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Brief overview of health focused cbt skills

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This lecture explored brief CBT treatment and core skills. It looks at a basic application of CBT skills for health conditions.

Published in: Health & Medicine
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Brief overview of health focused cbt skills

  1. 1. Brief Health Focused CBT Transforming suffering to strengths
  2. 2. CBT – Simple Overview Simple overview… CBT is a time limited, collaborative, here and now focused treatment aimed at helping patients through developing more accurate healthy thoughts, increased coping skills, behavioral activation and emotional regulation skills.
  3. 3. Aaron Beck – CBT in 6 Min…
  4. 4. Therapeutic Relationship • The CBT relationship is based on collaborative empiricism… The Patient and the Therapist collaborate to discover facts and truth grounded in reality. • Good CBT Requires: Warmth, Empathy, Consideration, Exploration and Curiosity, Ability to Give Feedback and Solid Doubt or ‘show me the facts mentality.’ • The CBT therapist brings expertise in therapy and skills but expects the patient to be experts in themselves and bring that expertise into the treatment.
  5. 5. Three Key Parts of Health Focused CBT • Functional Assessment: Looks at the real life way that mental and physical health challenges arise. Not simple that some one is depressed… but what is that depression in this person’s life. • Skills Training: Is active and focused on helping enhance the ability to change thoughts, improve emotions and take effective actions. • Changing Thoughts: Negative thoughts are a core part of how CBT conceptualizes mental suffering. Clinicians help patients gain skills to challenge their thoughts, recognize distorted thinking, find more accurate and helpful thoughts and cope cognitively.
  6. 6. The Core Levers of Change… What Creates Change? In CBT the core of human suffering is developed by any one of the core components. These are thoughts, feelings and behaviors. If a patient changes how they act it will change their thoughts and if they change their thoughts they can change how they act.
  7. 7. Principles of CBT • CBT is… Time Limited • CBT is… Biopsychosocial • CBT is… Focused on Present • CBT is… Person Centered • CBT uses the… Collaborative Set • CBT uses… Regular Homework • CBT takes… Active Stance • CBT therapists help… Challenge/Change Thoughts
  8. 8. CBT Formulation…
  9. 9. Thought Skills… • Challenging Thoughts: Many times inaccurate thoughts go unchallenged. They can be like a ‘Trojan Horse’ we believe them because they are inside our mind. Examining thoughts can lead to changing thoughts. • Accepting Thoughts: We can simply accept thoughts as they are. Not fixing them but not in the words of ACT ‘fusing’ with them. • Thought Stopping: We can use various skills to stop thoughts. The most simple of these is to simply using our inner voice to say ‘stop’ to an unhelpful thoughts. • Distraction: Focusing on something other then a thought can allow the thoughts to stop and reduce their impact. • Thought Replacement: We can replace a negative unhelpful thought with a more true and more helpful thought.
  10. 10. Role Play… Developing Thought Skills
  11. 11. The Cognitive Triad…
  12. 12. The Cognitive Triad
  13. 13. Cognitive Distortions Cognitive distortions are common and habitual ways that people can misinterpret situations, events, others, and expectations about the future.
  14. 14. Changing Thought Habits
  15. 15. Automatic Thoughts
  16. 16. Automatic Thoughts Lead to Behaviors
  17. 17. Core Cognitions… Core Cognitions are the central thoughts that a person believes and guide thinking, actions and feelings. These tend to be deeply held beliefs that were formed in difficult moments and never examined. The way we work with core cognitions is to identify them, develop evidence to counter them and come up with more accurate core beliefs. Core cognitions lead to automatic thoughts.
  18. 18. Automatic Thoughts Lead to Core Cognitions
  19. 19. CBT Session Overview • The first 1/3 or 20 min: Is focused on assessing where a patient is, their concerns about tx and reviewing homework. • The second 1/3 20 min: Is focused on introducing session topic and relating topic to patient’s life and symptoms. • The third 1/3 20 min: Is focused on exploring patients understanding and reaction to interventions, developing home work and reviewing and addressing risk and challenges they may face in HW or in the week.

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