KHA714 Lecture Notes - Lecture 1: Psychoeducation, Continual Improvement Process, Small Talk
24 Jun 2018
School
Department
Course
Professor
Behaviour Change
Week 1
Introduction to CBT
- More commonly related to the REACTION not the actual situation
- Experimental research to validate psychoanalysis
- Thoughts and beliefs
oShow themselves with their presentation
oAutomatic thoughts
What is the evidence for these thoughts?
Are there alternate ways of thinking about this?
- Why CBT?
oAPAC and PsyBA endorsed
oIt is evidence based
Peer reviewed
Research
oRegardless of the term they use, all have roots in CBT
Slightly modified focused or questioning style
oApplicable to a range of disorders:
Complex or simple
May use strong or low level of thought challenging
oFocused treatment:
Problem area; goal for client; relationship issues; mood issue
Centre on where the client wants change
oTime limited:
Not long term therapy
Not expected to be actively engaged in CBT for 3 years
If so, look at dependency or client variables are at play
Although complex will need longer than others
oMore present than other modules:
Although, early life experiences affect current thoughts and
beliefs
Past is still relevant
oNot just a guide to thinking positively
Not just, ‘don’t think about…’ – cannot just try harder
Distractions mean other aspects are disrupted
What is underlying these automatic thoughts? What is about it
that is helpful or unhelpful
oCharacteristics:
Therapeutic style:
Assumption that you give tools and strategies
Collaboration is key to effective therapy
Formulation
Working from a case conceptualization
Always have a case conceptualization – guides you in
terms of the skills and strategies you will use to help
client
find more resources at oneclass.com
find more resources at oneclass.com
Formulation isn’t just a roadmap… it tells you
Case formulation is constantly evolving
Collaboration relationship
Questioning approach
If client come to a conclusion themselves, or learns
guided discovery themselves, has better long term
outcomes than just being told
Transparency:
Why this tool will be useful
Engaging in psychoeducation
Not revealing everything you think about them
Stairs analogy
oYou go up, therapist is the railing support
oNot about me giving client everything to fix life
Structure to sessions and therapy:
Adopt this in role plays so it becomes second nature
1. Session agendas: negotiated between the client and
therapist
oInvite client to put anything they want to cover
during the session
oAsk them first
oReflection in action- what do they need form me
RIGHT now
oCase formulation will help you plan and be
prepared for the session
oLook at this before meeting them again
oNot in concrete, be flexible
oUse manuals for evidence base and to help with
skills, but be flexible given individual
differences
2.
Goal directed
Range of aids and techniques
Client as therapist:
Action plan tasks allow the client to feel that they are
also working on their difficulties
oEven if its as easy as making a note of the things
you want to talk about with me next time
oSocializing the client to the process of thinking
and doing things in between sessions
Clients are in control of the changes they make
oWe may an idea of a goal; but therapy is around
our client’s goals
oNot our own value-based perception of their
goals
oIf you push it, they will disengage
find more resources at oneclass.com
find more resources at oneclass.com
o“To me it sounds like and it seems like the
drinking is causing troubles at times, but for you
at the present you want to focus on the
relationship’
oHarm minimization approach
Action plan assignments
Time limited
oAlways has an ending in sight
oGoal directed
oRegular reviews help to keep this goal in mind
oRemind them of the links/carrying over
oHelping with future problems too
Mandated 6 session review
oBut don’t let more than 4 sessions go without
reviewing the sessions with your client
oDon’t want to go on indefinitely
oThis will go into therapist drift.. a conversation
oReminds client that their progress is important to
you
oIn some settings, this may involve completing
pre and post questionnaires
oNot a replacement for rapport and checking in
with client… also loses its
meaning/interpersonal tasks
oBut can be very useful- am I on track and hitting
the right goal? And to show them they are
improvement
oSelf-reported mood rating… these are good and
quick
oBut have an anchor for these ratings (what a 0 is
compared to a 10): what they believe a 0 is, 5 is,
10 is
- CBT research: video
oBeck institute: talking about different therapeutic modules
oStrengths:
Well researched
Effective for a large variety of disorders
Even those with a primarily physical component
(migraines)
Learning skills and when clients leave therapy they can use and
apply these skills they have learnt
Continual improvement; less relapses
Sometimes thoughts aren’t irrational
E.g. terminal illness
So we focus on the aspects of their thoughts that are
irrational
Not like trying to change their underlying thoughts
Acceptance of the underlying belief
find more resources at oneclass.com
find more resources at oneclass.com
Document Summary
More commonly related to the reaction not the actual situation. Thoughts and beliefs: show themselves with their presentation, automatic thoughts. Why cbt: apac and psyba endorsed, it is evidence based. Research: regardless of the term they use, all have roots in cbt. Slightly modified focused or questioning style: applicable to a range of disorders: May use strong or low level of thought challenging: focused treatment: Problem area; goal for client; relationship issues; mood issue. Centre on where the client wants change: time limited: Not expected to be actively engaged in cbt for 3 years. If so, look at dependency or client variables are at play. Although complex will need longer than others: more present than other modules: Although, early life experiences affect current thoughts and beliefs. Past is still relevant: not just a guide to thinking positively. Not just, don"t think about " cannot just try harder. What is about it that is helpful or unhelpful: characteristics:
