Cognitive Behavioral Family Therapy


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Cognitive Behavioral Family Therapy

  1. 1. Stage 3 Cognitive-Behavioral Family Therapy Scott Peters, M.A., LPC-S
  2. 2. Overview of the Cognitive-Behavioral Approach <ul><li>Major Players- Aaron Beck [Cognitive Therapy], Albert Ellis [REBT] </li></ul><ul><li>Based on a collaboration of client and counselor </li></ul><ul><li>Therapeutic process is viewed a cognitively mediated </li></ul><ul><li>It began as a reaction to previous approaches: </li></ul><ul><li>Freud (instinct) </li></ul><ul><li>Jung (mysticism) </li></ul><ul><li>Adler (common sense) </li></ul>
  3. 3. Keep in Mind- for the Cognitive-Behavioral Counselor <ul><li>Thoughts lead to Feelings , which then lead to Behaviors </li></ul><ul><li>This movement [T > F > B] happens in a nanosecond!!! </li></ul><ul><li>Often times, clients are not aware of the speed at which this occurs. (Counselors as well) </li></ul>
  4. 4. Cognitive-Behavioral Therapy and What Problems? <ul><li>Post-Traumatic Stress Disorder (PTSD) </li></ul><ul><li>Substance Abuse Treatment </li></ul><ul><li>Obsessive-Compulsive Disorder (OCD) </li></ul><ul><li>Anxiety </li></ul><ul><li>Mood Disorders </li></ul><ul><li>Marriage and Family Therapy </li></ul><ul><li>Group Work </li></ul><ul><li>Eating Disorders </li></ul>
  5. 5. Overall Goals of CBT <ul><li>The first goal is to develop an expectation that help is available and that it will be effective </li></ul><ul><li>Help the client to become aware of the thoughts, feelings, and behaviors that occur before, during, and after a particular problem </li></ul><ul><li>(this instills confidence and belief) </li></ul><ul><li>This can be enhanced by the counselor identifying recurring themes </li></ul>
  6. 6. Overall Goals of CBT <ul><li>To provide the client with the competencies to overcome the problem at hand </li></ul><ul><li>Ultimately, having the client be successful at addressing their problem is counselor’s goal </li></ul><ul><li>When the client practices and employs new strategies, they will become more self-confident in themselves </li></ul>
  7. 7. Strategies of CBT <ul><li>Develop rapport! This is of paramount importance! </li></ul><ul><li>Identify the cognitions that are leading to the negative behaviors </li></ul><ul><li>Help the client to develop new cognitions through; </li></ul><ul><li>Challenging false assumptions over generalizing , all or nothing thinking , disqualifying the positive, mental filter </li></ul><ul><li>Have the client practice these new cognitions (usually done via homework) </li></ul>
  8. 8. CBT w/ Family Therapy <ul><li>The goal is to help the family see how the maladaptive behavior originates with thoughts, then feelings. </li></ul><ul><li>To help the family see the connection between thoughts, feelings, and behaviors </li></ul><ul><li>To help the family see the negative consequences of the behaviors </li></ul><ul><li>Then to help them change the thoughts, which will then address the feelings and ultimately the behavior </li></ul>
  9. 9. Keep in Mind <ul><li>At this stage, they have already: </li></ul><ul><li>Gone through Stage 1- Motivational Interviewing (Ready for Change) </li></ul><ul><li>Gone through Stage 2- Solution Focused </li></ul><ul><li>(Not successful) </li></ul><ul><li>This stage involves going “deeper” </li></ul>
  10. 10. Think of some examples