This document outlines the key components of cognitive behavioral therapy (CBT) and acceptance therapy. It discusses that CBT aims to help patients identify and change negative and dysfunctional thoughts and behaviors to improve emotions. Acceptance therapy teaches patients to accept situations they cannot change through practice. A strong therapeutic relationship involving genuineness, empathy, and positive regard is important. The document also discusses case conceptualization, instilling hope in patients, addressing antecedents and consequences of behaviors, and typical CBT session structure.

1. Communication
Chanu Bhattacharya
Author : Dr Russel F D’Souza
SACBT
Non –Denominational Therapy

2. Parts of therapy
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 Cognitive Aspect
 Behavioral Exercises

3. Helps
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1. Explaining stressful situation
2. Don’t know what to do
3. Help unavailable
4. Unable to solve
5. Failed expectations
6. Loss of meaning and purpose

4. Acceptance
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Therapist cannot teach acceptance it is a skill
which acquire through practice
Role of the therapist
 Find out Negative information about self
 Key areas of persons life where persons feeling
unacceptable
 Examine that feeling of rejection

5. “Talk therapies” goal
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 Bring a change in the thought by aware patient
about thoughts and emotions
 Identify how thoughts and behavior influence
emotion of the patient
 Improve feelings by changing dysfunctional
behavior

6. Thoughts
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 Cognitive and behavioral aspects of feeling
 Negative thoughts “I am not good "or “things are
not going to be better any more”
 This part of verbalization telling actually patient is
not accepting his/her condition and depressed. It
also physically change appetite and sleep

7. A strong therapeutic relationship
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Strong therapeutic
relationship
• genuinness
• Positive regards
strong therapeutic
relationship
• empathy

8. genuinness
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 Supportive nonverbal behaviour
 Congruent
 spontaneity

9. Positive regards
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 Commitment
 Non judgmental
 Display warmth

10. Active listening
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 Clarification
 Paraphrasing
 Reflection
 Identify thematic content and summarize

11. Case conceptualization
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• Instillation
of hope
• Intervention
strategies
• Therapeutic
rapport
• Treatment
plan
Patient
outcome
Problem
list
Improvement
&agreement
modifications

12. Antecedents vs consequences
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Affective
• What were your
feelings right before
you did that?
Somatic
• What happen to you
physically before
this happen?
•
• Do you feel sick?

13. Antecedents
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Behavioural
• How do you
normally act
before this
happens?
Cognitive
• What thought
go through your
mind before it
happens?
Contextual
• When and
where does this
usually
happen?

14. Antecedent vs consequences
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Relational
Identify possible
treatment obstacles
Home work
Assignment
• Do you do this with
everyone or j
• Just when you are around
certain people?
• Finance ,travel
• Stigma concern
• Family not supportive
• Think about agreed
treatment plan and any
adjustment it might need?
• Make list of obstacles to
therapy that may arise?

15. Hope
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Spiritual
• cure
• remission
Will power
• live
• Survive
• recover
Hope as a way
• Healing
• meaningfulness

16. Instillation of hope
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 Check belief system
 Expectation of positive/good
 Brighter future
 Unconditional love
 Reassurance
 Purpose of journey of life
 Security
 Freedom from fear
 Confidence
 Spirit/gods transcendence in future

17. Meaning and purpose
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5 phases
 Facing mortality
 Letting go of fear and turmoil
 Identifying and making lifestyle changes
 Seeking divine purpose
 Making meaning in daily life

18. Forgiveness
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 Acceptance and awareness of strong emotion
anger and sadness
 Letting go of previously unmet needs
 A shift in the forgiving persons view of the
offender
 Development of empathy for the offender
 Development of new narrative of self and others

19. Forgiveness process
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Forgiveness
marker
Blame complain hurt
Anger
Expressed
Sad.afraid/vulnerable
feelings
Expression of
interpersonal need
Enactment of shift to
affinitive other
Empathy
Empathy for others
Resolution by
forgiveness

20. Session structure
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 12 weeks/3months
 50 min /session
 Twice a week 4 weeks= 8
 Once a week 8 weeks=8
 Total 16 weeks

21. SACBT
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 4 weeks = IPR, case conceptualization, treatment
plan, goal setting
 4 weeks=explore thoughts and beliefs ,problem
solving, meditation, prayer
 4weeks=explore thought, challenge thought,
develop balanced thinking ,relaxation, rituals
 4weeks=mainitaining changes ,ending treatment