Lectures Cognitive and Behavioral Therapy
College 1
About the course
- Full cycle of a Cognitive Behavioral Therapy treatment in the course
Case conceptualization
Cognitive behavioral therapy is a systematic, action-oriented psychological treatment to
improve mental health.
- Challenging and changing unhelpful cognitions (= thoughts, beliefs, attitudes),
behaviors and emotions
- Exposure, behavioral activation (BA)
- Related to: EDMR, Mindfulness, ACT, EFT
- Evidence-based for many disorders
The Why and What of CBT
Cognitions, behaviors & Emotions are interconnected
What you think <> What you do <> How you feel
You have different options to change cognitions > you can use behavioral techniques > there
are many ways of changing one of the three
The case Formulation Approach
Why do you need a case formulation?
- Every patient is different, how symptoms are related and maintained.
- Based on this you make a specific treatment
- Every case (with the same diagnose) is different
, - No direct link between problem patient presented and the treatment (plan)
- Focus on understanding WHY (Detective) (patients are not always aware)
o Why continue drinking despite the many negative consequences
o Why so much fighting, while you still love each other
- Develop Hypotheses (p. 40 Beck)
- Based on individual analysis
- Information gathering
- Link to theoretical models
Example: A patient is saying he is out of the blue really aggressive, or is his environment
makes him aggressive. But you want to know a bit more, how is the situation? Does a patient
see things on purpose? You want more information about details
When? – Behavior – Consequences + Why
During treatment and the evaluation phase: testing of your hypothesis
- Effective intervention?
- Reduction symptoms?
No? Why not?
Responsibility of therapist to go back to the: individual analyses/hypothesis. Might it be
incorrect?
Should different therapeutical methods be used?
,With complex problems:
Individual analysis = better treatments effects (Hayes, 1997)
Different types of case formulations:
- Behavioral (Page & Stritzke, CH 5)
- Cognitive (Beck CH 3)
- Cognitive behavioral (Page & Stritzke, CH 5)
Cognitive part in the book, behavioral in the lecture
Summary:
- Synthesis client experience, CBT theory and research
- It guides treatment
- Makes numerous, complex problems more manageable in the case of multiple
disorders
- Guides the selection, focus and sequence of interventions
- Identifies client strengths and suggests ways to build client resilience
- Helps understand non-response in therapy and suggests alternative routes for
change
- Promotes client engagement
Functional analysis (Part 3)
Conditioning models helps understanding behavior: adaptive and maladaptive
Positive/negative reinforcement
Positive/negative punishment
Functional analysis: focus on the function of the problem/behavior à Consequences of it
Links to operant conditioning: a learning process through which the strength of a behavior is
modified by reinforcement of punishment
Focus on when does it happen. Always? Or in certain situations? What defines the context
where the maladaptive behavior is present or absent à Antecedents=activating event (also
called discriminating stimulus = SD
- 3 elements in functional analysis: activating event – behavior – consequences (ABC)
, Example:
The differences define the treatment
College 1
About the course
- Full cycle of a Cognitive Behavioral Therapy treatment in the course
Case conceptualization
Cognitive behavioral therapy is a systematic, action-oriented psychological treatment to
improve mental health.
- Challenging and changing unhelpful cognitions (= thoughts, beliefs, attitudes),
behaviors and emotions
- Exposure, behavioral activation (BA)
- Related to: EDMR, Mindfulness, ACT, EFT
- Evidence-based for many disorders
The Why and What of CBT
Cognitions, behaviors & Emotions are interconnected
What you think <> What you do <> How you feel
You have different options to change cognitions > you can use behavioral techniques > there
are many ways of changing one of the three
The case Formulation Approach
Why do you need a case formulation?
- Every patient is different, how symptoms are related and maintained.
- Based on this you make a specific treatment
- Every case (with the same diagnose) is different
, - No direct link between problem patient presented and the treatment (plan)
- Focus on understanding WHY (Detective) (patients are not always aware)
o Why continue drinking despite the many negative consequences
o Why so much fighting, while you still love each other
- Develop Hypotheses (p. 40 Beck)
- Based on individual analysis
- Information gathering
- Link to theoretical models
Example: A patient is saying he is out of the blue really aggressive, or is his environment
makes him aggressive. But you want to know a bit more, how is the situation? Does a patient
see things on purpose? You want more information about details
When? – Behavior – Consequences + Why
During treatment and the evaluation phase: testing of your hypothesis
- Effective intervention?
- Reduction symptoms?
No? Why not?
Responsibility of therapist to go back to the: individual analyses/hypothesis. Might it be
incorrect?
Should different therapeutical methods be used?
,With complex problems:
Individual analysis = better treatments effects (Hayes, 1997)
Different types of case formulations:
- Behavioral (Page & Stritzke, CH 5)
- Cognitive (Beck CH 3)
- Cognitive behavioral (Page & Stritzke, CH 5)
Cognitive part in the book, behavioral in the lecture
Summary:
- Synthesis client experience, CBT theory and research
- It guides treatment
- Makes numerous, complex problems more manageable in the case of multiple
disorders
- Guides the selection, focus and sequence of interventions
- Identifies client strengths and suggests ways to build client resilience
- Helps understand non-response in therapy and suggests alternative routes for
change
- Promotes client engagement
Functional analysis (Part 3)
Conditioning models helps understanding behavior: adaptive and maladaptive
Positive/negative reinforcement
Positive/negative punishment
Functional analysis: focus on the function of the problem/behavior à Consequences of it
Links to operant conditioning: a learning process through which the strength of a behavior is
modified by reinforcement of punishment
Focus on when does it happen. Always? Or in certain situations? What defines the context
where the maladaptive behavior is present or absent à Antecedents=activating event (also
called discriminating stimulus = SD
- 3 elements in functional analysis: activating event – behavior – consequences (ABC)
, Example:
The differences define the treatment
