Shared Flashcard Set

Details

Cognitive Behavioral Therapy
Aaron Beck
31
Social Work
Post-Graduate
01/22/2022

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Cards

Term
Underpinnings of CBT
Definition
A form of treatment that focuses on examining the relationships between thoughts, feelings, and behaviors. ● This approach is a problem-focused and goal-directed form of treatment that focuses on both cognitive and behavioral excesses and deficits.
Term
Underpinnings of CBT
Definition

 A form of treatment that focuses on examining the relationships between thoughts, feelings, and behaviors. ● This approach is a problem-focused and goal-directed form of treatment that focuses on both cognitive and behavioral excesses and deficits.

Clear relationship between thoughts and feelings

teaches problem solving techniques

Term
Theory of change
Definition
Change occurs by exploring patterns of thinking and beliefs that lead to problematic behaviors. ● Once an individual understands the relationship between their thoughts, feelings and behaviors they are able to modify or change their patterns of thinking and engage with stressors in a more positive manner.
Term
Role of the Therapist
Definition

teacher and collaborator (look for on test)

focus on skill-building

homework is essential

 The therapist works collaboratively with the client and uses a goal-focused approach to address the symptoms that the client presents.

● The therapist creates structured sessions and frequently provides homework for clients to work on between visits. ●

Focuses on relationship ●

Demonstrates empathy

Term
Cognitive Triad
Definition

 Cognitive Triad

1. View of self

2. View of the world

3. View of prospects for the future 

These tend toward depression

negative- everyone hates me

Term
 Automatic Thoughts: 
Definition
Thoughts about ourselves or others that individuals are often not aware of and are therefore not able to assess for accuracy or relevancy.
Term
 Maladaptive Thoughts
Definition
These are automatic thoughts that are typically centered on negative themes or distorted reflections that are accepted as true.
Term
Schemas
Definition

Cognitive structures people develop early on that influence how they think about and interpret the world. Schemas play a role in regulating self-worth and coping skills. 

"I am lovable"

Internal structure to understand life around us.  Perspective about life, good or bad, accurate or inaccurate.

Term
 Beliefs
Definition

 Core beliefs: A person’s basic understanding of their worth in the world. ○ Intermediate beliefs: The influence of a person’s core beliefs on their understanding and interpretation of different situations.

1) rigid and hard to change

2) assumptions and attitudes

Term

 Cognitive Distortions

Bad patterns

Definition
Inaccurate or flawed ways of thinking that contribute to a person experiencing negative feelings and engaging in dysfunctional behaviors. The most common types of cognitive distortions are:
Term
 Overgeneralization
Definition
Taking a negative event and assuming it represents a never-ending pattern of defeat.
Term
 Arbitrary inference (emotional reasoning):
Definition

 An assumption that negative emotions being experienced are an accurate reflection of reality.

Join a conversation and people stop talking.  It must be me...

Term
 Selective abstraction (mental filter): 
Definition

Focusing on a negative piece of information and disregarding any positive information

99 good and one bad

Term
 Personalization
Definition

 Assigning blame on self regardless of 

She is cold, and you assume it is me

Term
 All or Nothing Thinking (polarized)
Definition
A tendency to see things in the extreme.
Term
Discounting the Positive:
Definition
Accomplishments or positive attributes are disregarded.
Term

Mind reading

fortune telling

Definition
Mind reading: Assume others are negatively reacting to you without supporting evidence. ■ Fortune Telling: Predicting negative outcomes without supporting evidence
Term
Magnification and Minimization
Definition
Inappropriately give more meaning to events or lessen their meaning.
Term
Should statements
Definition
Employing self-critical language that leads to disappointment or a feeling of failure.
Term
Labeling
Definition
Assigning negative and emotionally-heavy labels to self or others.
Term
 Cognitive Restructuring:
Definition

Teaches clients to identify irrational, distorted, or maladaptive beliefs, question the evidence for the belief, and generate alternative responses. 

main thrust

Term
 Socratic Questioning:
Definition

 The therapist asks questions to increase their understanding of the client’s thought processes and to assist the client in questioning and challenging the validity of their thoughts.

purpose on exam: dive beneath surface

Term
 Systematic Desensitization:
Definition

 Combines the teaching of relaxation techniques with gradual exposure to anxiety provoking situations. 

Cope with anxiety

Term
Downward Arrow
Definition
An intervention used that asks clients a series of questions in an attempt to uncover underlying assumptions.
Term
Successive Approximation
Definition
Client and therapist collaborate in developing a plan for the client to engage in steps that approximate an ultimate goal, to allow the client to have success at each step along the way to the goal.
Term

 Three Column Technique:

really big!

Definition

 Client collects automatic thoughts and lists the situation in which the thought occurred, the automatic thought, and the associated feelings 

initial homework after learning about automatic thoughts

Term
 Automatic Thought Record:
Definition
expands on the three column technique, with columns to record alternative reactions and responses to the automatic thought and behavioral or emotional outcomes of changing the thought
Term
Finding Alternatives:
Definition
clients review all possible options and alternatives for either interpreting a situation or resolving a problem
Term
Tx goals
Definition

1. Relieve symptoms or problems

2. Cognitive restructuring: Identify unrealistic automatic thoughts and change them to create more positive and accurate schemas

3. Modify maladaptive behaviors

4. Develop positive coping skills and problem-solving strategies

5. Change unhealthy schemas 

Term
Interventions
Definition

Provide psychoeducation regarding the main concepts of CBT ● Identify cognitive distortions causing client’s negative feelings and dysfunctional behaviors. ● Assign homework between sessionsSelf-Monitoring: Documenting thoughts, feelings, and behaviors using automatic thought records, three column logs. ○ Behavioral Experiments: The client is encouraged to engage in activities that test beliefs they hold to determine their validity. ○ Behavioral Activation: Schedule activities and incentives for engaging those activities. ● Teach anxiety management skills for specific situations using imagery and role-playing. ● Teach clients how to use assertive communication techniques and practice in session. ● Teach and practice effective problem-solving skills ● Teach relaxation skills, practice skills in session and assign practice between sessions.

question on test for trauma- CBT look for relaxation skills

Provide communication skills training in couples therapy to help couples talk about feelings and problems.

Term
Phases of tx
Definition
Beginning: Establish safe and supportive therapeutic relationship; Complete a functional analysis to assess and define the problem and negative thought patterns; Educate and explain CBT; Set collaborative goals. Middle: Identify negative thought patterns; Uncover negative schemas; Assign homework to self- monitor thoughts and moods and behaviors; Label cognitive distortions; Reframe thoughts; Learn and practice new skills and behaviors.  End: Review gains; Identify skills learned; Rehearse for new situations; anticipate future struggles.
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