Exam #2 Cognitive Behavioral Therapy
CBT - correct answer Highly recommended for depression and anxiety
*when they are in crisis and they first come in don't do cognitive behavioral
IMMEDIATELY --> when you start to see improvement from the medication, then you
start working on this as a tool
CBT is based on the principle that: - correct answer thoughts influence feelings,
feelings influence actions, and
actions influence our results or life circumstances.
CBT Process - correct answer We experience some kind of event in life (a trigger).
How we think about, process, or interpret that event will affect what type of emotions we
experience and how intensely we feel them.
Feelings often influence actions. And how we choose to respond influences the
outcome, or the circumstances in which we find ourselves.
Linear version of the general model of CBT looks like this: - correct answer event --
thoughts -- feelings -- actions -- circumstances
What to do with patients that say they feel offended - - correct answer just agree with
them
- it neutralizes them -- best way to neutralize them is to just AGREE with (if they say
something really critical about you, just agree with them)
fundamental key of CBT - correct answer We can only control how we REACT to the
trigger
We have a say regarding some of the events (triggers) we experience, and others are
completely out of our control.
What is the difference between thoughts and feelings? - correct answer Thoughts are
not feelings. A lot of people say things like, "I felt like he was scheming against me."
That is not a feeling - it is a thought. That type of thought often leads to feelings of fear,
hurt, or betrayal.
We teach our patients, "If it's a full sentence, it's a thought." -- Feelings are... - correct
answer Feelings are one word and are expressions of emotion.
, Examples include angry, sad, mad, happy, excited, fearful, anxious, etc. Some people
do not get the importance of this, but for a person to learn to use the tools of CBT, it is
important to understand the differences.
Principle of CBT - correct answer It is the content of our thoughts that determines
what types of emotions we feel.
Is rational thinking the same as positive thinking? - correct answer No. Many different
terms are used to describe unhealthy thinking ( e.g., irrational, dysfunctional,
maladaptive, distorted).
Positive thinking focuses only on the positive.
Rational thinking focuses on
probability, likelihood, patterns, and evidence
Do we choose our actions? - correct answer We almost always choose our actions.
Some people say things like, "He made me do it," or "I didn't have a choice," or "What
about fight or flight?"
Some decisions are made instantaneously, and the thought process behind them is less
conscious, but to determine whether thinking was involved, helpful questions to ask
include:
What influences our results - correct answer ***Our actions influence our results.
Influence is an important word to understand, because it doesn't mean dictate.
Thus, it is not accurate to say we choose our results. It is possible that when we make
healthy decisions, bad things still happen. It is also possible to make a certain number
of poor choices and get away with it.
But, generally speaking, the more healthy choices you make, the better chance you
have of a positive outcome,
Important principle of CBT - correct answer Another important principle of CBT is that
all behavior makes sense.
That is, we all come to think the way we do for specific reasons - all behavior serves a
purpose.
However, the ideas we have learned over the years aren't always healthy - some may
have worked in one setting, but not in another.
The clinical term for changing the way you think is - correct answer cognitive
restructuring
