KHA714 Lecture Notes - Lecture 8: Psychoeducation, Socratic Questioning, Panic Attack
24 Jun 2018
School
Department
Course
Professor
Behaviour Change
Week 8
Cognitive Techniques
Behavioural Experiment:
-If your thought was true, what would you expect to happen?
-What actually happened?
-What did they learn?
-How anxiety inducing did you expect it to be?
-How anxiety inducing was it actually?
-Explain the CBT model:
oRemember the thoughts we identified in our earlier sessions? And how
they relate to the feelings you have been experiencing…
oBuilding up the evidence based to
oMuch more powerful if you do it yourself
-Sitting with the feelings and the racing heart rate
oSit with it until it comes back to normal naturally
oNot engaging in other techniques to reduce this
-Inducing a panic attack in session
oThe safest place for it to happen
oI can show you how to manage it
-Client participation
oCollaboration
oAvoid being condescending
Need to practice:
-CBT Rationale
-Identify the hot thought
-Lead process of evidence for and against this though
oHas there ever been a time when this wasn’t true…
-Handouts to help supplement what is going on in session
Core Beliefs:
-Deep dark stuff that most people in their day to day life are not aware of
-Drives:
oBehaviour
oThe way we view the world
oAnd drives the AT
-Features:
oGlobal and generalised
oApplies across many settings
oATs
Usually very specific
-Attributing things to something personal and within them
-Schema:
oLook for definition on slides and video
-Before you go into core belief work:
oProvide a rationale and overview of CBT and what you are doing
oIdentify negative ATs
oSome techniques and skill base
find more resources at oneclass.com
find more resources at oneclass.com
E.g. coping cards
oRe-framing the thought
Evidence of some shift
Changing the word even slightly helps
Instead of ‘I will have a heart attack’ ‘I might have a heart
attack’
-Black and White thinking
-Ingrained beliefs that develop about the self, others, and the world
-Develop in response to our environment and development
-Global and rigid
-Often outside immediate awareness
-Develop rule and shape our behaviour in the world around the core belief
oE.g I am stupid
oNegative ATs would stem from this ‘oh that was dumb of me, people
will laugh..’
oInterpret positive experiences/thing that happen to you differently
E.g. they are only doing that because they feel sorry for me
-When you start seeing themes
oThat come thick and fast
oAnd are really pervasive
-If you have done thorough thorough therapeutic work on ATs etc. it is likely
that you haven’t tapped into core belief
-How do we identify core beleifs
oPattern and theme detection
oDownward arrow techniques
oQuestioning techniques
Socratic eg.
-Pattern detection
oThought monitoring of ATs
oReview homework sheets constantly
Doing this together will help you and them to identify the
patterns
oWorking hypotheses
‘ive noticed that a lot of your thoughts relate to you not being
smart enough. Things like when you say ‘im stupid’. Im
wondering if that because these thoughts come up so often, is
there something deeper that we might look at working on?’
oMental sticky notes
-Downward arrow technique
oGood for early practice
oVertical descent
oAsking questions to elicit underlying core beliefs
oWhat would be so bad about that?
oAnd if that were true, what would that say about you?
oIf that were true then what would that mean?
oWhat would it mean about you?
oWhats the worst part about that?
-Pick a thought where the rating was high
find more resources at oneclass.com
find more resources at oneclass.com
Document Summary
And how they relate to the feelings you have been experiencing : building up the evidence based to, much more powerful if you do it yourself. Sitting with the feelings and the racing heart rate: sit with it until it comes back to normal naturally, not engaging in other techniques to reduce this. Inducing a panic attack in session: the safest place for it to happen, i can show you how to manage it. Client participation: collaboration, avoid being condescending. Lead process of evidence for and against this though. Identify the hot thought: has there ever been a time when this wasn"t true . Handouts to help supplement what is going on in session. Deep dark stuff that most people in their day to day life are not aware of. Drives: behaviour, the way we view the world, and drives the at. Features: global and generalised, applies across many settings, ats. Attributing things to something personal and within them.
