CBT FINAL EXAM REVIEW
QUESTIONS AND CORRECT
ANSWERS
Strategies to overcome the problems associated with structuring a CBT session ✅✅CORRECT
ANSW-Interrupting the client - can i interrupt you for a minute? i want to make sure i get what's
been going on
Socializing the client to the structure and format - describe, provide a rationale, and monitor with
gentle corrective feedback each of the session elements
Engaging the patient - be alert to dysfunctional cognitions and help patients respond to them
Uncooperative vs. controlling clients - ask them to comply as an experiment vs. negotiate a
compromise and move the patient toward the standard structure
Mood check annoyance - socializing the client to completing the form - importance, rationale, is
there a practical difficulty that needs to be resolved?
Brief vs. extended weekly update - Can i interrupt you for a moment? could you just tell me about
your week in tow or three sentences?
Review of homework - keep it as a standard agenda item
Discussion of agenda items - structure the discussion appropriately, monitor the passage of time (2
agenda items), be conscious of your goal solve or partially solve problem and assign homework
Reasons for homework non-compliance - too difficult, unrelated to concerns, fails to provide good
rationale, forgets to review homework, does not stress importance, does not teach, does not have
client write down, non-collaborative
Feedback - start ending session 5-10 min early to address clients concerns
Identify and Describe the Characteristics of Automatic Thoughts (ATs) ✅✅CORRECT ANSW-
Automatic/ involuntary - Arise without obvious conscious processing
Situation-specific - Look for situations that give rise to the shift
Habitual - Accepted as normal, taken for granted, doesn't demand attention
Dysfunctional - distort reality, emotionally distressing, interfere with ability to reach goals
Negative - unless manic, narcissistic, or substance user
Subjective
Rapid/ Fleeting/ Brief - normally more aware of the emotion they feel rather than thoughts
themselves
Condensed/ Abbreviated - Cognitive shorthand, maybe symbolic/ visual image
, Repetitive - Look for patterns/ emerging themes
Can be evaluated according to their validity and their utility
Accepted as true despite reflection or evaluation
Importance and Origin of Automatic Thoughts ✅✅CORRECT ANSW-thoughts relevant to personal
problems are associated with specific emotions, depending on their content and meaning. They are
often brief and fleeting, in shorthand form, and may occur in verbal and/ or imaginal form. People
usually accept their automatic thoughts as true, without reflection or evaluation. Identifying,
evaluating, and responding to automatic thoughts (in a more adaptive way) usually produces a
positive shift in affect
Techniques used to elicit Automatic Thoughts ✅✅CORRECT ANSW-Ask for situation specific
information - pay attention to distortions and repetitive focus on thoughts and feelings
Direct questioning - what was going through your mind
Notice and comment on emotional shifts and where they are felt in the body
Visualize the situation (role play)
Supply the opposite of what you think they feel
Ask for what the situation means to them
How to explain Automatic Thoughts to clients ✅✅CORRECT ANSW-explain using their own
examples. in the context of discussing a specific problem with a patient, you will elicit the automatic
thoughts associated with the problem. Point out an AT given by a client. Explain they just pop into
our heads and are not deliberate. They're very quick and we're more aware of the emotion they
provide. We often react as if they are true even if they are not. We may have to explain the cognitive
model first and use questioning to get to this point
Automatic Thoughts vs. Emotions ✅✅CORRECT ANSW-Emotions are the product of automatic
thoughts
Feeling sad, anxious, or irritated is not a thought.
Emotions are logically connected to automatic thoughts. AT's are situation focused whereas
emotions follow it
Techniques used to identify Emotions ✅✅CORRECT ANSW-People have issues identifying
different types of emotions, must teach them a bit
Give examples of times when certain emotions occur
Have client recall a situation and identify the emotion
QUESTIONS AND CORRECT
ANSWERS
Strategies to overcome the problems associated with structuring a CBT session ✅✅CORRECT
ANSW-Interrupting the client - can i interrupt you for a minute? i want to make sure i get what's
been going on
Socializing the client to the structure and format - describe, provide a rationale, and monitor with
gentle corrective feedback each of the session elements
Engaging the patient - be alert to dysfunctional cognitions and help patients respond to them
Uncooperative vs. controlling clients - ask them to comply as an experiment vs. negotiate a
compromise and move the patient toward the standard structure
Mood check annoyance - socializing the client to completing the form - importance, rationale, is
there a practical difficulty that needs to be resolved?
Brief vs. extended weekly update - Can i interrupt you for a moment? could you just tell me about
your week in tow or three sentences?
Review of homework - keep it as a standard agenda item
Discussion of agenda items - structure the discussion appropriately, monitor the passage of time (2
agenda items), be conscious of your goal solve or partially solve problem and assign homework
Reasons for homework non-compliance - too difficult, unrelated to concerns, fails to provide good
rationale, forgets to review homework, does not stress importance, does not teach, does not have
client write down, non-collaborative
Feedback - start ending session 5-10 min early to address clients concerns
Identify and Describe the Characteristics of Automatic Thoughts (ATs) ✅✅CORRECT ANSW-
Automatic/ involuntary - Arise without obvious conscious processing
Situation-specific - Look for situations that give rise to the shift
Habitual - Accepted as normal, taken for granted, doesn't demand attention
Dysfunctional - distort reality, emotionally distressing, interfere with ability to reach goals
Negative - unless manic, narcissistic, or substance user
Subjective
Rapid/ Fleeting/ Brief - normally more aware of the emotion they feel rather than thoughts
themselves
Condensed/ Abbreviated - Cognitive shorthand, maybe symbolic/ visual image
, Repetitive - Look for patterns/ emerging themes
Can be evaluated according to their validity and their utility
Accepted as true despite reflection or evaluation
Importance and Origin of Automatic Thoughts ✅✅CORRECT ANSW-thoughts relevant to personal
problems are associated with specific emotions, depending on their content and meaning. They are
often brief and fleeting, in shorthand form, and may occur in verbal and/ or imaginal form. People
usually accept their automatic thoughts as true, without reflection or evaluation. Identifying,
evaluating, and responding to automatic thoughts (in a more adaptive way) usually produces a
positive shift in affect
Techniques used to elicit Automatic Thoughts ✅✅CORRECT ANSW-Ask for situation specific
information - pay attention to distortions and repetitive focus on thoughts and feelings
Direct questioning - what was going through your mind
Notice and comment on emotional shifts and where they are felt in the body
Visualize the situation (role play)
Supply the opposite of what you think they feel
Ask for what the situation means to them
How to explain Automatic Thoughts to clients ✅✅CORRECT ANSW-explain using their own
examples. in the context of discussing a specific problem with a patient, you will elicit the automatic
thoughts associated with the problem. Point out an AT given by a client. Explain they just pop into
our heads and are not deliberate. They're very quick and we're more aware of the emotion they
provide. We often react as if they are true even if they are not. We may have to explain the cognitive
model first and use questioning to get to this point
Automatic Thoughts vs. Emotions ✅✅CORRECT ANSW-Emotions are the product of automatic
thoughts
Feeling sad, anxious, or irritated is not a thought.
Emotions are logically connected to automatic thoughts. AT's are situation focused whereas
emotions follow it
Techniques used to identify Emotions ✅✅CORRECT ANSW-People have issues identifying
different types of emotions, must teach them a bit
Give examples of times when certain emotions occur
Have client recall a situation and identify the emotion
