GROUP 3

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COGNITIVE-BEHAVIORALAPPROACHES TO
HEALTHBEHAVIOR CHANGE (CBT)

• GROUP 3

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LEARNING OBJETIVE

• Defining Cognitive behavior therapy (CBT).
• Discussing Interventions involved in Cognitive
  behavior therapy
• I.e. Self monitoring, Stimulant control, Self
  control of behavior, Self reinforcement
• Discussing Behavioral assignment

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GROUP MEMBERS
S/N NAME REGISTRATION NUMBER
1. Noel Makinga HK/MD/20/2529
2. Florence Nassari HK/MD/20/2464
3. Naila Khimji HK/MD/20/2548
4. Warda Rashid HK/MD/20/2482
5. Faraja Mwambola HK/MD/20/2652
6. Salma Mwadini HK/MD/20/2588
7. Yusra Mohamed HK/MD/20/2553
8. Yusra Kagomba HK/MD/20/2543
9. Firdaus Suleiman HK/MD/20/ 2451
10. Awena Nassor HK/MD/20/2453
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COGNITIVE BEHAVIOR THEORY
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COGNITIVE BEHAVIORAL THERAPY (CBT)

• Is a psycho-social intervention that aims to
  improve mental health by changing the way you
  think and behave.
• CBT has been effective for many problems
  including depression, anxiety disorders, alcohol
  and drug abuse, marital problems and eating
  disorders.
• CBT may be implemented individually, through
  therapy in a group setting, or even on the
  Internet.

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• The interventions involved in CBT includes
• Self monitoring.
• Stimulus control.
• Self control of behavior.
• Self reinforcement.

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• 1. SELF MONITORING.
• One must understand the dimensions of the poor
  health habit before change can begin.
• Self monitoring is a personality trait that
  involves the ability to monitor and regulate self
  presentation, emotion and behaviors in response
  to social environment and situation.
• Two steps involve-
• To learn to discriminate the target behavior.
• charting the behavior.

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• 2. STIMULUS CONTROL.
• Once the circumstances surrounding the target
  behavior are well understood, the factors in the
  environment that maintain poor health habits such
  as smoking, drinking, and overeating, can be
  modified.
• Stimulus control interventions involve
• Ridding the environment of discriminative
  stimuli that evoke the problem behavior.
• creating new discriminative stimuli, signaling
  that a new response will be reinforced.

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• 3. THE SELF CONTROL OF BEHAVIOR.
• CBT emphasizes self control where a person acts
  as his or her own therapist and this can be done
  through Cognitive restructuring.
• Cognitive restructuring this can be done through
  modification of whatever the person believe. Eg
  a smoker who believes that smoking is the only
  way to release stress, can modify what he/she
  thinks about smoking this can involve looking
  for new ways to release stress.
• People often generate internal monologues that
  interfere with their ability to change their
  behavior, thus Unless these internal monologues
  are modified, the person will be unlikely to
  change a health habit and maintain that change
  over time.
• Clients need to actively monitor their own
  behaviors and apply the techniques of cognitive
  behavioral therapy to bring about change.

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• 4. SELF REINFOECEMENT.
• Self reinforcement involves operant conditioning
  i.e. Positive reinforcement, negative
  reinforcement, positive punishment and negative
  punishment.
• One form of self punishment is contingency
  contracting, this involve contract forming with
  another person, detailing the rewards and
  punishment on performance of a behavior.

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• BEHAVIORAL ASSIGNMENTS.
• A technique for increasing client involvement is
  behavioral assignments, home practice activities
  that support the goals of a therapeutic
  intervention.
• Behavioral assignments are designed to provide
  continuity in the treatment of a behavior
  problem.
• The chief advantages of behavioral assignments
  are
• (1) the client becomes involved in the treatment
  process,
• (2) the client produces an analysis of the
  behavior that is useful in planning further
  interventions,

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• (3) the client becomes committed to the treatment
  process through a contractual agreement to
• discharge certain responsibilities,
• (4) responsibility for behavior change is
  gradually shifted to the client,
• (5) the use of homework assignments increases
• the clients sense of self control.

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