Practical Notes 1-4 Flashcards
What are cormier’s 11 strategies?
- Explaining the purpose of the assessment - make sure you’re clear
- Exploring the range of concerns
- Prioritising the issues
4-7. Identification of issues (behaviours outside of interview, antecedents that precede the problem and consequences and secondary gain) - Identifying previous solutions tried by the client
- Identifying client resources strength and coping skills
- Exploring client perception of the issue
- Examining the intensity of the issue
What are the four requirements of true dialogue
There should be appropriate turn taking in conversation
There should be connection between the two individuals
There should be a process of mutual influencing
They should be also process of co-creating outcomes
What is active listening
It is fundamental to the therapeutic process and should be empathetic in nature
What is empathetic listening
  focused and unbiased listening
What is the formula For an empathic highlight
You’re feeling …. Because of ….
Keep them short and to the point and use your own words but don’t Forget to reflect back to core message
What are the different forms of probes
They may be statements indicating the need for further clarification (I guess I’m still just confused about..)
Or they may be direct request for further information (tell me what you mean by..)
What is case formulation
There’s a process whereby the psychologist and client work collaboratively to get a clear understanding of what’s happening
You need to describe the clients difficulties and explain the difficulties using cognitive behavioural theory
What are the aims of case formulation
To normalise the clients difficulties
To encourage the clients participation in the therapeutic process
To help make a complex problems seem more manageable
To guide the selection focus and sequence of therapy
To identify the clients strengths and identify ways to build client resilience
You can also identify problems that might arise in therapy
Why is it important to share the case formulation with the client
To obtain feedback
To help them see the rationale behind the treatment plan
Helps you to arrive at treatment goals collaboratively
What are the two kinds of case formulations
1 Disorder specific bottles – psychologist his cognitive behavioural models of specific disorders and corporate clients specific information
2 generic models – these approaches link the clients experience with A generic cognitive behavioural framework
What are the five p’s in case formulation 
Presenting problem
Predisposing factors (events that set the foundation for the problem)
Precipitating factors (events that triggered the problem)
Perpetuating factors (events that maintain/keep the problem going)
Protective/positive factors (strengths and resources)
The presenting problem can be divided into three categories what are these
The clients feelings, the clients thoughts and the clients behaviours and physiological responses
What are some examples of predisposing factors
Genetic predisposition
Developmental experiences
Family of origin history -Such as parenting styles
Critical events – trauma
What are perpetuating factors
These are the things that stop the problem from getting better or make the problem worse
In a CBT Model these include thoughts, feelings and behaviours such as unhelpful self talk or cognitive distortions, avoidance or safety behaviours
What are cognitive distortions
When a person continues to focus on unhelpful self talk the person will continue to experience unwanted feelings
What is avoidance
Avoidance is when we stay away from those situations or activities that we associate with the problem in order to avoid uncomfortable or distressing emotions and physical sensations
What are safety behaviours
Safety behaviours other behaviours a person engages in all precautions they might take to protect themselves from perceived risks they prevent the person from fully engaging in and enjoying the situation they are and they may include counting rituals covering up with a lot of clothes etc
What is treatment planning important for
It is necessary to pinpoint the exact issues you were treating in the ways in which they will be tackled
It’s a specific goals that allowed with you and your client to assess progress
It acts as a roadmap providing guidance to the goals instructions on how to reach them

What is the next step after Case formulation
To set treatment goals with the client
Case formulation + goals = treatment plan
It is important in treatment planning to
Record the plan on a planner form and when completed have your client sign the plan this signifies agreement with and commitment to the plan so it is evidence that they have agreed and written signatures are a motivating tool so they’re more likely to commit to it
Also make sure they have the opportunity to ask any questions and they read it properly before signing it
Explain the flexibility of a treatment plan
Although a treatment plan is meant to keep therapy on track as a clinician you must be flexible if a client is in a crisis you can set aside the plan and focused the session on the crisis however if this happens to frequently you need to address it with the client because it will impact the effectiveness of therapy
The treatment plan must be
Evidence based and reflect what the literature says is the best course of action
What is cognitive behavioural therapy
Is a skilled based therapy that promotes positive behaviour change

CBT assumes there is an interplay between
Thoughts feelings and actions
