behavioral therapy CBT By Mr Daniel Hansson Activity Take this online cognitive test httpwwwhelpselfcomthinkerhtm Do you agree with the claims of the test Why or why not Cognitive ID: 269335
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Slide1
Cognitive behavioral therapy (CBT)
By Mr Daniel HanssonSlide2
Activity
Take this online cognitive test:
http://www.helpself.com/thinker.htm
Do you agree with the claims of the test? Why or why not?Slide3
Cognitive behavioral therapy
What is it?
How
can it be used to treat anorexia nervosa and major depression
?
Supporting studies
Evaluation
ConclusionSlide4
What is CBT?
CBT is based on cognitive and behavioral research
Aims to solve problems concerning dysfunctional emotions, behaviors and cognitions through a systematic, goal oriented procedure in the present (no focus on the past)
The therapy is aimed to terminate at a certain point, usually no longer than 15 weeks.
The therapy is evidence based (based on empirical researchSlide5
What is CBT?
Assumes that disorders is caused by dysfunctional thought
and behavioral patterns (habits)
Uses cognitive techniques to change faulty thinking, e.g. meditation/mindfulness, thought stopping, self distancing (
visualizing yourself in a negative experience that it is not happening to you but to someone else
), distractionSlide6
Beck’s cognitive theory of depression
Depressed
people have acquired a negative schema of the world in childhood and adolescence through negative events
When the person with such a schema encounters a situation that resembles the original conditions of the learned schema, the negative schema is activatedSlide7
Beck’s cognitive triad
Depressed individuals have negative thoughts of:
1. The self
2. The world/environment
3. The futureSlide8
Cognitive restructuring
A cognitive technique that attempts to replace
faulty thinking with more accurate and beneficial ones
by gaining
awareness of bad thought
habits, learning
to
challenge
thought
habits and change them to life
enhancing thoughts and beliefsSlide9
Example of using cognitive restructuring for depression
Find the cause for the depression (such as “I lost my job”)
Turn it into something more positive “but hopefully I will find a new job”, “the job was terrible anyway”, “now I have got time to find out what I want to do with my life”Slide10
How can CBT be used to treat depression?
T
he therapist helps the patient schedule enjoyable experiences, often with other people who can reinforce the enjoyment.
Patient and therapist will look at obstacles and find ways to get past those obstacles by breaking the process down into smaller steps
Patients are encouraged to keep a record of the experience, noting how he or she felt and what the specific circumstances were. If it didn't go as planned, the patient is encouraged to explore why and what might be done to change it. Slide11
Examples of CBT techniques for reducing depression
Require
clients to engage in enjoyable, health activities
. Make
a list of things that
you enjoy
to do,
homework
for
the
week may include doing one thing from his list each day
.
Homework assignments might include basic techniques such as writing three things you're grateful for at the end of day, writing down negative thoughts and trying to flip them into positive thoughts and starting each day by listing two things that you're excited about for that day
.
Rank
their level of depression at the beginning of each session. They'll note the level of depression and focus on gradually reducing it. This technique keeps the client focused on the main issue for coming to therapy and helps the therapist to know whether or not other techniques are working.Slide12
A typical session of CBT
The session begins with a check on the patient's mood and symptoms.
Together, the patient and therapist set an agenda for the meeting.
Once the agenda is set, they revisit the previous session so they can bridge to the new one.
The therapist and patient review the homework assignment and discuss problems and successes.
Next they turn to the issues on the agenda, which may or may not all get addressed.
New homework is set.
The session ends with the therapist summarizing the session and getting feedback from the patient.
A typical session lasts 50 minutes to an hour.Slide13
How can CBT be used to treat Anorexia nervosa?
To treat the mental and emotional elements of an eating disorder. This type of therapy is done to change how you think and feel about food, eating, and body image. It is also done to help correct poor eating habits and prevent relapse
During therapy, the patient can expect to learn about
your illness, its symptoms, and how to predict when symptoms will most likely recur.
The patient will be asked to keep a diary of eating episodes, binge eating, purging, and the events that may have triggered these episodes.
The patient will be encouraged to eat more regularly
The patient will be asked to change the way she thinks about her symptoms.
The patient will be encouraged to change self-defeating thought patterns into patterns that are more helpful
The patient will be encouraged to handle daily problems differently. Slide14
How can cognitive therapy be used for anorexia nervosa?
Anorectic patients are initially very adverse of receiving treatment. The psychologist must develop an accepting and warm relationship with the patient
The counselor must accept the patient’s belief about her body image as genuine for her
(initially you may not
refute or challenge
it)
Cognitive distortions must be gently challenged
You may question the patient what would happen if her worst expectation would come true (such as gaining weight) and if she would appreciate her friends less if they were gaining weight (questioning the double standard of the patient)
Give suggestions for how to deal with problems in life and experimentSlide15
Supporting studies
Goldapple
(2004)
Riggs
(2007
)
Bowers (2008)Slide16
Evaluation
CBT is more effective for anxiety and depression than eating disorders and more effective for bulimia nervosa than anorexia nervosa
Is ineffective for treatment of schizophrenia and bipolar disorder
There are few well controlled studies on the effectiveness of CBT for depression
As
effective for depression as drug therapy for milder forms of depression
Time and cost efficient
Empirical support for its
effectiveness
As effective as other psychotherapiesSlide17
Conclusion
Is most effective if it is used in conjunction with behavioral therapy (CBT) and drug therapy