EBT Exam Elaboration |Question and Answer| 100% Correct

EBT Exam Elaboration |Question and Answer| 100% Correct Why use a unified protocol? *Ans* - high co-morbidity between anxiety and depression - treatments are effective for one d/o and another - common pathways to both types of d/o - Manual are too complex to be used correctly What is the unified protocol? *Ans* - extracts common principles form empirically based treatments - there are different versions: Linehan's DBT (learning skills to deal with emotional problems), Hayes' Acceptance and Commitment Therapy (ACT - build psychological flexibility), and Barlow's CBT Based on Barlow's CBT approach using unified protocol what are ingredients to this approach? *Ans* - Psychotherapy (motivation enhancement and emotional awareness training) - 3 elements: antecedent reappraisals, prevention of emotional avoidance, modifying action tendencies - interoceptive exposure, situational exposure, and physical sensations What is antecedent reappraisals? *Ans* - cognitive aspect of Barlow's CBT UP - reappraisals of threat and negatively made prior to emotional arousal What is prevention of emotional avoidance? *Ans* - emotion aspect of Barlow's CBT UP - goal is to experience rather than avoid emotions What is modifying action tendencies? *Ans* - behavior aspect of Barlow's CBT UP - changing emotionally drivne behaviors What are the ingredients for Barlow's CBT UP? *Ans* - maintaining motivation - affective education How do you maintain motivation? *Ans* - aims at increasing patient willingness and readiness to change - borrows from motivational interviewing - uses chart of pros and cons of staying the same versus changing - set manageable goals How do you set manageable goals? *Ans* - goal specificity - goal proximity - goal challenge - based on Bandura's classic social learning theory What is specificity? *Ans* operationalized into discrete components which include amount of effort and time needed to accomplish this goal What is proximity? *Ans* daily goals are more motivating than far reaching goals. They provide opportunity for relatively frequent feedback and reinforcement What is level challenge? *Ans* need to be set at a realistic level. What are SMART goals? *Ans* S - specific M- measurable A- achievable R - realistic T - Time bound What is affective education? *Ans* - discussion of emotionally driven behaviors - teaching the 3 component model (cognitive, behavioral, psychological) - All emotions are necessary (both positive and negative) - ARC of emotion - increasing non-judgmental emotional awareness - by avoiding emotions, we pre-empt their natural course (ebb/flow, then descrease) What is the ARC of emotions *Ans* A- Antecedent R- Response (emotional, cognitive, physiological, behavioral) C - Consequence (negative and positive reinforcement) - keep an ARC diary How do you teach non-judgmental emotional awareness? *Ans* - stay in contact with emotions even when it is uncomfortable. Accepting them as they are and letting them come and go without placing a value on them - key idea: accept emotions - present-focused awareness is referred to as mindfulness - can pair with cue (breathing) to anchor in present moment how can you describe mindfulness? *Ans* the awareness that comes from paying purposeful and nonjudgmental attention as they are in the present moment Why is it important to be present-focused? *Ans* - living in the past or future rather than dealing what is right in front of us does not foster either understanding of what is happening or give direction in terms of what to do (past = what WAS or 'known', present = what IS or 'knowing', future= what WILL BE or "unknowable') How can you help client practice emotional awareness techniques? *Ans* - mood induction tracking form - emotional awareness record How can you help client with antecedent reappraisals? *Ans* - meaning making exercises: pictures and have client tell story - downward arrow: id thinking traps - automatic thoughts linked to underlying