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Definition of CBT
Focused form of psychotherapy based on a model
suggesting that psychiatric/psychological disorders
involve dysfunctional thinking
The way an individual feels and behaves in influenced
by the way s/he interpret his experiences
Definition cont’d
Modifying dysfunctional thinking provides
improvements in symptoms and modifying
dysfunctional beliefs that underlie dysfunctional
thinking leads to more durable improvement
Therapy is driven by a cognitive conceptualization
and uses a variety of strategies
Situation
Automatic Thoughts
And Images
Reaction (Emotional,
Behavioral and physiological)
The Cognitive Triad
Negative view of the self (e.g., I’m unlovable,
ineffective)
Negative view of the future (e.g., nothing will work
out)
Negative view of the world (e.g., world is hostile)
Automatic Thoughts (ATs)
Negative thoughts about yourself, your world, or your
future
ATs are not given the same consideration as other
thoughts but rather they are assumed to be true
Examples of ATs
Catastrophizing - extreme consequences of events
All or nothing - seeing things in black and white - no
grey areas
Emotional reasoning - if I feel it, it must be true
Identifying Assumptions and Core
Beliefs
“If…, then…”
Downward arrow
- If this thought is true, what’s so bad about that?
- What’s the worst part about that?
- What does it mean to you? About you?
Helpless Core Beliefs
I am inadequate, ineffective, incompetent, can’t cope
I am powerless, out of control, trapped
I am vulnerable, likely to be hurt, weak, needy
I am inferior, a failure, a lower, not good enough,
defective, don’t measure up.
Unlovable Core Beliefs
I am unlikable, unwanted, will be rejected or
abandoned, always be alone
I am undesirable, unattractive, ugly, boring, have
nothing to offer
I am different, defective, not good enough to be loved
by other, a nerd
Worthless Core Beliefs
I am bad, irresponsible, worthless
I am dangerous, toxic, evil, inhuman.
Core Beliefs
Assumptions
Compensatory/coping strategies
Situation
Automatic thoughts/images
Reaction (emotional/behavioral physiological)
The basic goals of CBT
To challenge the thoughts about a particular
situation by identifying the cognitive traps
help the patient to identify less threatening
alternatives
to test out these alternatives in the real world
to challenge the assumptions that lead to the ATs
The importance of homework
Much of the change occurs between sessions
Exercise analogy
Predictor of success

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Cbt basic[1]

  • 1. Definition of CBT Focused form of psychotherapy based on a model suggesting that psychiatric/psychological disorders involve dysfunctional thinking The way an individual feels and behaves in influenced by the way s/he interpret his experiences
  • 2. Definition cont’d Modifying dysfunctional thinking provides improvements in symptoms and modifying dysfunctional beliefs that underlie dysfunctional thinking leads to more durable improvement Therapy is driven by a cognitive conceptualization and uses a variety of strategies
  • 3. Situation Automatic Thoughts And Images Reaction (Emotional, Behavioral and physiological)
  • 4. The Cognitive Triad Negative view of the self (e.g., I’m unlovable, ineffective) Negative view of the future (e.g., nothing will work out) Negative view of the world (e.g., world is hostile)
  • 5. Automatic Thoughts (ATs) Negative thoughts about yourself, your world, or your future ATs are not given the same consideration as other thoughts but rather they are assumed to be true
  • 6. Examples of ATs Catastrophizing - extreme consequences of events All or nothing - seeing things in black and white - no grey areas Emotional reasoning - if I feel it, it must be true
  • 7. Identifying Assumptions and Core Beliefs “If…, then…” Downward arrow - If this thought is true, what’s so bad about that? - What’s the worst part about that? - What does it mean to you? About you?
  • 8. Helpless Core Beliefs I am inadequate, ineffective, incompetent, can’t cope I am powerless, out of control, trapped I am vulnerable, likely to be hurt, weak, needy I am inferior, a failure, a lower, not good enough, defective, don’t measure up.
  • 9. Unlovable Core Beliefs I am unlikable, unwanted, will be rejected or abandoned, always be alone I am undesirable, unattractive, ugly, boring, have nothing to offer I am different, defective, not good enough to be loved by other, a nerd
  • 10. Worthless Core Beliefs I am bad, irresponsible, worthless I am dangerous, toxic, evil, inhuman.
  • 11. Core Beliefs Assumptions Compensatory/coping strategies Situation Automatic thoughts/images Reaction (emotional/behavioral physiological)
  • 12. The basic goals of CBT To challenge the thoughts about a particular situation by identifying the cognitive traps help the patient to identify less threatening alternatives to test out these alternatives in the real world to challenge the assumptions that lead to the ATs
  • 13. The importance of homework Much of the change occurs between sessions Exercise analogy Predictor of success