UNC-Chapel Hill PSYC 101 - CBT Model (4 pages)

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CBT Model



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Psych 101 1st Edition Lecture 23 Outline of Last Lecture I II III IV V VI VII VIII IX X XI XII XIII XIV XV XVI XVII XVIII XIX Schizophrenia Hallucinations Positive symptoms Negative symptoms Lack of Motivation Anhedonia Affacc Genetics Neurotransmitters Expressed emotion Hostility Stress Nervosa Anorexia Caused by starvation Bulimia Nervosa Purging type Nonpurging type Techniques Outline of Current Lecture II CBT Model III Automatic IV thought V Assessment VI Psychoeducation VII Relapse VIII prevention IX Behavioral X Activation XI Cognitions XII Thought XIII Record XIV Cognitive Restructuring XV Cognitive Distortions XVI Review of CBT principles XVII Behavioral Therapies XVIII Behavioral Therapies based on classical conditioning XIX Exposure XX Imaginal XXI In vivo Current Lecture Aaron Beck father of cognitive psychology An evidence based empirically supported psychotherapy Can be done individually or in group format Gold standard treatment for many mental disorders Benefits over medication Common treatment for anxiety and depression CBT Model Purpose of the model is to concentrate on one of the 3 points Thoughts cognition Automatic thought pops into your head and you think its true 1 Assessment getting someone s history 2 Psychoeducation Providing information about how therapy will look and what we know about the disorder 3 Relapse prevention Anticipating slip ups and troubleshoot how to handle them A typical CBT session Check in and set the agenda Review homework Agenda items Summarize assign homework 5 10 min 10 min 25 min 5 min B in CBT Behavioral Activation Be more active 3 Kinds of activities Pleasure shopping Mastery chores laundry ect Values based religious events volunteering Lifelong C in CBT Cognitions Thought Record Situation Event Automatic Thought Feelings Behavior Rational Response a response to the situation that is more realistic Cognitive Restructuring Identify distorted thoughts Generate evidence for or against a certain belief Come up with a more adaptive way of thinking Pairs well with behavioral activation Cognitive Distortions All or nothing thinking black or white Inability to see the white area Ex Eating disorders Emotional reasoning emotional state dictate how you feel like a jump in logic Making should statements standards that you have to meet otherwise you are a failure Review of CBT principles Upward comparison looking at the realistic answer instead of just the positive CBT Model Our thoughts behaviors and feelings are intertwined Create a life with balanced activities Goal is to have the client s thinking be more realistic and adaptive Behavioral Therapies Based on Learning theory like operant conditioning Components of therapies Good therapeutic relationship Listing of behaviors thoughts to be changed Therapist as a teacher Continuous monitoring and evaluation of treatment and problem behaviors Behavioral Therapies based on classical conditioning Exposure exposing the person to what they are afraid of and making them face it Ex video with woman with the clown Imaginal thinking about what you re afraid of in your mind The more you talk about it it causes habituation You get used to it In vivo Exposure in real life Elimination of avoidance habituation Systematic desensitization exposing people to what they re afraid of in small steps From least scary to most scary Develop fear hierarchy Teach relaxation response Pair feared item with relaxation Move up hierarchy Aversion therapy pairing a behavior you d like to get rid of with something aversive https www youtube com watch v KPgpRw9tiuM Behavior Therapy techniques based on operant conditioning Time out being removed from the situation so you can t get reinforced from your current behavior Token economy A system that has been used in elementary hospitals it involves giving people reward if they meet certain target behaviors Social skills training people that have difficulty with social skills Autism schizophrenia socially impaired Teach people how to interact more effectively Social Skills Training Describe skill Model skill Role play Positive and corrective feedback Home practice best method


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