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Basics of cognitive behavioral therapy
Basics of cognitive behavioral therapy
Basics of cognitive behavioral therapy
Basics of cognitive behavioral therapy
Basics of cognitive behavioral therapy
Basics of cognitive behavioral therapy
Basics of cognitive behavioral therapy
Basics of cognitive behavioral therapy
Basics of cognitive behavioral therapy
Basics of cognitive behavioral therapy
Basics of cognitive behavioral therapy
Basics of cognitive behavioral therapy
Basics of cognitive behavioral therapy
Basics of cognitive behavioral therapy
Basics of cognitive behavioral therapy
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Basics of cognitive behavioral therapy

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Integration of Barlow's theory into CBT

Integration of Barlow's theory into CBT

Published in: Health & Medicine, Technology
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  • 1. Basics of Cognitive-Behavioral Therapy: The Model and The Techniques Kevin D. Arnold, Ph.D., ABPP Director, The Center for Cognitive and Behavioral Therapy of Greater Columbus
  • 2. The Basic CBT Model
    • Psychopathology is bio-psycho-social
    • Feelings can be managed through addressing cognitions and behaviors
    • Psychopathology has deficits in behaviors and maladaptive or distorted cognitions
    • Underlying assumptions have been learned in an “if-then” format
    • Schemas create a construction that is maladaptive now, but not when first developed
  • 3. Cognitive Triad
    • Distorted Thoughts are those that are mood congruent but not reflective of the evidence in life
    • These are sometimes referred to as Automatic Thoughts
    • The thoughts fit basically into three categories: Self, Others/World, or Future
  • 4. Cognitive Blockade
    • Mood or other pathologic processes create a filtering of information that is state-dependent
    • Information, both internal and external, is filtered so that only mood congruent information is a) perceived, or b) valued.
    • Overcoming the impact of the blockade is a major goal of CBT
  • 5. Treatment Method: General
    • Cognitive Therapy is collaborative so that the patient and therapist are a team working on problems together
    • Cognitive Therapy is active and engages the patient through a treatment relationship that encourages but respects the patient through empathy
    • Cognitive Therapy uses the Socratic Method, using questions whenever possible
  • 6. Socratic Method
    • Questions are used in CBT to
      • Help the patient become aware of thoughts
      • Examine thoughts to identify distortions
      • Replace distortions with health and evidenced based ideas
      • Plan to develop new thinking patterns
  • 7. Collaborative
    • Therapy is guided by a team approach to problems
      • The treatment conceptualization is created collaboratively as a basis for the treatment methods
      • The structure of the sessions is agreed upon as a way of keeping the collaborative work moving
      • Both agree on structure and direction
  • 8. Structure and Direction
    • All sessions use the following template
      • Setting an agenda
      • Bridging back to the previous session
      • Setting a target for the session
      • Application of the CBT techniques to the target
      • Summarization of the session
      • Setting homework
      • Feedback on the session
  • 9. Problem Orientation
    • Conceptualization: Patients problems within a present, learning context
    • Selection of strategies and techniques
    • Assess the effectiveness of the CBT on the problem within its context.
  • 10. Common Strategies in CBT
    • Simplify
    • Do it now
    • You can’t know unless you experiment
    • If you are off track, do the opposite
    • Persistence will produce change
    • Break it down and take one thing at a time
    • Do that which you don’t expect yourself to do
    • Pull, don’t push/Flow
  • 11. Educate
    • CBT educates patients to be their own therapists
      • Help the patient to learn how to learn
        • It’s not resistance, it’s reluctance
        • It’s not resistance, it’s slowness
      • Patients learn inductively
        • Beliefs are hypothesis
        • Testing them can provide insight or new ways of thinking
  • 12. The Key Elements
    • Behavioral Experimentation
    • Daily Activity Records
    • Activity Scheduling
    • Pleasure Scheduling
    • Identify Distortions through Self-Monitoring (3 Column) and Labeling Automatic Thoughts
    • Test the Evidence
    • Challenge and Create New Thoughts (5 Column)
  • 13. Cognitive Distortions
    • Related to Mood
    • Don’t represent evidence or have gone unchallenged
    • Have not been evaluated, instead assumed to be true
    • Learned based on history
    • See Handout
  • 14. Assessing the Automatic Thoughts
    • Question, Question, Question
    • Listen, Listen, Listen
    • Downward Arrow
    • Imaging a Situation
    • Noticing Affect and Calling Out the Thoughts
  • 15. What to Do
    • Develop CBT competencies
    • Identify Useful Texts Like Leahy’s books
    • Take Training from one of the Centers
    • Continue with this Calendar

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