1. cognitive-behavioral therapy: -focus on how well individuals can adapt
cogni-
tively and functionally to their environments
-short-term, structured, goal-oriented form of psychotherapy
-stresses necessity of challenging maladaptive thoughts that lead to
behavioral problems
-first emerged in 1955
-most widely practiced psychotherapy
-help clients recognize and address cognitive distortions
• by Albert Ellis, widely known as the grandfather of cognitive behavior therapy
-Beck
• originally trained in psychoanalysis, pioneered cognitive therapy in the
1960s, through his research on depression
• also developed the popular Depression Inventory instrument
2. CBT Relationship to Nursing Theory: -Orem's self-care deficit nursing
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, theory
• provides a framework to view CBT as a supportive intervention
• fosters effective self-care behaviors
-Roy's Adaptation Theory
• premise that individuals use coping mechanisms to adapt to stimuli, both
internal and external
• share underpinnings with CBT.
3. Indications for CBT: -treatment of a wide range of diagnoses
• depression
• anxiety disorders
• substance use disorders
• eating disorders
• severe mental illness
• PTSD
4. Principles of CBT include:: -way an ind cognitively structures thoughts
about self & the world determines how the ind feels & behaves
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, -Dysfunctional thoughts are rooted in irrational assumptions
-Dysfunctional thinking and learned patterns of maladaptive behavior
contribute to psychological problems
-Ind's can learn more adaptive behaviors which can relieve symptoms &
improve quality of life
-CBT is (+) & stresses collaboration & active participation
-CBT includes action plans in the form of therapy homework
5. Role of the Psychotherapist in CBT: -using a structured, collaborative
approach to help clients recognize and reevaluate cognitive distortions
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