Cognitive distortions and correcting them

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This presentation deals with how thinking can be influenced by depression and anxiety. The errors in thinking, or cognitive distortions, are reviewed. How Cognitive Therapy helps to correct the errors is also addressed.

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Cognitive distortions and correcting them

  1. 1. Cognitive Distortions and Correcting Them CCBT Kevin D. Arnold, Ph.D., ABPP July 16, 2009
  2. 2. What are Distorted Ideas <ul><li>Cognitive Distortions are Emotionally Based or Emotionally Invoked, Learned, and Automatic Ideas that are not grounded in reality </li></ul><ul><li>Distortions maintain or activate emotional arousal and do not promote regulation of emotion </li></ul>
  3. 3. Identifying Automatic Thoughts <ul><li>Use of Socratic Method or Guided Discovery </li></ul><ul><li>Educating Patient on Distortions </li></ul><ul><ul><li>Form 1.6 </li></ul></ul><ul><ul><li>Form 1.1—the Emotion/Cognition Tie </li></ul></ul><ul><li>Helping Patient Monitor Thinking </li></ul><ul><ul><li>Form 1.4—3 column form </li></ul></ul><ul><ul><li>Form 1.2—Ellis’ ABC form </li></ul></ul><ul><ul><li>Form 1.10—Monitor Feelings to Find Thoughts </li></ul></ul><ul><ul><li>Form 1.8—Downward Arrow </li></ul></ul>
  4. 4. Thinking About The Thoughts <ul><li>Create an observing self that monitors thinking—The Present You </li></ul><ul><ul><li>Form 1.6—Labeling the Distortions </li></ul></ul><ul><ul><li>Using the Triad (Future, Self, Others/World) </li></ul></ul><ul><ul><li>Rating Believability as an Observing Self </li></ul></ul><ul><ul><li>Form 1.9—Identifying Probabilities Embedded in Distortions/Appraisals </li></ul></ul>
  5. 5. Changing Distortions <ul><li>Use of Analysis </li></ul><ul><ul><li>Form 2.1—Defining Terms </li></ul></ul><ul><ul><li>Form 2.2—Cost-benefit Analysis </li></ul></ul><ul><li>Point-Counterpoint </li></ul><ul><ul><li>Form 2.5—Self-deprecation and the Defense Attorney Strategy </li></ul></ul><ul><ul><li>Form 2.6—Creating Alternative Thoughts and Role Play the Point/Counterpoints </li></ul></ul>
  6. 6. Testing Evidence <ul><li>Educating Patient on Role of Blockade </li></ul><ul><li>Developing Experiments to Test Evidence </li></ul><ul><li>Examining Evidence to Create New Ideas </li></ul><ul><ul><li>Form 2.3—Evidence for and against </li></ul></ul><ul><ul><li>Form 2.4—Evaluating Value of Evidence </li></ul></ul>
  7. 7. Creating New Cognitions <ul><li>Plausible Alternatives </li></ul><ul><li>Evidence-based Cognitions </li></ul><ul><li>Role of Practice/Flashcards </li></ul><ul><li>Testing Emotions and Believability of Old Thought after New Thought </li></ul>
  8. 8. Utility and Role of Correcting Distortions <ul><li>Modification of Appraisals to </li></ul><ul><ul><li>Change Emotions </li></ul></ul><ul><ul><li>Change Emotionally Driven Behaviors </li></ul></ul><ul><li>Reduction in Therapy Interfering Behaviors </li></ul><ul><ul><li>Role of Distortions in Actions to Change </li></ul></ul><ul><ul><li>Role of Distortions in Relapse </li></ul></ul><ul><ul><li>Role of Distortions in Other Directness rather than Self-Determination Concepts </li></ul></ul>

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