Therapies

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Therapies Chapter 13
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Cognitive Therapies

• based on changing clients perceptions
• Stress Inoculation focuses on self-talk
• REBT - Developed by Ellis
• Based on irrational beliefs musts and shoulds
• ABCs of REBT

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The A-B-C theory
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The A-B-C theory - Example

• A Activating Emotional Experience
• Reading chapters on counseling approaches
  presenting a dozen complex theories
• B- Belief
• I feel so stupid that I cant understand this
  stuff.
• This is terrible. Ill never be a good counselor.
• I should be able to pick this stuff up faster.
• C Consequences
• Anxiety, Fear, Confusion, Frustration, Anger

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The A-B-C theory Example cont

• D Disputing Irrational Beliefs
• Of course I feel overwhelmed that is what an
  introductory student is supposed to feel when
  presented with an overview of the field in just a
  few weeks.
• Just because I dont understand everything about
  these theories doesnt make me a stupid person-
  just a person who will have to work a little
  harder and have more patience.
• This isnt a terrible situation only a difficult
  one.

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The A-B-C theory Example cont

• E Emotional Effect
• Relief
• Mild Tension
• Mild annoyance
• Excitement

• From
• Anxiety
• Fear
• Confusion
• Frustration
• Anger

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Irrational Ideas

• Irrational ideas lead to self-defeating behavior
• Some thoughts
• Awfulizing
• I cant stand it
• Musterbating
• Self-judgments
• Some examples
• I must have love or approval from all the
  significant people in my life.
• I must perform important tasks competently and
  perfectly.
• If I dont get what I want, its terrible, and I
  cant stand it.

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Beck Cognitive Therapy

• Focuses on changing inappropriately negative
  patterns of thought
• Similar to REBT, but different in style
• Less challenging
• Less confrontational
• Examines in a supportive manner

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CTs Cognitive Distortions

• Arbitrary inferences
• Selective abstraction
• Overgeneralization
• Magnification and minimization
• Personalization
• Labeling and mislabeling
• Polarized thinking

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Settings

• Group - achieve insight thought group
  interactions
• Psycho educational
• Self-help
• Here and now
• Family family is partially responsible for
  problems
• Multigenerational, strategic, Adlerian,
  structural
• Couple designed to help in communication and
  other issus
• Pre Marital
• Post Marital

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Drug Therapies
Anti-psychotics Thorazine/Haldol
Atypical Risperidal/Seroquel
Mood stabilizers/ antiepileptic Lithium/ dilantin/ tegretol/ depakote
Psycho stimulants Methylphenidate/ dextroamphetamine/ focalin
Anti-anxiety Benzodiazepines (valium, xanax, klonopin)
Antidepressants/ Tricyclic Tofranil, Elavil
SSRI Prozac, Zoloft, Paxil,
Atypical Effexor, Wellbutrin, Remeron
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Other Theories

• Brief Solution Focused
• Narrative
• Art
• Play
• PsychoDrama
• Object-Relations
• Jungian
• Transactional Analysis
• 12 - step
• Social Learning
• Biblio-therapy

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