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The Basics of Cognitive Behavior Therapy (CBT)

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The Basics of Cognitive Behavior Therapy (CBT) Maureen L. Whittal, Ph.D. & Adam Chodkiewicz, M.D. UBC Hospital September 7, 2006 The origins of CBT Came out of the ... – PowerPoint PPT presentation

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Title: The Basics of Cognitive Behavior Therapy (CBT)


1
The Basics of Cognitive Behavior Therapy (CBT)
  • Maureen L. Whittal, Ph.D.
  • Adam Chodkiewicz, M.D.
  • UBC Hospital
  • September 7, 2006

2
The origins of CBT
  • Came out of the behavioral psychology tradition
  • Leading proponents were Aaron Beck and Albert
    Ellis
  • 1960s were the starting point and began with the
    treatment of unipolar depression

3
Definition of CBT
  • Focused form of psychotherapy based on a model
    suggesting that psychiatric/psychological
    disorders involve dysfunctional thinking
  • The way an individual feels and behaves in
    influenced by the way s/he structures his
    experiences

4
Definition contd
  • Modifying dysfunctional thinking provides
    improvements in symptoms and modifying
    dysfunctional beliefs that underlie dysfunctional
    thinking leads to more durable improvement
  • Therapy is driven by a cognitive
    conceptualization and uses a variety of strategies

5
CBTempirically supported
6
The General Cognitive Model
Situation
Automatic Thoughts And Images
Reaction (Emotional, Behavioral and physiological)
7
The Cognitive Triad
  • Negative view of the self (e.g., Im unlovable,
    ineffective)
  • Negative view of the future (e.g., nothing will
    work out)
  • Negative view of the world (e.g., world is
    hostile)

8
Automatic Thoughts (ATs)
  • Negative thoughts about yourself, your world, or
    your future
  • ATs are not given the same consideration as other
    thoughts but rather they are assumed to be true

9
Examples of ATs
  • Catastrophizing - extreme consequences of events
  • All or nothing - seeing things in black and white
    - no grey areas
  • Emotional reasoning - if I feel it, it must be
    true

10
Identifying Assumptions and Core Beliefs
  • If, then
  • Downward arrow
  • - If this thought is true, whats so bad
    about that?
  • - Whats the worst part about that?
  • - What does it mean to you? About you?

11
Helpless Core Beliefs
  • I am inadequate, ineffective, incompetent, cant
    cope
  • I am powerless, out of control, trapped
  • I am vulnerable, likely to be hurt, weak, needy
  • I am inferior, a failure, a lower, not good
    enough, defective, dont measure up.

12
Unlovable Core Beliefs
  • I am unlikable, unwanted, will be rejected or
    abandoned, always be alone
  • I am undesirable, unattractive, ugly, boring,
    have nothing to offer
  • I am different, defective, not good enough to be
    loved by other, a nerd

13
Worthless Core Beliefs
  • I am bad, irresponsible, worthless
  • I am dangerous, toxic, evil, inhuman.

14
The Cognitive Model
Core Beliefs
Assumptions
Compensatory/coping strategies
Situation
Automatic thoughts/images
Reaction (emotional/behavioral physiological)
15
The basic goals of CBT
  • To challenge the thoughts about a particular
    situation by identifying the cognitive traps
  • help the patient to identify less threatening
    alternatives
  • to test out these alternatives in the real world
  • to challenge the assumptions that lead to the ATs

16
The basic tenets of CBT
  • Cognitive specificity
  • socratic dialogue
  • collaborative empiricism

17
The importance of homework
  • Much of the change occurs between sessions
  • Exercise analogy
  • Predictor of success
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