Cognitive Therapy Exam Questions with Detailed Answers (Rated A+)

Cognitive Therapy Exam Questions with Detailed Answers (Rated A+) Cognitive therapy - Answers the therapist's objective is to use a variety of methods to create change in the client's thinking and belief system in an effort to bring about lasting emotional and behavioral change. The model of cognitive therapy - Answers is based on the individual's cognition, or more specifically, an individuals personal cognitive appraisal of an event and the resulting emotions or behaviors. Cognitive therapy is aimed at - Answers modifying distorted cognitions about a situation. Indications for cognitive therapy - Answers Originally used for depression. Panic disorder, generalized anxiety disorder, social phobias, obsessive-compulsive disorder, PTSD, eating disorders, substance abuse, personality disorders, schizophrenia, couples' problems, bipolar disorder, hypochondriasis, and somatoform disorder. Goals of cognitive therapy - Answers The client will: 1. Monitor his or her negative, automatic thoughts. 2. Recognize the connections between cognition, affect, and behavior. 3. Examine the evidence for an against distorted automatic thoughts. 4. Substitute more realistic interpretations for these biased cognitions. 5. Learn to identify and alter the dysfunctional beliefs that predispose them to distort experiences. Time line of cognitive therapy - Answers High structured, short-term, lasting from 12 to 16 weeks. If the client does not improve within 25 weeks of therapy.. - Answers a reevaluation of the diagnosis should be made Principle 1 - Answers Cognitive therapy is based on an ever-evolving formulation of the client and his or her problems in cognitive terms Principle 2 - Answers Cognitive therapies require a sound therapeutic alliance Principle 3 - Answers Cognitive therapy emphasizes collaboration and active participation. Principle 4 - Answers Cognitive therapy is goal oriented and problem focused. Principle 5 - Answers Cognitive therapy initially emphasizes the present. More benefit to begin with current problems and delay shifting attention to the past until 1) the client expresses a desire to do so, 2) the work on current problems produces little or no change, or 3) the therapist decides it is important to determine how dysfunctional ideas affecting the clients current thinking originated. Principle 6 - Answers Cognitive therapy is educative, aims to teach the client to be his or her own therapist, and emphasizes relapse prevention. Principle 7 - Answers Cognitive therapy aims to be time limited Principle 8 - Answers Cognitive therapy sessions are structured. Each session 1. reviews clients week 2. collaboratively setting agenda for session 3. reviews the previous week setting 4. reviewing the previous week homework 5. discuss this weeks agenda items 6. establishes homework for next weekend. 7. summarizes this week's session Principle 9 - Answers Cognitive therapy teaches clients to identify, evaluate, and respond to their dysfunctional thoughts and beliefs. Principle 10 - Answers Cognitive therapy uses a variety of techniques to change thinking, mood, and behavior. Automatic thoughts - Answers are those that occur rapidly in response to a situation and without rational analysis. These thoughts are often negative and based on erroneous logic. These thoughts are called cognitive errors Arbitrary inference - Answers The individual automatically comes to a conclusion about the incident without the facts to support it, or even sometimes despite contra indicatory evidence to support it. "Two months ago, Mrs. B sent a wedding gift to the daughter of an old friend. She has not yet received acknowledgement of the gift. Mrs. B thinks, they obviously think I have poor rase." Overgeneralization (absolutistic thinking) - Answers Sweeping conclusion made on ONE incident - a type of all or nothing thinking. Frank submitted an article to a nursing journal and it was rejected. Frank thinks "No journal will ever be interested in anything I write." Dichotomous Thinking - Answers View situations in terms of all or nothing, black or white, or good or bad. Frank submits an article to a nursing journal and the editor returns it and asks Frank to rewrite parts of it. Frank thinks, "I'm a bad writer," instead of recognizing that revision is a common part of the publication process.