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CBT Final Exam Review 2023
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CBT Final Exam Review 2023
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CBT Final Exam Review 2023Identify and Describe problems with structuring a CBT session Answer - Interrupting the
client - feeling overwhelmed by the patient's outpouring of problems
Socializing the client to the structure and format - maintaining the prescribed structure
Engaging the patient - when patients have dysfunctional beliefs that interfere with their
ability to work in treatment
Uncooperative vs. controlling clients - unwillingness to conform vs. dominating and
controlling the flow of the session
Mood check annoyance - failure to fill out forms
Brief vs. extended weekly update - too detailed an account of or unfocused rambling
about their week
Review of homework - failing to ask clients about their homework
Discussion of agenda items - unfocused discussion, inefficient pacing, and failure to
make therapeutic intervention
Reasons for homework non-compliance -
Feedback - when patients are distressed at the end of session and you have not left
enough time to resolve
Strategies to overcome the problems associated with structuring a CBT session Answer
- Interrupting the client - can i interrupt you for a minute? i want to make sure i get
what's been going on
Socializing the client to the structure and format - describe, provide a rationale, and
monitor with gentle corrective feedback each of the session elements
Engaging the patient - be alert to dysfunctional cognitions and help patients respond to
them
Uncooperative vs. controlling clients - ask them to comply as an experiment vs.
negotiate a compromise and move the patient toward the standard structure
Mood check annoyance - socializing the client to completing the form - importance,
rationale, is there a practical difficulty that needs to be resolved?
Brief vs. extended weekly update - Can i interrupt you for a moment? could you just tell
me about your week in tow or three sentences?
Review of homework - keep it as a standard agenda item
Discussion of agenda items - structure the discussion appropriately, monitor the
passage of time (2 agenda items), be conscious of your goal solve or partially solve
problem and assign homework
Reasons for homework non-compliance - too difficult, unrelated to concerns, fails to
provide good rationale, forgets to review homework, does not stress importance, does
not teach, does not have client write down, non-collaborative
Feedback - start ending session 5-10 min early to address clients concerns
Identify and Describe the Characteristics of Automatic Thoughts (ATs) Answer -
Automatic/ involuntary - Arise without obvious conscious processing
, Situation-specific - Look for situations that give rise to the shift
Habitual - Accepted as normal, taken for granted, doesn't demand attention
Dysfunctional - distort reality, emotionally distressing, interfere with ability to reach goals
Negative - unless manic, narcissistic, or substance user
Subjective
Rapid/ Fleeting/ Brief - normally more aware of the emotion they feel rather than
thoughts themselves
Condensed/ Abbreviated - Cognitive shorthand, maybe symbolic/ visual image
Repetitive - Look for patterns/ emerging themes
Can be evaluated according to their validity and their utility
Accepted as true despite reflection or evaluation
Importance and Origin of Automatic Thoughts Answer - thoughts relevant to personal
problems are associated with specific emotions, depending on their content and
meaning. They are often brief and fleeting, in shorthand form, and may occur in verbal
and/ or imaginal form. People usually accept their automatic thoughts as true, without
reflection or evaluation. Identifying, evaluating, and responding to automatic thoughts (in
a more adaptive way) usually produces a positive shift in affect
Techniques used to elicit Automatic Thoughts Answer - Ask for situation specific
information - pay attention to distortions and repetitive focus on thoughts and feelings
Direct questioning - what was going through your mind
Notice and comment on emotional shifts and where they are felt in the body
Visualize the situation (role play)
Supply the opposite of what you think they feel
Ask for what the situation means to them
How to explain Automatic Thoughts to clients Answer - explain using their own
examples. in the context of discussing a specific problem with a patient, you will elicit
the automatic thoughts associated with the problem. Point out an AT given by a client.
Explain they just pop into our heads and are not deliberate. They're very quick and
we're more aware of the emotion they provide. We often react as if they are true even if
they are not. We may have to explain the cognitive model first and use questioning to
get to this point
Automatic Thoughts vs. Emotions Answer - Emotions are the product of automatic
thoughts
Feeling sad, anxious, or irritated is not a thought.
Emotions are logically connected to automatic thoughts. AT's are situation focused
whereas emotions follow it
Techniques used to identify Emotions Answer - People have issues identifying different
types of emotions, must teach them a bit
Give examples of times when certain emotions occur
Have client recall a situation and identify the emotion
Use a rating scale. A little sad or as sad as possible
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