as they are

Question 11

Variation in CBTs for alcohol and other drug problems

Answer 11

• brief CBT
• low intensity CBT
• digital CBT

Question 12

Brief CBT

Answer 12

More brief interventions that primarily focus on relapse prevention or coping skills therapy

Question 13

Low intensity CBT

Answer 13

Interventions that are low intensity for the practitioner + sometimes less intensive for the client -> can be delivered by non-specialist + self-directed techonologies
=> increase access, flexibility, responsiveness, cost-effectiveness

Question 14

Digital CBT

Answer 14

Computer-delivered interventions that can help overcome problems of accessibility

Question 15

6 main elements of CBT

Answer 15

1. early experiences
2. beliefs (core beliefs/schemas)
3. triggers (internal or external)
4. thoughts
5. feelings
6. behaviour

Question 16

3 categories of thought and belief-based interventions

Answer 16

1. analysing approach
2. challenging approach
3. accepting approach

Question 17

Analysing approach of thought and belief-based interventions

Answer 17

Identifying thoughts and beliefs and their relationship to feelings and behaviour and considering the helpfulness or un-helpfulness of them

Question 18

Challenging approach of thought and belief-based interventions

Answer 18

Analysing thoughts and beliefs as in the analysing approach and utiliying challenging strategies to develop modified/ alternative thoughts and belefs

Question 19

Accepting approach of thought and belief-based intervention

Answer 19

Noticing and accepting thoughts and beliefs without judgement or necessary further action

Question 20

Motivational Interviewing (MI)

Answer 20

Collaborative, goal-oriented conversation style that is designed to enhance personal motivation + commitment to a particular goal by eliciting + exploring a person‘s reason for change in atmosphere of acceptance and compassion

Question 21

Components of MI

Answer 21

Engaging
Focusing
Evoking
Planning

Question 22

How to evoke change talk

Answer 22

Ask
Reflect
Affirm
Summarize

Question 23

Decisional balance (vs. MI)

Answer 23

Interviewing approach that is about exploring all reasons for and against change
-> more of a non-directive method of helping people make decisions without influencing their choicechoice

Question 24

Community reinforcement approach

Answer 24

Seeks to establish/reestablish natural competing sources of reward that do not depend on substance use

Question 25

Functional analysis

Answer 25

Component of CBT in which the therapist + client try to identify client‘s triggers of SU and factors that might maintain it

Question 26

Elements of functional analysis

Answer 26

1. specific context (S) related to dysfunctional behaviour (R) 2. cognitive representation of positive consequences 3. factual negative consequences

Question 27

SMART goals

Answer 27

Specific Measurable Achievable Realistic Timely

Question 28

Self control measures

Answer 28

1. stimulus-control 2. stimulus-response prevention 3. response consequences

Question 29

Stimulus control

Answer 29

Avoiding situations/ stimuli associated with substance use

Question 30

Stimulus-response prevention

Answer 30

Performing an alternative behaviour. In situations that are associated with substance use

Question 31

Response consequence

Answer 31

Reward positive changes and set negative consequences for negative behaviour => important to not choose things that have to be done anyways as a negative consequence

Question 32

Abstinence violation effect

Answer 32

Tendency to react with guilt + shame to a slip/ relapse, which in turn leads to continued use of

Question 33

Emergency measures

Answer 33

Measures used to interrupt use during a slip of relapse => helps against abstinence violation effect