Cognitive Behaviour Therapy (CBT) involves both cognitive and behavioural elements.
The cognitive element of CBT aims to identify irrational and negative thoughts, which lead to depression.
In CBT the aim is to replace these negative thoughts with more positive ones.
The behavioural element of CBT encourages patients to test their beliefs through behavioural experiments and homework.
There are various components to CBT including; initial assessment, goal setting, identifying negative/irrational thoughts and challenging these and homework.
There are two different strands of CBT based on Beck’s theory and Ellis’ ABC model.
All CBT starts with an initial assessment, in which the patient and therapist identify the patient’s problems.
The patient and therapist agree on a set of goals, and plan of action to achieve these goals.
Using Beck's approach the therapist will help the patient to identify negative thoughts in relation to themselves, their world and their future.
In Ellis' approach the therapist will dispute the patient’s irrational beliefs, to replace their irrational beliefs with effective beliefs and attitudes.
Ellis added the D and E to his ABC model.
Ellis added the D for dispute to his ABC model.
Ellis added E for effect to his ABC model.
In CBT following a session, the therapist may set their patient homework.
CBT involves the following:
Initial assessment
Goal setting
Identifying and challenging irrational/negative thoughts using EITHER: Beck's CBT or Ellis's REBT
Homework
The first step of Beck's CBT is:
The therapist helps the patient to identify the negative or irrational thoughts they might be having about themselves, the future or the world around them, using Beck's negative triad.
The second step of Beck's CBT is:
Patient and Therapist will work together to challenge these negative and irrational thoughts, by discussing evidence for and against these thoughts.
The third step of Beck's CBT is:
Patient will be encouraged to test validity of negative/irrational thought. This challenges and test them.
The fourth step of Beck's CBT is:
The process often referred to as 'client as the scientist' as the patient investigates the reality of their beliefs as a scientists would.