Cognitive Behavioral Therapy

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Cognitive Behavioral Therapy

• What we think influences (controls?) what we feel
  and do.
• Beck and Ellis

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Rational Emotive Behavioral Therapy (Ellis)

• Activating event
• Belief
• Rational
• Irrational
• Consequence
• Disputing Irrational Beliefs results in new
  consequence

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Sample Irrational Beliefs

• I must be loved by everyone
• I must always be competent/perfect
• If something bad happens it will affect me for
  ever
• There is only one correct answer to any problem
• I cant help feeling the way I do

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Beck

• Once people attach a meaning to an event, they
  are likely to accept it as valid without further
  confirmation of its accuracy.

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Becks Cognitive Therapy

• Early experiences leads to formation of
  assumptions (functional or dysfunctional)
• Assumptions result in Automatic thoughts
• These assumptions and thoughts can be triggered
  by symbols or other stimuli
• The person experiences the world consistent with
  their assumptions and automatic thoughts
  (cognitive profiles)
• Disorders occur from systematic cognitive
  patterns (schemas)

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Common Dysfunctional Assumptions

• My partner should do what I want without being
  asked
• If He/she loved me we wouldnt quarrel
• He/she should know that I am feeling down and
  should.

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Common Cognitive Distortions

• Catastrophizing
• Overgeneralization
• Mind reading
• Disqualifying the positive
• Personalization
• Emotional reasoning
• Labeling
• Polarized thinking

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Common Negative Thoughts in Depression (Schema)

• Negative opinion of self
• Self-criticism and self blame
• Negative interpretation of events
• Negative expectations of future

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Counseling

• Identifying cognitions that block effective
  functioning
• Cognitive (behavioral) homework
• Combine with Behavioral Techniques
• Systematic Desensitization
• Role Playing
• Guided Imagery