Week 5: Cognitive and Behavioral Therapy

Question 1

CBT

Answer 1

Cognitive Behavioral Therapy
- integrates theories of cognition and learning with treatment techniques derived from cognitive and behavioral therapyy
- aim = identifying and modifying maladaptive thought processes and behaviors by cognitive restructuring and behavioral techniques

Question 2

ABC model of CBT

Answer 2

Activating event: initiates chain of reactions
Belief: how you perceive the situation
Consequence: emotional and behavioral responses

Question 3

key components of CBT

Answer 3

• automatic thoughts
• schemas
• core beliefs

Question 4

the Cognitive Model

Answer 4

<-> thoughts <-> behaviors <-> emotions <->

situation
->
thought [actual thoughts] [alternate thoughts]
feeling [actual feeling] [alternate feeling]
behavior [actual behavior] [alternate behavior]

Question 5

learning theories

Answer 5

1. classical conditioning
2. operant conditioning
3. social learning
   behavior is important in maintaining and changing cognitive processes

Question 6

typical structure of a CBT session

Answer 6

agenda setting
goal setting
homework

Question 7

therapeutic process

Answer 7

• initial assessment and case formulation
• common factors: therapeutic relationship
• psychoeducation and skills training
• CBT techniques

Question 8

case formulation

Answer 8

a hypothesis about the causes, precipitants and maintaining influences of a person’s problems

Question 9

1st interview

Answer 9

gather information
- biography
- diagnostics
- motivation

Question 10

psychoeducation

Answer 10

evidence-based intervention for clients and loved ones that provides information and support to better understand and cope with illness

Question 11

cognitive techniques

Answer 11

1. identifying cognitive distortions
2. socratic listening
3. challenging cognitive distortions -> cognitive restructuring

Question 12

1. identifying cognitive distortions

Answer 12

catastrophizing
mind reading
negative focus
control fallacy
personalization
owning the truth
should-thinking
emotional reasoning
overgeneralizing
labeling
just-world thinking
fortune-telling

Question 13

mind reading

Answer 13

assuming you know what others think

Question 14

personalization

Answer 14

feeling responsible for things that are out of your control

Question 15

owning the truth

Answer 15

thinking you’re certain that you’re right

Question 16

should-thinking

Answer 16

how you believe things should go/happen

Question 17

emotion reasoning

Answer 17

you believe emotions reflect the truth

Question 18

fortune-telling

Answer 18

you believe the future is set in stone, and outcome is already sure

Question 19

2. socratic questioning

Answer 19

listen, summarize
ask open questions
ask open analytical questions that apply discovered information to client’s original belief

Question 20

behavioral techniques

Answer 20

1. behavioral activation (self-care techniques, lists)
2. activity scheduling
3. graded task assignment
4. exposure therapy

Question 21

4. exposure therapy

Answer 21

in vivo (real life)
imagined
VR
interoceptive (stimuli that are experienced during feared situation)

Question 22

applications and effective of CBT

Answer 22

most used for anxiety disorders, depression, PTSD and OCD
most effective for anxiety disorders

Question 23

cognitive therapy vs. psychoanalytic therapy

Answer 23

CT
- structured, short term
- therapist actively collaborates with client
- attempts to shift biased information through logically challenging dysfunctional ideas
PAT
- unstructured, long-term
- passive therapist
- relies on free association and interpretations to resolve unconscious childhood conflict

Question 24

cognitive therapy vs. rational emotive behavior therapy

Answer 24

CT
- teaches patient to understand and challenge own DYSFUNCTIONAL BELIEFS
- each disorder has own typical cognitive profile
REBT
- directly disputes patients IRRATIONAL BELIEFS

Question 25

schema therapy

Answer 25

modifes maladaptive core beliefs that are developed early in life and underlie depression, anxiety and personality disorders

Question 26

mindfulness-based cognitive therapy

Answer 26

uses acceptance and meditation strategies to stimulate resilience and prevent recurrence of depressive episodes

Question 27

types of cognitive distortions

Answer 27

1. arbitrary inference 2. selective abstraction 3. overgeneralization 4. magnification and minimization 5. personalization 6. dichotomous thinking

Question 28

arbitrary inference

Answer 28

drawing a specific conclusion without evidence of even in the face of contradictory evidence (you're busy one day, i am a terrible mother)

Question 29

selective abstraction

Answer 29

conceptualizing a situation based on a detail taken out of context, ignoring other information (gf looked at someone else, i am now jealous)

Question 30

overgeneralization

Answer 30

all men are alike, i'll always be rejected

Question 31

magnification and minimization

Answer 31

seeing someone as far more or far less significant than it actually is

Question 32

personalization

Answer 32

attributing external events to oneself

Question 33

dichotomous thinking

Answer 33

categorizing experiences in one or two extremes

Question 34

cognitive techniques pt. 2

Answer 34

decatastrophizing reattribution redefining decentering

Question 35

reattribution

Answer 35

testing automatic thoughts and assumptions by considering alternative causing for events

Question 36

redefining

Answer 36

mobilizing patient who believes a problem to be beyond personal control

Question 37

decentering

Answer 37

teaches to challange irrational thoughts, where an anxiety patient thinks they are the center of something