Final Exam Review Monday 5 30 7 30 p m Final Exam will cover CBASP PowerPoint Eating Disorders Overview PowerPoint Motivation Interviewing PowerPoint Gold PowerPoints 1 3 YouTube Videos Judith Beck and CBT for Dieting 1 Beck Interview 3 57 https www youtube com watch v EgF0mShiouY 2 Beck Role Play 6 24 https www youtube com watch v yJxCnoR3Cc8 3 Beck Diet Solution 4 50 https www youtube com watch v RCzEtdSt98 Motivational Interview 1 Motivational Interviewing 15 minutes https www youtube com watch v cPd1aLOfwF4 2 MI Role play No Closed captioning 9 28 https www youtube com watch v sWc0g2K9LAI few questions on eating disorders Miss America contest anorexia bulimia binge eating few questions on how MI differs from regular therapy know the 3 eating disorders and the main difference between them FINAL EXAM REVIEW POINTS few questions on CBAS CBAS know steps of CBAS Eating Disorders anorexia bulimia binge eating Motivational Interviewing questions come directly from slides Gold PowerPoint examples of CB controlling environment CBT for Eating Disorder CBT restructuring on test 1 2 questions from Beck Role playing videos Motivational interviewing What are the defining characteristics of Motivational Interviewing MI Motivational interviewing is helpful for those who want to change those who don t want to change those who are ambivalent unsure of change and those with motivational problems Collaboration between the therapist and client The therapist evokes but doesn t instill motivation listen reflectively The client is responsible for change maintains autonomy How does it differ from other therapies Differs from other therapies because client is the one responsible for change not therapist After all it s their life change can only occur if they are motivated to do so What are the best situations for MI People who use drugs and want to stop People who are in situations in which they want to change but are unsure and have problems with motivation What techniques work for MI Use a client s resistance or argumentative tendencies against them roll with resistance What techniques do not work for MI Pushing a client when they don t want to go What type of patient was it developed for Good for patients who are ready or not ready for change but especially good for those who are ambivalent about changing Those who believe they don t need therapy or therapy doesn t work Define Rolls with Resistance o Simple reflection o Double sided reflection o Reframing i e My P O is always on my back Response It must be frustrating always having someone looking over your shoulders i e I may have some gambling problems but it s not like I m an addict who lost my house Response On one hand gambling has caused some problems but it s important you aren t viewed as an addict i e I ve tried to quit smoking many times before but I just can t Response You re pretty persistent o Agreeing with a twist You can t tell me how to raise my kids you don t live in my house Response Truth is you re in the best position to decide the best way to raise your kids and figure out what does and doesn t work so you need to be a full partner in this process o Emphasize personal control o Coming alongside Change Talk o What worries you about current behavior o Do you remember a time when things were going well for you o Where do you see yourself in 10 years if you don t change If you do Amplified Reflection o i e My wife is upset about my gambling but I don t have a problem Response It seems to you that she doesn t have a reason to be concerned Describe in one sentence each of the two phases of MI Phase one consists of using different methods to gather motivation from within the client by determining what reason they have to change and changing versus not changing Phase two consists of developing a change plan and actually enacting the change plan in order for change to really occur using the motivation from phase one Describe the Five General Principles of Motivational Interviewing e g express empathy a i e I can see how that would be difficult a Current behaviors interfere with life goals 1 Express empathy 2 Develop discrepancy 3 Avoid argumentation 4 Roll with resistance 5 Support self efficacy a Client responsible for change b Must hold the belief that change is possible and have confidence and optimism c Dynamic rather than static What is Self Efficacy The belief that changing oneself is possible and the person has the confidence and optimism to accomplish tasks The able in ready willing and able Describe the ways a therapist can help patient to evoke change talk about the disadvantages of status quo e g what concerns you about your current situation Get the client to acknowledge how the current behavior is not as good as the change behavior i e Picture yourself in five years if you do not Recognize the disadvantages of the status quo while recognizing the advantages of change holding optimism about the change with an intention and commitment to change i e I never really thought about how I have not taken this serious enough I can see if I don t lose some weight I could die sooner How does MI differ from Traditional Therapies In MI the therapist collaborates with the client rather than being the authority In MI the client is responsible for change instead of the therapist determining the change that should occur In MI motivation should come from within the client instead of the motivation being instilled into the client CBASP What is the procedure for filling out a CBASP homework 1 Describe the situation editorializing a Pick a discrete slice of time approx 15 min and describe what happened no b Description should be short couple sentences and have beginning middle end 2 Interpretations of the situations a The patient s opinions about what the event meant what does the situation mean to you b Thoughts that occurred during the situation 3 Identify behaviors in the situation a Words and actions b Body language c of the situation i e eye contact posture gestures tone of voice timing etc 4 Identify the Desired Outcome DO a How did the patient want the situation to turn out what do you want to get out b Must be realistic can t go back in time c Has to be within control can t make other person do feel think something 5 Identify the Actual Outcome AO a How did the situation actually turn out What really happened 6 Remediation Phase a Revisit interpretations and behaviors steps 1 2 and consider if each one helped or hurt the goal of
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