Cbt Flashcards-General Cbt, Behavioural Activation + Exposure

Front 1

What are the 6 Empirically supported Therapeutic Relationship Attributes?

Back 1

Alliance
Goal consensus
Empathy
Collaboration
Client Feedback
Positive Regard

Front 2

What are the 4 CBT Specific Attributes?

Back 2

Periodic Feedback
Collaboration
Socratic Dialogue
Empiricism

Front 3

What are some useful therapist behaviours in collaboration? (8)

Back 3

Provide Rationales
Inclusive Language
Open Questions
Ask for Suggestions, opinions, priorities, feedback
Seek client input
Make time for reflections
Offer Choices
Be responsive to client contributions

Front 4

Outline the Layout for answering questions 3+4 (There's 4 steps)

Back 4

1. Rationale- What is it? Why use it?
2. Empirical Support- Intervention + Therapist Attributes
3. Indications + Client's suitability for Short Term CBT
4. Contraindications

Front 5

How can the therapist behave with Empiricism?

Back 5

- Use the client's experience (not therapist interpretation, logic or general examples)
- Facilitate a focussed & clear discussion
- Develop specific criteria for operation + evaluation of the utility of the intervention

Front 6

What determines the client's suitability for Short Term CBT? (8)

Back 6

1. ACCESSIBILITY of automatic thoughts
2. AWARENESS & differentiation of EMOTIONS
3. FOCALITY
4. COMPATIBILITY with the CBT Model
5. Acceptance of PERSONAL RESPONSIBILITY to change
6. OPTIMISM about therapy
7. CHRONICITY of problems
8. ALLIANCE potential/ collaboration

Front 7

Socratic dialogue is the use of ______ ___________, aimed at _________ a client towards a certain ___________.

It can help a client evaulate an ________ ______.

It should be used instead of _________ __________ or __________

Back 7

guided questioning, directing, conclusion.

automatic thought

directive statements, suggestions.

Front 8

Socratic dialogue can be:
-
-
and generally involves __________, _________ __________, ____________ & __________.

Back 8

Guided/ Facilitated, Persuasive, Questions, Indirect Questions, Reflections, Summaries

Front 9

Socratice dialogue can be used to get clients to think about _________ for and against their _________ _______.

Back 9

Evidence, automatic thoughts

Front 10

BEHAVIOURAL ACTIVATION focuses on ___________ ___________ ___________ in order to treat _________, combat _______ & increase access to ________ _________.

Back 10

Increasing pleasant activities, depression, positive reinforcers

Front 11

For depressed clients, Behavioural activation focusses on targeting....?

Back 11

Avoidance Behaviours

Front 12

What tools are used to help understand levels of activity & schedule positive events in BEHAVIOURAL ACTIVATION?

Back 12

Activity logs & Activity scheduling/ charts

Front 13

In Behavioural activation the therapist takes the role of _____ and encourages the client to become ______.

Back 13

coach, active

Front 14

Why would you use Behavioural Activation?
1)
2)

Back 14

1) it alone works for depression
2) its a good complimentary technique to cognitive conceptualisations

Front 15

Behavioural activation has been shown to be as effective as what for mild depression?

Who discovered this?

Back 15

Antidepressants, cognitive therapy & placebo

Dimidjian et al (2006)

Front 16

BA and Antidepressants have been shown to outperform ___________ therapy in ____________ to ____________ __________ patients (Dimidjian et al, 2006).

Back 16

Cognitive, moderately, severely depressed

Front 17

Ekers, Richards & Gilbody, (2007) ran a ______________ and concluded that behaviour therapy is ____________ for treating _________.

Back 17

Meta-analysis, efficacious, depression

Front 18

Jacobson et al (1996) ran a __________ ___________ and found that depressed participants treated with BA alone improved as well as those who received ____ ___________ ________ Treatment.

What else was good about these results?

Back 18

Component Analysis, full cognitive therapy.

Results were maintained at 6 month follow up

Front 19

There is a large body of evidence that ________ leads to __________ ________, and consequently, more ________ _________.

Back 19

activity, pleasurable activates, positive feelings.

Front 20

BA was developed to treat __________, but can also help clients with... (4)

Back 20

Depression, PTSD, Low Motivation, Substance Misuse, Obesity

Front 21

List 5 contraindications for using BA with clients:

Back 21

1. Victims of domestice violence
2. dont encourage behaviour that could lead to harm
3. anticipate + address negative thoughts that could hinder activation
4. Ensure they dont take on 'too much, too soon'
5. Make sure the client knows that the actions precedes the motivation, not vice versa

Front 22

Describe exposure therapy in a nutshell.

Back 22

Repeated exposure of the anxiety provoking situation or object, without the perceived aversive negative effect

Front 23

What is 'in vivo' exposure?

The feared stuff is faced according to a __________ ___________ of feared items.

Its used mostly for _________ and ________

Back 23

The direct confrontation of feared stuff in 'real life'

negotiated hierarchy

Anxiety and Phobias

Front 24

What is introceptive exposure?

It's usually used for...?

Back 24

Modification of learned associations between bodily functions + panic/anxiety

Panic

Front 25

Exposure therapy required a ______ _______: you must explain the nature of _____ & _____________, as well as _________ & ________ ____________.

Make sure the client understands that...?

Back 25

strong rationale, fear & avoidance, classical & operant conditioning

Exposure is necessary to break down the association between the stimulus + sense of danger

Front 26

What are the 3 goals of Exposure therapy?

Back 26

1. Increase confidence in coping ability
2. Learn to tolerate uncertainty + discomfort
3. Ultimately be more in control

Front 27

Why would you use Exposure therapy? (5)

Back 27

1. Modify client's belief that a certain object/situation is anxiety-provoking
2. Useful for clients who have an irrational fear of objects, situations, bodily sensations etc
3. Useful for depressed /anxious clients who engage in avoidance or safety behaviours- this perpetuates the problem
4. Helps identify automatic thoughts + excuses
5. Live exposure without relaxtion is a crucial treatment component for panic with agoraphobia, social phobia + OCD

Front 28

How much research is there supporting the use of exposure in the treatment of anxiety disorders?

Exposure is regarded as a _______ ________ in the treatment of panic disorder with agoraphobia, social phobia + OCD

Back 28

a significant amount. Haha

Crucial component

Front 29

Studies have shown that exposure therapy triggers...?

Back 29

lasting reorganisation of neural fear processing

Front 30

What 3 things has exposure therapy been shown to do?

Back 30

1. Produce large reductions in avoidance + re-experiencing of symptoms
2. Produce positive results quickly
3. make PTSD no longer meet the diagnostic criteria for their illness after treatment

Front 31

Because clients are required to engage in anxiety-provoking activities, it is important to...(2)

Back 31

1. provide psycho-education about flight-fight responses + the harmless nature of the physiological response

2. Engage in cognitive restructuring around the physiological symptomology PRIOR to exposure. This gives the client cognitive skills to aid them when confronting their fear.

Front 32

What needs to be discussed BEFORE beginning exposure-based therapy?

What is it wise to do?

When would you NOT use exposure?

Back 32

The clients medical history

consult their GP to ensure the client will not possibly be harmed

when the avoidance of objects/situations serves an adaptive/protective purpose for the client (eg. domestic violence victims)