Warren 1. Cognitive Behavioral. Use of CBT. Purposes of Today s Dialogue. Efficacy of CBT. Use of CBT in PMH Settings
|
|
- Myrtle Berry
- 6 years ago
- Views:
Transcription
1 Cognitive Behavioral Therapy Barbara Jones Warren, PhD, RN, CNS BC, PMH Thisspeakerhasnoconflictsofinterest speaker has of interest to disclose. Use of CBT For self and personal growth Individuals Groups Families Couple, partner, marital relationships Workplace environments Mental health, wellness, illness foci 1 4 Purposes of Today s Dialogue Describe the use of cognitive behavioral therapy (CBT) in psychiatric mental health (PMH) settings Discuss the components of CBT Cognitive Rational emotive Explain the clinical application of CBT Case studies Treatment planning and implementation Evaluation of CBT Efficacy of CBT Mood disorders Anxiety disorders Obsessive Compulsive Disorder Panic disorder 2 5 Life Just Isn t Interesting or Fun! Clinically: One CannotFunction! Use of CBT in PMH Settings 3 6 Warren 1
2 Cognitive Behavioral Therapy Extreme Energy, Out of Control Behavior An Ongoing Low Grade Depression 7 10 Low Grade Ongoing Hyperactivity Specific Time, Season of the Year 8 11 An Ongoing Low Grade Depression 9 Warren 12 2
3 Beck s Theory Components of CBT (Cognitive, Rational Emotive) Depressed people have a negative view of: Themselves The world The future Depressed people have negative schemas or frames of reference through which they interpret all events and experiences Founders of CBT Epictetus: Greek philosopher, started the premise of the therapy People are not disturbed by things Disturbed by the view they have regarding what has happened Depression and Negative Schemas Negative schemas: Always present Unconscious Become activated with stressful events Aaron Beck Definition of CBT Cognitive Therapy Focused form of psychotherapy Mental illnesses involve dysfunctionalthinking thinking Structure of experiences feelings and behaviors Warren 3
4 Premises for CBT Modifying dysfunctional thinking provides improvements in symptoms and modifying dysfunctional beliefs that underlie dysfunctional thinking leads to more durable improvement Therapy is driven by a cognitive conceptualization and uses a variety of strategies The Cognitive Triad Negative view of the self (e.g., I m unlovable, ineffective) Negative view of the future (e.g., nothing will work out) Negative view of the world (e.g., world is hostile) Premises for CBT Fact not assumptions Structured and directive Maladaptive behaviors are not a result of skill deficits Unwanted reactions are learned Therapy is driven by a cognitive conceptualization and uses a variety of strategies Practice and assignments The Cognitive Model Core Beliefs Assumptions Compensatory/coping strategies Situation Automatic thoughts/images 20 Reaction (emotional/behavioral physiological) 23 Progression of Thinking Situation CBT: Collaborative Effort Automatic Thoughts And Images Reaction (Emotional, Behavioral and physiological) Warren 4
5 Roles Client Define goals Delineate concerns Implement techniques Therapist Assist client to define goals Listen to the client Teach CBT techniques Reinforce and encourage Premises of Rational Emotive Therapy Clients learn how to choose their reactions Self observation and personal change Here and now basis Self help techniques that facilitate coping Calmness & Neutrality Managing difficult situations Use calmness and neutrality Avoid 2 problems real problem and anxiety/ being upset Self Defeating Rules (Irrational Beliefs) 1. I need love and approval from those around to me. 2. I must avoid disapproval from any source. 3. To be worthwhile as a person I must achieve success at whatever I do. 4. I can not allow myself to make mistakes. 5. People should always do the right thing. When they behave obnoxiously, unfairly or selfishly, they must be blamed and punished. 6. Things must be the way I want them to be. 7. My unhappiness is caused by things that are outside my control so there is nothing I can do to feel any better Albert Ellis Rational Emotive Therapy 8. I must worry about things that could be dangerous, unpleasant or frightening otherwise they might happen. 9. I must avoid life s difficulties, unpleasantness, and responsibilities. 10. Everyone needs to depend on someone stronger than themselves. 11. Events in my past are the cause of my problems and they continue to influence my feelings and behaviours now. 12. I should become upset when other people have problems, and feel unhappy when they re sad. 13. I shouldn t have to feel discomfort and pain. 14. Every problem should have an ideal solution Warren 5
6 Irrational Thinking and Emotional Disturbance A= Failure at work B= I am stupid, I ll never be able to be good at work, I will always fail C= Depressive disorder Clinical Application of CBT Ellis List of Common Irrational Ideas I absolutely must have sincere love and approval almost all the time from all the significant people in my life I must be thoroughly competent, adequate and achieving in all respects, or I must at least have real competence or talent at something important; otherwise I am worthless. People who harm me or who do a bad thing are uniformly bad or wicked individuals, and I should severely blame, damn, and punish them for their sins and misdeeds CBT & RET RET: Identify patient s irrational beliefs CBT: Teach the patient to dispute the beliefs and substitute logical and rational beliefs Evaluate the effects of disputing their irrational beliefs Problem solving skills and assertiveness training Ellis List of Common Irrational Ideas (continued) When things do not go the way I would like them to go, life is awful, terrible, horrible, or catastrophic Unhappiness is caused by external events over which I have almost no control. I also have little ability to control my feelings or rid myself of feelings of depression and hostility. Case Studies Warren 6
7 Example of Negative Thinking Person with negative schema involving rejection will become depressed when a partner leaves him or her Continued Her social support primarily consists of her fiancé and some female friends who she has known since middle school. She is not particularly close to her Father, saying that he has never been supportive of her. In addition, he recently re married a much younger woman (Aged 28, Father is 70 yrs.) and is spending money like mad. He never would buy my Mother or us anything. I do not understand why he is acting like this. My Mother is even more depressed about this circumstance. The client also reports that her parents divorced when she was in the 3 rd grade Original Meeting and Assessment Time A 23 year old Jewish American woman comes to the office to see me. After my initial introduction, I ask her what she needs from me today and what would she describe as her primary need. She answers, somewhat tearfully, that she is worried about how to manage her stress. I don t want to be like my Mother. She has been depressed her entire life and never got help. Continued The client reports no physical diagnoses. She is clean but somewhat disheveled in her overall appearance. He is appropriate in affect, shows no indication of psychosis but is slow to respond to questions, even though her responses are appropriate. She is slightly overweight and mentions this as a concern for her Continued She continues to talk about her current situation and says she had dropped out of school just recently due to stress. Her affect is flat and she is tearful throughout the interview. She mentions (with questioning) that she has had periodic times of thinking of wanting to not be around but has no plans or intent of pursuing these thoughts. Continued At this point, what is your impression of this client? What initial diagnoses might you consider? Consider all of the Axes I V Arethereinterventions that you would consider regarding counseling techniques? Are there medications that you might consider using? Are there other issues that you see as meaningful to consider? Warren 7
8 Depression References Warren, B. J. (2010). Depression: Management of depressive disorders and suicidal behavior. In M.A. Boyd (Ed.), Psychiatric Nursing: Contemporary Practice (5 th ed.) (Ch.24). Philadelphia, PA: Wolters Kluwer, Lippincott Williams & Wilkins. Warren, B. J., & Lutz, W. J. (2007a). The state of nursing science: Cultural and lifespan issues Depression part II: Focus on adults. Issues in Mental Health Nursing, 28(7), Warren, B. J., & Lutz, W. J. (2007b). The state of nursing science: Cultural and lifespan issues Depression Part II: Focus on children and adolescents. Issues in Mental Health Nursing, 28(7), CBT: Sessions Identify and changing maladaptive thoughts First sessions: therapist explains cognitive theory of emotional disorders (negative cognitions contribute to distress) Middle Sessions: Client is taught to identify, evaluate and replace negative automatic thoughts were more positive cognitions Therapist is a collaborator Final Sessions: solidify gains, focus on prevention of recurrence 46 CBT and RET Treatment Planning & Implementation Identifying Assumptions and Core Beliefs If, then Downward arrow If this thought is true, what s so bad about that? What s the worst part about that? What does it mean to you? About you? Treatment Plan What members of the transdisciplinary team are involved? How do you, as a PMH nurse facilitate the use of CBT & RET within your clinical setting? Reinforce/implement CBT and RET interventions included in the treatment plan. Read the treatment plan & reinforce items within your scope of practice Chart to the treatment plan. If the treatment Plan indicates client will be redirected using CBT techniques you may chart something like, client was redirected four times this evening. Relapse Prevention Solidify gains: broaden range of identified negative thoughts and strengthen more positive cognitions Anticipate future stressful life events that might trigger a future depression and role play more adaptive responses Warren 8
9 CBT & RET References Evaluation of CBT Ellis, A. & Dryden W. (1997). The Practice of REBT (Second edition). London. Free Association Books. National Association of Cognitive Behavioral Therapists, Still, A. & Dryden, W. (2003). Ellis and Epictetus: Dialogue vs. method in psychotherapy. Journal of Rational Emotive & Cognitive Behaviour Therapy. 21(2), Ziegler, D.J. (2002). Freud, Rogers, and Ellis: A comparative theoretical analysis. Journal of Rational Emotive and Cognitive Behavior Therapy. 20(2) Nursing Clinical Reasoning Processes Practice the techniques yourself! Ongoing Biopsychosocial i Assessment & Monitoring Burns, D.D, (1989). The feeling good handbook. New York, NY: Plume Book 50 CBT & RET References Bernard, M. E. (1986). Staying Rational In an Irrational World: Albert Ellis and Bond, F.W. & Dryden, W. (2002). Handbook of Brief Cognitive Behaviour Therapy. Chichester. John Wiley & Sons Ltd. Dryden, W. (1995). Brief Rational Emotive Behaviour Therapy. Chichester. John Wiley & Sons. Ellis, A. (1988). How To Stubbornly Refuse To Make Yourself Miserable About Anything. New York. Lyle Stuart. Ellis, A. & Harper, R. A. (1975). A New Guide to Rational Living. Hollywood. Wilshire Book Co. Ellis, A., Wolfe, J. & Moseley, S. (1980). How to Raise an Emotionally Healthy, Happy Child. Hollywood. Wilshire Book Co 51 Warren 9
Purposes of Today s Dialogue
Cognitive Behavioral Therapy Barbara Jones Warren, PhD, RN, CNS BC, PMH This speaker has no conflicts of interest to disclose. 1 Purposes of Today s Dialogue Describe the use of cognitive behavioral therapy
More informationCognitive Behavioral Therapy. A Brief Introduction
Cognitive Behavioral Therapy A Brief Introduction Cognition Re-enters Behaviorism focused on observable behavior (J.B. Watson, B.F. Skinner) Albert Bandura re-opened the door to cognitions with modeling
More informationWhat is the Active Stage?
What is the Active Stage? A person in the Active stage has identified substance abuse/mental health as an issue where they would like to see improvement. Change talk has been consolidated into some form
More informationChapter 9. Behavior Therapy. Four Aspects of Behavior Therapy. Exposure Therapies. Therapeutic Techniques. Four Aspects of Behavior Therapy
Chapter 9 Behavior Therapy A set of clinical procedures relying on experimental findings of psychological research Behavior Therapy Based on principles of learning that are systematically applied Treatment
More informationChapter 9. Behavior Therapy
Chapter 9 Behavior Therapy 0 Behavior Therapy A set of clinical procedures relying on experimental findings of psychological research Based on principles of learning that are systematically applied Treatment
More informationJoe Barton, MA, LPC, NCC National Certified Counselor Barton Behavioral Health Solutions, PLLC
Joe Barton, MA, LPC, NCC National Certified Counselor Barton Behavioral Health Solutions, PLLC www.bartoncbt.com Two Major Cognitive Approaches: Aaron Beck s Cognitive Therapy Albert Ellis Rational-Emotive
More informationBased on principles of learning that are systematically applied Treatment goals are specific and measurable
0 1 2 3 4 5 Chapter 9 Behavior Therapy A set of clinical procedures relying on experimental findings of psychological research Based on principles of learning that are systematically applied Treatment
More informationRATIONAL EMOTIVE BEHAVIOUR THERAPY (REBT)
RATIONAL EMOTIVE BEHAVIOUR THERAPY (REBT) Psychologist Albert Ellis, Ph.D. first articulated the principles of Rational Emotive Behaviour Therapy (REBT) in 1955. Albert Ellis was born in 1913 in Pittsburgh,
More informationHelping Your Asperger s Adult-Child to Eliminate Thinking Errors
Helping Your Asperger s Adult-Child to Eliminate Thinking Errors Many people with Asperger s (AS) and High-Functioning Autism (HFA) experience thinking errors, largely due to a phenomenon called mind-blindness.
More informationCounseling and Psychotherapy Theory. Week 6. Cognitive-Behavioral Approach II : Cognitive Approach
Counseling and Psychotherapy Theory Week 6. Cognitive-Behavioral Approach II : Cognitive Approach Contents 1 2 3 Major Concepts and Propositions 1 Overview 2 Ellis s REBT Beck s CT 3 Change Mechanisms
More informationPsychotherapy. A Cognitive Approach. Mark J. Berber, MD
Mark J. Berber, MD Dr. Mark Berber has written an excellent brief approach to psychotherapy. If you use Dr. Berber s booklet you can appreciably help yourself with your thinking and feeling problems...and
More informationWhat is Therapy? mental behavioral social functioning
PSYCHOTHERAPY What is Therapy? Therapy for psychological disorders takes a variety of forms, but all involve some relationship focused on improving a person s mental, behavioral, or social functioning
More informationCopyright American Psychological Association. Introduction
1 Introduction Almost all humans have the goals of staying alive and being happy. Too many people are unaware that it is not outer events or circumstances that will create happiness; rather, it is our
More informationStress Prevention in 6 Steps S T E P 3 A P P R A I S E : C O G N I T I V E R E S T R U C T U R I N G
Stress Prevention in 6 Steps S T E P 3 A P P R A I S E : C O G N I T I V E R E S T R U C T U R I N G 6 steps overview 1. Assess: Raising Awareness 2. Avoid: Unnecessary stress; problem solving 3. Appraise
More informationLEARNING NOT TO SWEAT THE SMALL STUFF
LEARNING NOT TO SWEAT THE SMALL STUFF DANA E. BOCCIO, PH.D. WELLNESS LECTURE MAY 9, 2017 ADELPHI UNIVERSITY ARE THE EVERYDAY HASSLES OF LIFE GETTING TO YOU? Traffic/commuting Work deadlines E mail Tensions
More information15 Common Cognitive Distortions
15 Common Cognitive Distortions By JOHN M. GROHOL, PSY.D. July 2, 2009 http://psychcentral.com/lib/2009/15-common-cognitive-distortions/ What s a cognitive distortion and why do so many people have them?
More informationOverview of cognitive work in CBT
Overview of cognitive work in CBT Underlying assumptions: Cognitive Behavioral Therapy How an individual interprets life events plays a role in determining how he or she responds to those events (Beck,
More informationThree Major Ways To Control Your Feelings Realistic Goals for an Alcoholic Epictetus Quote Eight Limited-Thinking Patterns Thirteen Characteristics
Three Major Ways To Control Your Feelings Realistic Goals for an Alcoholic Epictetus Quote Eight Limited-Thinking Patterns Thirteen Characteristics of a Recovering Person Thirteen Rational Attitudes Twelve
More informationAgenda. Challenging Issues in CBT: Handling the Difficult Patient. Readings. Readings. Specifying the Difficulty. Specifying the Difficulty
Agenda Challenging Issues in CBT: Handling the Difficult Patient Judith S. Beck, PhD President, Beck Institute for Cognitive Therapy and Research Bala Cynwyd, Pennsylvania Clinical Associate Professor
More informationTheory and Practice of Cognitive Behavioral Therapy
Theory and Practice of Cognitive Behavioral Therapy Shona N. Vas, Ph.D. Department of Psychiatry & Behavioral Neuroscience Cognitive-Behavior Therapy Program MS-3 Clerkship 2008-2009 Outline n What is
More informationPsychotherapy. Dr Vijay Kumar Department of Psychology
Psychotherapy Dr Vijay Kumar Department of Psychology Helping Behaviour We help each other in time of need Help provided by our friends, relatives, family members Common man understanding is limited No
More informationDepression: Dealing with unhelpful thoughts
Depression: Dealing with unhelpful thoughts Macquarie University Counselling Service, Campus Wellbeing Level 2 Lincoln Building C8A 9850 7497 counselling@mq.edu.au http://www.campuslife.mq.edu.au/campus-wellbeing/counselling
More informationALBERT ELLIS: A PSYCHOBIOGRAPHY 1
ALBERT ELLIS: A PSYCHOBIOGRAPHY 1 ALBERT ELLIS: A PSYCHOBIOGRAPHY Copyright 2014 Ennio Ammendola Fordham University ALBERT ELLIS AND PSYCHOBIOGRAPHY 2 Abstract This psychobiography provides a general overview
More informationLecture 11:Core Beliefs
Lecture 11:Core Beliefs Learning Outcomes You will learn What Core Beliefs are, when to begin working on them and how to socialize clients to CB work The principles of identifying and challenging negative
More informationWeek 1 reading material Mani Masuria
CBT move-on Week 1 reading material Mani Masuria [M.Masuria@tacc.ac.uk] What is CBT? Cognitive behaviour therapy (CBT) is a type of psychotherapeutic treatment that helps patients to understand their thoughts
More informationProblem Situation Form for Parents
Problem Situation Form for Parents Please complete a form for each situation you notice causes your child social anxiety. 1. WHAT WAS THE SITUATION? Please describe what happened. Provide enough information
More informationModule 9 Therapeutic Approaches in Social Work Interventions Cognitive Behaviour Therapy (CBT) and Rational Emotive Behaviour Therapy (REBT)
Module 9 Therapeutic Approaches in Social Work Interventions Cognitive Behaviour Therapy (CBT) and Rational Emotive Behaviour Therapy (REBT) Component 1A Role Name Affiliation Principal Investigator Dr.
More informationFIGURE 1-The Cognitive Model. Core belief. I m incompetent. Intermediate belief. If I don t understand something perfectly, then I m dumb
FIGURE 1-The Cognitive Model Core belief I m incompetent Intermediate belief If I don t understand something perfectly, then I m dumb Situation Automatic thoughts Reactions Reading this book This is too
More informationChapter 3 Self-Esteem and Mental Health
Self-Esteem and Mental Health How frequently do you engage in the following behaviors? SCORING: 1 = never 2 = occasionally 3 = most of the time 4 = all of the time 1. I praise myself when I do a good job.
More informationCBT and Anxiety. Marjorie Rabiau, Ph.D. Pearl Lebovitch Clinical Day November 18, 2014
CBT and Anxiety Marjorie Rabiau, Ph.D. Pearl Lebovitch Clinical Day November 18, 2014 Objectives Discuss effectiveness of CBT to treat anxiety Explain different CBT strategies to treat anxiety How to adapt
More informationA-Z of Mental Health Problems
Mental health problems can cover a broad range of disorders, but the common characteristic is that they all affect the affected person s personality, thought processes or social interactions. They can
More informationPatient and Family Engagement and Retention. Care Manager Role. Who is on the recruitment/engagement team? General Recruitment Challenges
Patient and Family Engagement and Retention Announcement from Archstone Foundation Rita Haverkamp, MSN, PMHCNS BC, CNS Expert Care Manager and AIMS Center Trainer Collaborative Care Team Approach Care
More informationAssignment The professional context of counselling!
- DO NOT COPY - THIS ASSIGNMENT EXEMPLAR IS FOR REFERENCE PURPOSES ONLY Many organisations, including awarding bodies, use software to check that your content is original. Use this assignment exemplar
More informationNonjudgmentally and Cognitive Therapy
Nonjudgmentally and Cognitive Therapy See, but don t evaluate. Take a nonjudgmental stance. Just the facts. Focus on the what, not the good or bad, the terrible or wonderful, the should or should not.
More informationInformation For Counselors
Counselors Using SOS Help For Emotions Information For Counselors 269 Chapter 13 Information For Counselors ALBERT ELLIS EXPLAINING THE ABC s TO PSYCHOLOGISTS ROGERS, PERLS, AND FREUD To summarize, A activating
More informationManaging Negative or Unhelpful Thoughts
Managing Negative or Unhelpful Thoughts In Cognitive Behavioural Therapy, we give particular focus to the pattern, force, frequency and content of negative or unhelpful thinking. Thoughts play a key role
More informationthreats, losses, or injustices and the associated feelings of anxiety, depression, or anger.
Can t Quit Thinking About AIDS: Ruminations, Depression & HIV A General Form of Rumination proposed by Trapnell & Campbell (1999) Patti O Kane, NP Yep, board certified Brookdale Hosp. Medical Ctr. Brooklyn,
More informationDAY 2 RESULTS WORKSHOP 7 KEYS TO C HANGING A NYTHING IN Y OUR LIFE TODAY!
H DAY 2 RESULTS WORKSHOP 7 KEYS TO C HANGING A NYTHING IN Y OUR LIFE TODAY! appy, vibrant, successful people think and behave in certain ways, as do miserable and unfulfilled people. In other words, there
More informationConcluding Remarks. Mental illness is ubiquitous. Mental illnesses exist at the extremes of normal behavior
Psychotherapy Mental illness is ubiquitous Mental illnesses exist at the extremes of normal behavior Our social context can influence the illness stigmatization We have no specific neural bases for many
More information3/7/2010. Theoretical Perspectives
Theoretical Perspectives REBT (1955) Albert Ellis Action & Result Oriented Teaches how to identify self-defeating thoughts Replaces thoughts w/ life enhancing ones 1 A B C s of personality formation: A
More informationUniversity Staff Counselling Service
University Staff Counselling Service Anxiety and Panic What is anxiety? Anxiety is a normal emotional and physiological response to feeling threatened, ranging from mild uneasiness and worry to severe
More informationLook to see if they can focus on compassionate attention, compassionate thinking and compassionate behaviour. This is how the person brings their
Compassionate Letter Writing Therapist Notes The idea behind compassionate mind letter writing is to help people engage with their problems with a focus on understanding and warmth. We want to try to bring
More informationOUTLINE PSYCHOLOGICAL TREATMENT
OUTLINE PSYCHOLOGICAL TREATMENT Learning-Based Treatments CBT RET Humanistic Treatments Carl Rogers Frankl s Logotherapy Professor Fazakas-DeHoog lfazakas@uwo.ca VARIATIONS OF PSYCHODYNAMIC THERAPY INTERPERSONAL
More informationSECTION 1. Children and Adolescents with Depressive Disorder: Summary of Findings. from the Literature and Clinical Consultation in Ontario
SECTION 1 Children and Adolescents with Depressive Disorder: Summary of Findings from the Literature and Clinical Consultation in Ontario Children's Mental Health Ontario Children and Adolescents with
More informationChanges to your behaviour
Life after stroke Changes to your behaviour Together we can conquer stroke Because there is so much to deal with after a stroke, it s normal for your behaviour to change in some way. In this booklet we
More informationPsycho-Educational Skills for Managing Students with Recurrent Behavior Problems: Cognitive-Emotive Interventions. ***Connect With Me Online***
Psycho-Educational Skills for Managing Students with Recurrent Behavior Problems: Cognitive-Emotive Interventions Carmen Y. Reyes Smashwords Edition, License Notes Thank you for downloading this free ebook.
More informationCoping with Depression
Coping with Depression What s inside: Page: What is depression and what does it look like? 2 Do I have depression? A checklist for seeking help 4 How is depression treated? 5 Some self-help skills for
More informationIntegrated Treatment for Co-Occurring Disorders
Integrated Treatment for Co-Occurring Disorders An Evidence-Based Practice Tiffany Parkhouse, MA Cindy Peterson, MS Community Solutions, Inc Training and Resource Center Workshop Objectives Provide understanding
More informationLet s Talk About Treatment
What Doesn t Work Let s Talk About Treatment Lisa R. Terry, LPC What we ve tried Talk therapy- You can t talk you way out of a medical disorder Play Therapy Family Therapy Psychoanalysis While these are
More informationOCD. Obsessive Compulsive Disorder (OCD)
OCD Obsessive Compulsive Disorder (OCD) What is Obsessive-Compulsive Disorder? Obsessive-compulsive disorder (OCD) is a condition that causes people to have upsetting thoughts and behaviours. People with
More informationStandard 5F. Psychotherapy
The Basics of CBT with Children and Adolescents The presenters have no financial disclosures to report. Pamela Lusk, DNP, RN, PMHNP-BC,FAANP Bernadette Melnyk, PhD, RN, PMHNP-BC, / CPNP, FNAP, FAANP, FAAN
More informationHumanistic. cause of psychological disorders. therapeutic methods. goal of therapy
Treatment: Day 2 therapeutic approaches Humanistic cause of psychological disorders therapeutic methods goal of therapy focus on deficits either in feelings of self-worth or in feelings of unconditional
More informationA DIALOGUE FOR LEARNING RATIONAL SELF COUNSELING
A DIALOGUE FOR LEARNING RATIONAL SELF COUNSELING Robert L. Turknett, Ed.D. 2310 Parklake Drive, Suite 500, Atlanta, GA 30345 770.270.1723 www.turknett.com A DIALOGUE FOR LEARNING RATIONAL SELF COUNSELING
More informationCBT Self-Help Module 1. How to Identify Automatic Thoughts, Evaluate Their Distortions, and Begin to Challenge Them
CBT Self-Help Module 1 How to Identify Automatic Thoughts, Evaluate Their Distortions, and Begin to Challenge Them The essence of cognitive behavioral therapy (CBT) is to: Identify patterns of thinking
More informationObsessive Compulsive Disorder: Advances in Psychotherapy
Obsessive Compulsive Disorder: Advances in Psychotherapy Question from chapter 1 1) All the following are Common obsessions EXCEPT a) Fear of becoming someone else b) Unwanted violent impulses c) Fear
More informationChapter 4. Lessons. Managing Mental and Emotional Health. Managing Mental and Emotional Health
Managing Mental and Emotional Health Managing Mental and Emotional Health Lessons Lesson 1 Emotions Lesson 2 Understanding Emotions Lesson 3 Expressing Emotions Lesson 4 Coping with Emotions Lesson 5 Mental
More informationUW MEDICINE PATIENT EDUCATION. Baby Blues and More DRAFT. Knowing About This in Advance Can Help
UW MEDICINE PATIENT EDUCATION Baby Blues and More Recognizing and coping with postpartum mood disorders Some women have baby blues or more serious postpartum mood disorders. It helps to know about these
More informationPA S T A N D P R E S E N T
TREATMENT PERSPECTIVES PA S T A N D P R E S E N T THE MIDDLE AGES Some methods for dealing with people who were mentally ill were based on the idea that they were possessed by evil spirits these needed
More informationCognitive Behavior Therapy for Serious Mental Illnesses. Narsimha R. Pinninti MBBS, MD Professor of Psychiatry, UMDNJ-SOM
Cognitive Behavior Therapy for Serious Mental Illnesses Narsimha R. Pinninti MBBS, MD Professor of Psychiatry, UMDNJ-SOM Learning Objectives Learn the history and development of Cognitive Behavior Therapy
More informationWhen Your Loved One Has an Eating Disorder: Helping Them Heal On the Road to Recovery. Jennifer Moran, Psy.D.
When Your Loved One Has an Eating Disorder: Helping Them Heal On the Road to Recovery Jennifer Moran, Psy.D. Anorexia Nervosa Bulimia Nervosa Diagnoses Eating Disorders, Not Otherwise Specified **Binge
More informationSelf-harm in social care: 14 key points
Mind the care 07872 102626 Self-harm in social care: 14 key points Working with people who hurt themselves can be confusing and bewildering. Staff are often at a loss to understand what drives their resident
More information1. Before starting the second session, quickly examine total on short form BDI; note
SESSION #2: 10 1. Before starting the second session, quickly examine total on short form BDI; note increase or decrease. Recall that rating a core complaint was discussed earlier. For the purpose of continuity,
More informationReducing distress and building resilience in the talking therapies: a case study. Ian Norman & D Rosier
Reducing distress and building resilience in the talking therapies: a case study Ian Norman & D Rosier Session Aims To present a case study based upon our clinical experience of building resilience through
More informationPrinciples of Treatment
Principles of Treatment John R. Cook, Ph.D. Registered Psychologist The good news for people with social phobia who are able to seek help for their problem is that there are a myriad of treatment options
More informationModule 4: Case Conceptualization and Treatment Planning
Module 4: Case Conceptualization and Treatment Planning Objectives To better understand the role of case conceptualization in cognitive-behavioral therapy. To develop specific case conceptualization skills,
More informationUnit 6: Psychopathology and Psychotherapy (chapters 11-12)
Unit 6: Psychopathology and Psychotherapy (chapters 11-12) Learning Objective 1 (pp. 381-382): Conceptions of Mental Illness Biological Dysfunction 1. What is psychopathology? 2. What criteria are used
More informationNeurobiology of Sexual Assault Trauma: Supportive Conversations with Victims
Neurobiology of Sexual Assault Trauma: Supportive Conversations with Victims Jim Hopper, Ph.D. November 2017 Handout 1: Using Neurobiology of Trauma Concepts to Validate, Reassure, and Support Note: In
More informationDepression. Northumberland, Tyne and Wear NHS Trust (Revised Jan 2002) An Information Leaflet
Depression Northumberland, Tyne and Wear NHS Trust (Revised Jan 2002) An Information Leaflet practical ldren 1 7XR isle, d n. ocial These are the thoughts of two people who are depressed: I feel so alone,
More informationClient s Name: Today s Date: Partner s Name (if being seen as a couple): Address, City, State, Zip: Home phone: Work phone: Cell phone:
Client s Name: Today s Date: Partner s Name (if being seen as a couple): Address, City, State, Zip: Home phone: Work phone: Cell phone: Private email address: Student? If yes, where and major? May we leave
More informationBounce Back. Stronger! Being Emo-chic INFLUENCE INSPIRE IGNITE
INSPIRE IGNITE Bounce Back INFLUENCE Stronger! Being Emo-chic Managing your emotions can sometimes be harder than getting out of bed for school in the mornings. There s always the snooze button if you
More informationSupport activity for understanding and applying theory for CST-L3 criteria 6.2 and 6.3
The purpose of this support document is to provide activities aimed to equip candidates with the knowledge and understanding to meet the requirements of criteria: 6.2 Describe the main theoretical approaches
More informationWhose Problem Is It? Mental Health & Illness in Long-term Care
Whose Problem Is It? Mental Health & Illness in Long-term Care Revised by M. Smith (2005) from M. Smith & K.C. Buckwalter (1993), Whose Problem Is It? Mental Health & Illness in Long-term Care, The Geriatric
More informationPresented by: Jim Messina, Ph.D., CCMHC, NCC, DCMHS Assistant Professor, Troy University Tampa Bay Site Website: Specific site for this
Presented by: Jim Messina, Ph.D., CCMHC, NCC, DCMHS Assistant Professor, Troy University Tampa Bay Site Website: www.coping.us Specific site for this Webinar: Integrated Primary Care Tools at: http://www.coping.us/behavioralmedicine/integratedprimarycaretools.html
More informationNEW ROLE FOR CMHC S AS BEHAVIORAL HEALTH CONSULTANTS IN INTEGRATED PRIMARY CARE MEDICINE
NEW ROLE FOR CMHC S AS BEHAVIORAL HEALTH CONSULTANTS IN INTEGRATED PRIMARY CARE MEDICINE Presented by: Jim Messina, Ph.D., CCMHC, NCC, DCMHS Assistant Professor, Troy University Tampa Bay Site Website:
More informationTreatment of Psychological Disorders
Treatment of Psychological Disorders TREATMENT OF PSYCHOLOGICAL DISORDERS Treating psych disorders poses one of the biggest problems for psychologists. Important to have a realistic perspective: Can treat
More informationBorderline Personality Disorder (BPD) FACTS Families and Carers Training and Support Programme
FACTS : Participants handouts Module 2 Mindfulness and Emotion Management Borderline Personality Disorder (BPD) FACTS Families and Carers Training and Support Programme A short course for family members
More informationBrief Interventions for Radical Change
Brief Interventions for Radical Change Focused Acceptance and Commitment Therapy T C FA Thomas Gustavsson clinical psychologist, ACT-trainer thomasthomas@humanact.se www.humanact.se Workshop Objectives
More informationHow to Work with the Patterns That Sustain Depression
How to Work with the Patterns That Sustain Depression Module 5.2 - Transcript - pg. 1 How to Work with the Patterns That Sustain Depression How the Grieving Mind Fights Depression with Marsha Linehan,
More informationDetermining Major Depressive Disorder in Youth.
Co-parenting chapter eight. Watching for Depression in Yourself and Your Child. by Yvonne Sinclair M.A. If you notice your child has been feeling sad most of the day and can t seem to shake that down feeling,
More informationTHE EMOTIONAL INTELLIGENCE POCKETBOOK
THE EMOTIONAL INTELLIGENCE POCKETBOOK By Margaret Chapman Drawings by Phil Hailstone "Margaret Chapman has packed a great deal of wisdom into this small package. Unusually, she tells us not only what Emotional
More informationSection 4 - Dealing with Anxious Thinking
Section 4 - Dealing with Anxious Thinking How do we challenge our unhelpful thoughts? Anxiety may decrease if we closely examine how realistic and true our unhelpful/negative thoughts are. We may find
More informationNuts and Bolts of Creative Hopelessness (CH)
Nuts and Bolts of Creative Hopelessness (CH) Think of CH as part of acceptance work. The aim of it is to open people to the agenda of acceptance. CH is an optional part of the ACT model. We use it if we
More informationUW MEDICINE PATIENT EDUCATION. Baby Blues and More. Postpartum mood disorders DRAFT. Emotional Changes After Giving Birth
UW MEDICINE PATIENT EDUCATION Baby Blues and More Postpartum mood disorders Some new mothers have baby blues or more serious postpartum mood disorders. This chapter gives ideas for things you can do to
More informationUnderstanding Perinatal Mood Disorders (PMD)
Understanding Perinatal Mood Disorders (PMD) Postpartum Depression and Beyond Northwestern Medicine Central DuPage Hospital 25 North Winfield Road Winfield, Illinois 60190 630.933.1600 Northwestern Medicine
More informationCHAPTER 10: SKILLS FOR FOSTERING AWARENESS. Multiple-Choice Questions
CHAPTER 10: SKILLS FOR FOSTERING AWARENESS Multiple-Choice Questions 10.01. Samantha is talking about how much she likes her mother-in-law, but she seems to always have an excuse for why she cannot see
More informationThe Psychological Therapies
Introduction The Psychological Therapies This section is intended to describe the general area of psychological techniques that are applied in psychiatric and general medical practice to relieve the suffering
More informationA-TIP Acute -Traumatic Incident Procedures Roy Kiessling, LISW, ACSW
A-TIP Acute -Traumatic Incident Procedures Roy Kiessling, LISW, ACSW roykiessling@me.com This brief model (3-6 sessions) contains/restricts the processing for clients who have experienced a recent trauma
More informationThe Cognitive Behavior Therapy Workshop Nuts & Bolts for Beginners and Seasoned APNs
The Cognitive Behavior Therapy Workshop Nuts & Bolts for Beginners and Seasoned APNs Kathleen McCoy DNSc APRN, PMHNP-BC, PMHCNS-BC, FNP-BC, FAANP Pamela Lusk DNP PMHNP-BC FAANP Ruth Milstein DNP PMHNP-BC
More informationTest Anxiety. New Perspective Counseling Services Dr. Elyse Deleski, LMFT
Test Anxiety New Perspective Counseling Services Dr. Elyse Deleski, LMFT What is Test Anxiety? Excessive worry about the test. Fear of being evaluated. A sick feeling you get when you are about to take
More informationProblem Solving
www.working-minds.org.uk Problem Solving Problem Solving The psychological importance of effective problem solving is very underestimated and is often taken for granted. As human beings, we assume that
More informationThe Thinking-Feeling Connection Contents
The Thinking-Feeling Connection Contents Page The Thinking-Feeling Connection 2 Making Connection 4 Module Summary 6 Page 1 The Thinking-Feeling Connection People often believe that feelings and emotions
More informationDepression: what you should know
Depression: what you should know If you think you, or someone you know, might be suffering from depression, read on. What is depression? Depression is an illness characterized by persistent sadness and
More informationA report about. Anxiety. Easy Read summary
A report about Anxiety Easy Read summary Mental Health Awareness Week 2014 This is an Easy Read summary of the Living with Anxiety report (2014). This report was written by the Mental Health Foundation.
More informationPsychological Approaches to Counseling. Mr. Lema, Isaac Clinical Psychologist (MSc.) 25 th November 2015
Psychological Approaches to Counseling Mr. Lema, Isaac Clinical Psychologist (MSc.) 25 th November 2015 Learning Objectives Explore different psychological approaches to counseling Adopt psychological
More informationYes, you do have a choice. Understanding and using Choice Theory with clients Presented by: Dana Hampson, MBA, BCC, LPC-S The Balanced Life, LLC
Yes, you do have a choice. Understanding and using Choice Theory with clients Presented by: Dana Hampson, MBA, BCC, LPC-S The Balanced Life, LLC What is Choice Theory? Theory developed by William Glasser,
More informationCHAPTER 6: ANXIETY AND STRESSOR-RELATED PROBLEMS KEY TERMS
CHAPTER 6: ANXIETY AND STRESSOR-RELATED PROBLEMS KEY TERMS Affectionless Control A type of parenting characterized by high levels of overprotection combined with a lack of warmth and care. Amygdala The
More informationb. often a result of ineffective or neutral interventions c. when the client deeply ponders the helper s intervention*
CHAPTER 8: STEPS FOR WORKING WITH FOUR TYPES OF ACTION Multiple-Choice Questions 8.01. Circling is all of the following except: a. staying at the same level b. often a result of ineffective or neutral
More informationEmotional Health and ADHD
Emotional Health and ADHD Dr Jo Steer, Chartered Clinical Psychologist & Head of the Emotional Health Service (EHS) & Dr Amrita Basu, Chartered Counselling Psychologist & Clinical Specialist Objectives
More informationUW MEDICINE PATIENT EDUCATION. Baby Blues and More. Knowing About This in Advance Can Help
UW MEDICINE PATIENT EDUCATION Baby Blues and More Recognizing and coping with postpartum mood disorders Some women have baby blues or more serious postpartum mood disorders. It helps to know about these
More informationPractitioner Guidelines for Enhanced IMR for COD Handout #2: Practical Facts About Mental Illness
Chapter II Practitioner Guidelines for Enhanced IMR for COD Handout #2: Practical Facts About Mental Illness There are four handouts to choose from, depending on the client and his or her diagnosis: 2A:
More information