ANSWERS 100% SOLVED
goal setting - ANSWERteach the patient the value of setting specific, measurable
targets for change so the process is more smooth and less time consuming.
-should be reviewed and revised at regular intervals (every 4 sessions)
-directed at the entire course of therapy
- short term and long term
- client directed
(pages 64-66)
Psychoeducation - ANSWER-CBT skills are learned
-success rests on how well one teaches these skills
-arms patients with knowledge that will help them reduce the risk of relapse
-help patients become their own therapists
(pages 82-83)
how to reduce anxiety - ANSWERgoal is to slow them down
-deep breathing, journaling
how to improve depression with CBT - ANSWERgoal is to speed them up
-weekly activity chart
-theory: anger turned inward (isolation, feeling dead) (technique: beat a pillow)
interaction intensity - ANSWERwhen client is surprised, confused, uncomfortable
-extremes get people to realize the truth
intensity for anxiety - ANSWERpanic attack
-solution: use grounding
Mini lessons - ANSWER-short and sweet therapy lessons aimed at equipping the
client with knowledge
-don't lecture
-interactive, engaging learning experience
-draw the event>thought>emotion>behavior circle
(page 82)
psychoeducational methods - ANSWER-provide mini lessons
-writing out an example exercise in session
-using therapy notebook
-recommend readings
-using computer assisted CBT
(pages 82-86)
, therapy notebook - ANSWER-record of all the sessions/tools
-used by clients when they are done with therapy for reference
-client can go back and remember therapy techniques
-good for combining and tying together interventions in inpatient
-helpful for structuring outpatient sessions
(page 84)
assessing for CBT - ANSWERhistory, mental status exam, evaluate suitability for
CBT, use standardized rating scales to measure symptoms and track progress
(pages 45-46)
CBT - ANSWER1. Cognitions have a controlling influence on our emotions and
behaviors
2. How we act or behave can strongly affect our thought patterns and emotions
3. Relationship between cognitive processing (automatic thought), emotions, and
behaviors triggered by an event.
tips for goal setting - ANSWER-educate client on goal-setting techniques
-avoid unreachable goals
-be specific
-address the most significant concern
-choose short term goals and long term
-use terms to make goals measurable
(page 67)
operationalizing goals - ANSWER-must know how the problem disrupts their life
(work, relationships, health, sleeping, eating, exercise, recreation, legal)
1. onset
2. frequency
3. duration
-putting problem into measurable terms
(from Dr. V's notes)
list and prioritize problems - ANSWER
automatic thoughts - ANSWERcognitions that stream rapidly through our minds
-judgements; left side of the brain
-in preconscious mind
-cue for underlying strong emotions
(Chapter 5; page 93)
identifying automatic thoughts - ANSWER-recognize mood shifts
-psychoeducation
-guided discovery
-thought recording
-imagery exercise
-role play
-checklists
(pages 94-104)