SLWK 606 Chapter Notes - Chapter 8: Therapeutic Relationship
Document Summary
If you have difficulties structuring sessions, check on the following: You may have interfering cognitions about structure, interrupting patients, and implementing the standard structure. Monitor your own level of discomfort and identify your own automatic thoughts. To structure sessions effectively so therapy can proceed most efficiently, you need to use gentle interruption. Patients who are new to cbt do not know in advance that you would like them to report on the week, describe their mood, and set the agenda. You must describe, provide a rationale, and monitor with gently, corrective feedback each of the session elements. Another difficulty arises when patients have dysfunctional beliefs that interfere with their ability to commit to working in treatment. You need to be alert for the possibility of these kinds of interfering cognitions and help patients respond to them so they will be more amenable to the structure and tasks of treatment.
