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Cognitive Behaviour Therapy: CBT Dr Laura Bocci Clinical

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Cognitive Behaviour Therapy: CBT Dr Laura Bocci Clinical Psychologist GRIP Aims of CBT To reduce stress/distress To increase coping To improve quality of daily life ... – PowerPoint PPT presentation

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Title: Cognitive Behaviour Therapy: CBT Dr Laura Bocci Clinical


1
Cognitive Behaviour TherapyCBT
  • Dr Laura Bocci
  • Clinical Psychologist
  • GRIP

2
Aims of CBT
  • To reduce stress/distress
  • To increase coping
  • To improve quality of daily life
  • To increase understanding and find an explanation
    of symptoms which makes sense to the client
    is helpful to them.

3
Ethos of CBT
  • People are not distressed by events. What
    distresses them is the meaning that they
    construct around the event.
  • CBT takes a here now symptom focus.
  • CBT focuses on what is distressing for the
    person.
  • Normalising psychotic experiences are on a
    continuum with ordinary experiences.
  • Takes a collaborative approach.

4
Components of CBT
  • Education.
  • Constructing a personal understanding of
    difficulties from a biological, social and
    psychological perspective.
  • Coping strategy enhancement.
  • Challenging beliefs.
  • Relapse prevention.

5
Coping enhancement
  • Develop an individualised coping strategy for
    each distressing symptom.
  • Involves detailed assessment of symptoms
    working each distressing symptom in turn.
  • Helps to underline strengths of a person in
    attempting to cope.
  • Develops awareness of what might trigger the
    distress and the persons ability to deal with
    distress.

6
Understanding challenging beliefs
Situation / activating event (A)
BELIEFS (B)
Thoughts/ interpretation
Consequence (C) mood/behaviour
7
ABCs
8
Challenging beliefs
  • Help people to come up with alternative
    explanations what might be the consequences if
    the alternative beliefs are true?
  • Test out the alternatives.
  • Challenging what might be maintaining the beliefs
    (e.g. avoiding situations).

9
Generating alternatives
How might you test these out?
10
Testing it out
11
Relapse prevention
  • Relapse prevention crisis contingency
    planning
  • Identify relapse signatures
  • Risk times and situations
  • Medication issues
  • Self help action plan
  • Make it clear at what point professionals are
    involved

12
When do we think that CBT might be a helpful
approach to use?
  • When a persons mental health difficulties have
    settled, but they continue to experience symptoms
    of psychosis.
  • They are willing to engage with it and to talk
    about what they are thinking/experiencing.
  • Their experiences causing them distress or
    disability.
  • When some kind of change is wanted by them.
  • Able (or at least willing) to consider
    alternative explanations.

13
CBT is not just about delusions hallucinations
  • CBT strategies are also used to work with
  • low mood
  • low motivation
  • Anxiety (esp panic attacks social anxiety)
  • Withdrawal social isolation
  • CBT psychotherapy might be helpful working with
  • trauma
  • other difficulties accompanying psychosis, e.g.
    anger management difficulties, low self esteem

14
Finally..
  • CBT wont cure psychosis
  • Can reduce demoralisation
  • Provide more helpful coping strategies
  • Help to reduce the risk of relapse
  • Help to reduce the distress of psychosis
  • Help to reduce the disability associated with
    psychosis
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