CBT Final Exam Review, Top Exam Questions and answers, verified.
Identify and Describe problems with structuring a CBT session - -Interrupting the client - feeling overwhelmed by the patient's outpouring of problems
Socializing the client to the structure and format - maintaining the prescri...
CBT Final Exam Review, Top Exam
Questions and answers, verified.
Identify and Describe problems with structuring a CBT session - ✔✔-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 - ✔✔-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) - ✔✔-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
Can be evaluated according to their validity and their utility
Accepted as true despite reflection or evaluation
Importance and Origin of Automatic Thoughts - ✔✔-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 - ✔✔-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
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