Cognitive Behavioural Therapy | My Assignment Tutor

E1142Mental Health7 Recovery and self advocacy7.1 Approaches to practice7.1.4 Cognitive behavioural approachesCognitive Behavioural Therapy (CBT) is a structured psychological treatment which works on theassumption that the way we think will impact on the way we feel.Cognitive behavioural approaches are an amalgam (a mix) of cognitive therapies and behaviouraltherapies with several approaches being contained under this term. Key figures of this approachare Albert Ellis who developed Rational Emotive Behaviour Therapy (REBT) in the 1950s andAaron Beck who is the father of Cognitive Therapy which originated from the 1960s. Otherinfluential theorists/practitioners include Michael Mahoney, Donald Meichenbaum, (StressInoculation Therapy) and David Burns.Much like in solution-focused work, the practitioner and consumer work together to achievebetter outcomes and find solutions to problems, however, CBT uses different techniques. Thepractitioner supports the client in challenging unhelpful thinking in the hope of creating morepositive thought patterns which will then also cause an improvement in the emotional state of theperson.A well-known concept of CBT is the ABC model with was developed by Albert Ellis as a way ofexplaining how the beliefs of a person shape the consequences of an event rather than the eventitself.Adapted from:www.basic-counseling-skills.com, 2016.(A) Activating event:actual eventclient’s immediate interpretations of event.(B) Beliefs:evaluationsrationalirrational.(C) Consequences:emotionsbehavioursother thoughts.When people become aware of their beliefs and are able to challenge them in a rational way, theywill be able to deal with situations in a different and more positive way, especially if the CBT| Topic – 2 / 7© Open Colleges Pty Ltd, 2020.practitioner also challenges some of the unhelpful thinking patterns.Distortions of thought include:black-and-white – either/or thinkingmaking unfair comparisons – usually in the negativefiltering – focusing on the negative, forgetting the positivepersonalising – the self-blame gamemind-reading – thinking we know what others think (negatively)catastrophising – imagining the worst case scenarioovergeneralising – “I always mess up…”confusing fact with feeling – “If I think or feel this way then my thoughts/feelings must becorrect.”labelling – “I’m a loser” Vs. “I made a mistake”‘can’t standitis’ – being unnecessarily intolerant.When challenging distortions of thought, practitioners can ask the person for evidence for theirbeliefs, thereby demonstrating that they are distortions or assumptions rather than reality. Thisprocess can be facilitated by professionals from different walks of life, including supportprofessionals in the mental health sector, and both the ABC model and other techniques used inCBT can be very helpful to consumers.CBT uses a range of techniques practitioners and clients can choose from, such as:| Topic – 3 / 7© Open Colleges Pty Ltd, 2020.behavioural experiments (trying out behaviours to see what works)thought records (looking at evidence for assumptions)pleasant activity scheduling (planning and doing pleasant activities)situation exposure hierarchies (making a list of things a person would usually avoid andtrying to confront them, starting with the least challenging item and working up to the mostdistressing activity)imagery based exposure (imagining a distressing situation consciously, so it won’t startrumination).It is also worth mentioning that SMART recovery programs which offer group support to peopleliving with addictions are based on Cognitive Behaviour Therapy (CBT). Facilitators of SMARTrecovery groups also use Motivational Interviewing (MI) and the Stages of Change as atheoretical background.Activity 44570A therapist’s guide to CBTThis education resource,A Therapist’s Guide to Brief Cognitive Behavioral Therapy[http://www.mirecc.va.gov/visn16/docs/therapists_guide_to_brief_cbtmanual.pdf]introduces practitioners to the ins-and-outs of CBT and outlines techniques and strategies thatcan be used by professionals from different walks of work/life.CBT is based on learning theories, so therapists are also educators.ACTIVITY 44570 TYPE ResourceSCENARIO A therapist’s guide to CBT​ ​What is CBT?Watch Woody Schuldt explain CBT. CBT is easier to research than other approaches, as it followsa step-by-step process.| Topic – 4 / 7© Open Colleges Pty Ltd, 2020.[https://youtube.com/watch?v=bUOaHsxe8OQ]Activity 44571It’s as easy as ABCThink about an event that has caused you stress.Assess the event according to the ABC model.What was the event?The belief?The consequences?How would things be different if you thought about what happened in a different way?HintsRemember that the Miracle Question is used in combination with other questioning techniques.ACTIVITY 44571 TYPE Contribute1 2 3 4| Topic – 5 / 7© Open Colleges Pty Ltd, 2020.SCENARIO It’s as easy as ABC​ ​Activity 44573Working with JacobWhich of Jacob’s issues might you be able to address with CBT?Choose one of Jacob’s issues and analyse it using the ABC framework.1 2| Topic – 6 / 7© Open Colleges Pty Ltd, 2020.HintsRemember Jack Sparrow!ACTIVITY 44573 TYPE ContributeSCENARIO Working with Jacob​ ​Stop it!Watch the video below for a more humorous look at CBT. “Stop it! Or I’ll…”[https://youtube.com/watch?v=Ow0lr63y4Mw]| Topic – 7 / 7© Open Colleges Pty Ltd, 2020.

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