Cognitive Behavioural Therapy

Cards (19)

  • 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:
    1. Initial assessment
    2. Goal setting
    3. Identifying and challenging irrational/negative thoughts using EITHER: Beck's CBT or Ellis's REBT
    4. 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.