Cognitive Behavioral Therapy

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Cognitive Behavioral Therapy

• Aaron Beck Philadelphia psychiatrist who was
  trained as a psychoanalyst developed the
  importance of cognitive thinking, especially
  dysfunctional thoughts, which are unproductive
  and ineffective.
• Effective as a short-term treatment for
  depression and anxiety disorders. Feelings
  behaviors are determined by how one thinks.

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Cognitive Behavioral Therapy

• Donald Meichenbaum born in NYC, decided that
  the way that people talk to themselves is
  important. Developed CBT and coined the term,
  Stress Inoculation Training.
• Noted for work with anger, PTSD aggressive
  behavior.

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Cognitive Behavioral Therapy

• Schemata general rules about themselves of the
  world associated with an event.
• People engage in self-statements as if someone
  else said these statements that change or affect
  behavior

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Cognitive Behavioral Therapy

• Cognitive distortions
• All-or-nothing thinking - dichotomous thinking
• In selective abstraction focusing on the
  negative to support a belief
• Overgeneralization making a rule based on a few
  incidences or events

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Cognitive Behavioral Therapy

• Magnification/minimization making something
  appear worse or less than it really is
• Personalization an event that is unrelated to a
  person is distorted made to appear as if it is
  related
• Labeling/mislabeling a person characterizes
  him/herself in a certain way

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Cognitive Behavioral Therapy

• Catastrophizing distorting an event so that one
  becomes fearful of it
• Mind reading believing a person knows what
  someone else is thinking
• Negative predictions belief that something bad
  is going to happen

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Cognitive Behavioral Therapy

• Techniques
• Self-instructional training talking oneself
  into appropriate behavior
• Stress-inoculation training 1) understand the
  nature of stress coping, 2) learn specific
  coping skills, 3) practice think ahead about
  stressful situation employ coping techniques

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Cognitive Behavioral Therapy

• Thought stopping
• Thought substitution
• Cognitive restructuring clients identify,
  evaluate, and change self-defeating or irrational
  thoughts that negative influence their behavior