Cognitive behavioural therapy (CBT) was developed by Aaron Beck in the 1960s to treat depression. It is based on the theory that thoughts, feelings, and behaviors interact and influence each other. CBT uses cognitive and behavioral techniques to help patients identify and change distorted or unhelpful thoughts and behaviors. Some techniques include cognitive restructuring, exposure therapy, and behavioural experiments. CBT has been shown to be effective for treating various mental health issues like anxiety, depression, eating disorders, and substance abuse.

1. COGNITIVE BEHAVIOUR
THERPAY: Introduction
BY SUNDAS REHMAN &
ROSE BOGARTS
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2.  Origins of CBT
 Does it work?
 The underlying model
 Techniques
 Apps
Overview
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3.  Aaron Becks developed the approach known as cognitive
therapy as a result of his research on depression
 Becks observation of depressed clients revealed that they
had a negative bias in their interpretation of certain life
events, which contributed to distorted cognitive thoughts
 Today CBT is collection of theories and techniques
 It is called CBT as it uses a collection of cognitive, behaviour,
and emotive techniques
CT + BT = CBT
Origins of CBT
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4.  CBT is one of the most established researched
psychological therapies
 For some problems such as anxiety and depression,
CBT is as effective as medication and can also
enhance effects of medication (AustralianAssosciationofCBT,
2015)
Does CBT Work?
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5. Why use CBT for children and
adolescents?
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• Empowering, skills oriented, immediately
addresses issues
• Develops cognitive ability, empathy, moral,
reasoning
• Emotional regulation and behavioural self control
• Self control & educative
• Applied at individual, group, classroom levels
• Addresses a wide range of childhood disorders
• Is ‘best evidence’ not ‘best practice’

6.  Generalised Anxiety Disorder
 Child/adolescent behaviour problems
 Anger and aggression
 Panic
 Obsessive Compulsive Disorder
 Phobias
 Depression
 Eating disorder
 Brain injury
 Social anxiety
In particular CBT has demonstrated
effectiveness with individuals experiencing the
following problems:
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7.  --- “People are disturbed not by things but the
view that they take of them” Epictetus 1st
Century AD
 -- “…there is nothing either good or bad, but
thinking makes it so”. Hamelet, 2,2,254
What is CBT?
The underlying model
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8.  The basic belief behind CBT is that it is not
the environmental factors that are
responsible for how a person feels and
behaves. Rather it is the way an individual
thinks that causes a reaction.
 Thinking: different people can think
differently about the same event. It is the
way in which we think about the event that
influences how we feel and how we act.
What is CBT?
The underlying model
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9. A working model
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10. https://www.youtube.com/watch?v=WRRdSm4ZjX4
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11.  CBT model emphasises that it is not the
event/situation that causes the emotional
distress rather it is the individuals view of
that event or situation
 CBT works by focusing on those negative
thoughts and learning how to change
them as well as learning how to change
unhelpful behaviour
Underlying Cognitive Model
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12.  CBT aims to teach people that it is possible to have
control over your thoughts, feelings, and behaviour.
 CBT helps challenge the individuals negative
thoughts, behaviour, and feelings.
Techniques
CBT
CT BT
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13.  Involves identifying unhelpful thoughts or beliefs
1. being able to detect unhelpful thinking pattern
2. being able to challenge those unhelpful
thoughts and developing more helpful, adaptive way of
thinking
* “what evidence do you have for this?”
* “is there a more helpful way of
thinking?”
* “why must it absolutely be that way?”
Cognitive Therapy (CT)
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14.  Look for alternative explanations
 What is the evidence for and
against this thought?
 Is your thought factual?
 Are you jumping to conclusions?
 How can you check if your thoughts
are actually true?
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Challenging Negative Thoughts
* Reality testing
• Is there another way
you can look at this
situation
• What else could this
mean?
* Putting it into prospective
• Is the situation really as bad?
• What is the worst thing that can happen?
How likely is that?
• What is most likely to happen?
• Will this matter in 5 years time?

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16.  Exposure therapy
 Pleasant Event Scheduling- changing a persons
environment or activity that may help alter their
moods
 Relaxation- there are various ways to learn to relax,
including progressive muscular relaxation, applied
relaxation, mindfulness (new and popular technique)
Behaviour Therapy (BT)
https://www.youtube.com/watch?v=cDflnqo0TQs
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Anger
management
technique

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Negative Nancy
• Draw a grumpy person and some
negative thoughts or statements
coming from her, around her
• Ask your student to brainstorm with
you the negative statements or
thoughts they have been thinking
• After, process the effects of being
negative
• Finally create a problem solving map
to help change those negatives into
positives

19.  Problem Solving
1. What is the problem?
2. What could I do?
3. What might happen if? (consider consequences for
each idea)
4. Pick best solution.
5. Do it.
6. Did it work?
Behaviour Therapy (BT)
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20. Assessing Behaviour
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• —Connection between thoughts, feelings, behaviours.
• —Ask about specific behavioural reactions to a typical
event?
• —How much control did the child have over their
behaviour?
• —How did the child feel about their behavioural
reaction?
• —Did the child understand fully the consequences of
their behavioural reaction?
• —What was the level of intensity of child’s behavioural
reaction?

21. Strategies for assessing behaviour
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• Ask how they behaved in relation to a particular
feeling
• Using goal-directed thinking: Assess how
behaviours help or don’t help a particular goal the
child wants to achieve
• Is thinking this way helping me
achieve my goals?
—
For the younger child:
Draw it out or use cartoons

22.  When teachers use CBT, they can help their students
control their own behaviour, rather than enforcing
external reinforcements
 CBT teaches students to use their inner-speech to
modify their underlying belief
 Cognitive strategies help students learn “how-to-
think, instead of “what to think”
 In the classroom it can be argued that it is even more
important to teach students HOW to use their
thinking to improve their own behaviour
Teachers using CBT
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23.  Overall numerous studies indicate that teaching
children cognitive strategies can strengthen pro-
social behaviour and decrease maladaptive behaviour
like disruption and aggression.
 We can equip our students with skills to remain in
control across various different situation if we teach
them to Stop and Think- Critically.
Teachers using CBT
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24.  Be aware of the developmental stage of the young
person (think about psychological, cognitive, and
emotional development)
 Involve families
 Make it interesting and engaging: use appropriate
language, worksheets, and/or videos
The Use of CBT with Young People
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25. Apps for mood- children and
adolescents
 1. The Grouchies
 2. Optimism
 3. My Mood Tracker
 4. Mood Tracker
 5. Mood Chart
 6. iMood Journal
 7. Sad Scale
 8. Mood Me
INSIDE OUT: MOVIE FOR
EMOTIONAL AWARNESS
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26.  Kendall, P.C. (2000). Child and Adolescent Therapy:
Cognitive-Behavioural Procedures. The Guildford
Press, New York
 Australian Association of Cognitive Behaviour
Therapy.(2015). Retrieved 19th of October 2015 from:
 http://www.aacbt.org/viewStory/WHAT+IS+CBT%3F
 O’Kelly, M. (2014). CBT in action, a practitioners guide.
Premier Publishing and Media, USA
References
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27.  Examples of disputes
 —Where is the evidence that …?
 —Am I what they say I am?
 —Am I an awful kid if I make mistakes?
 —Just because it happened once, will it always be this way?
 —Is it really so awful?
 —Does everything have to be easy?
 —Where is the evidence you can’t stand it?
 —What’s the worst thing that could happen & how likely is it that this
 will occur? What is the best thing that could happen? What is the
 most realistic outcome?
 —Where is it written that everything should be fair and go your way?
TIPS
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