The most important aspect of therapy with client? - Answer-The most important aspect of therapy with client is the client-therapist relationship
why is homework important in CBT? - Answer-- helps clients build confidence and competence (and this reduces relapse)
- clients less likely to depend ...
CBT TEST QUESTIONS AND ANSWERS
The most important aspect of therapy with client? - Answer-The most important aspect
of therapy with client is the client-therapist relationship
why is homework important in CBT? - Answer-- helps clients build confidence and
competence (and this reduces relapse)
- clients less likely to depend on therapist as the agent of change in their lives
- allows the client to become their own therapists or problem-solvers
should you start homework assignments right away in therapy? - Answer-Be hesitant to
start homework right away... develop a relationship first and then build in that so you
know what to assign so it won't overwhelm them
guessing about what the client is feeling... (good or bad and why?) - Answer-BAD
obviously
In therapy, don't make guesses about how client's are feeling... the light bulbs needs to
go off with the client and they need to figure it out themselves... that's how the real
change happens. If you find yourself doing more work than the clients, that's a huge red
flag.
what should you do instead of guessing? - Answer-You want to take what the client
says and amplify it a bit but not creating a completely different thought
clients who are blunt and use profanity... (good or bad?) - Answer-GOOD!
You want to verbally praise clients for being blunt and using profanity.. You want to
know the harsh truth
what does it mean if the client is using resistance? - Answer-If the client doesn't want to
work with you and is using resistance, they're not ready for therapy
how do clients learn about ethical boundaries in therapy? - Answer-It is your
responsibility to teach ethical boundaries to your clients
as a therapist, how can you sell treatment better to the client? - Answer-Try techniques
on yourself and see if it works so that way you're better able to sell it to the client; if you
don't believe in something your client definitely won't
- you'll come up with ways to describe the process and obstacles that you never
would've figured out if you didn't practice on yourself
where does the majority of change take place in CBT? - Answer-the majority of the
change that's going to take place is IN BETWEEN SESSIONS
* this is why homework is so important!!
, what is the most effective CBT strategy for depression and what does it involve? -
Answer-BEHAVIORAL ACTIVATION
you would have clients come up with small activities even if it's just showering to
experience the reward of feeling better and more positive
- note: flexibility is important so you're able to individualize these approaches to clients
bc everyone's different and moves at different paces
what is behavioral activation? what is the premise? - Answer-- aims to alleviate
depressive symptoms and prevent relapse by focusing specifically on BEHAVIOR
CHANGE
- premise of BA is that problems in vulnerable individuals' lives and their behavioral
responses to these problems reduce their ability to experience positive reward from
their environment
- the goal of this treatment is to help clients experience more contact with sources of
reward in their lives and to solve life problems
what do BA treatment procedures focus on? - Answer-focuses on activation and
processes that inhibit activation (i.e. escape and avoidance behaviors, rumination)
~this helps to increase experiences that are pleasurable or productive and improve
quality of life
in BA, what is guided activation? - Answer-- this is the use of a series of behavior
change strategies developed by the therapist and client together to carefully examine
what activities will be reinforcing for the client and help disrupt the relationships that are
maintaining the depression
should you be enthusiastic if the client is doing better? why or why not? - Answer-Even
if client is doing better, you need to be really neutral in your enthusiasm because they
won't want to let you down so they won't tell you the truth when you're not doing well
when first interviewing client, what are the 3 things you want to know about symptoms?
- Answer-INTENSITY, FREQUENCY, AND DURATION
- you want exact times, exact numbers, exact definitions
- be careful about filling in the blanks!
~ for example, use the SUDS scale (subjective units of distress scale) so lay out a
scale like 1-10 and have them rate it so this way you have a baseline to compare future
weeks with (i.e. where are you on your suds scale)
what is GAD? why do these people usually have depressive symptoms? - Answer-
difficulty controlling excessive worry which is why you see people with anxiety have
depression or depressive symptoms bc THEY FEEL LIKE THE CANNOT CONTROL IT
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