Want to know the main techniques or interventions of cognitive therapy? In this video, I will talk about what they are and how they are used. If you like Psychology, Cognitive Therapy, Personal Development content and Psychiatric Disorders, subscribe to the channel, click the bell next to receive a notification whenever a new video airs, and if you like our content, like this and other videos to help us.
If you are a student of Psychology or a Professional of the area, you should know, even a little, about cognitive behavioral therapy or cognitive therapy. One of the most common questions for CBT stakeholders is about the techniques or interventions most used. With this video, I will answer this question that many ask me When we talk about the treatment part in Cognitive Therapy, we talk about 2 main pillars to help the patient.
Cognitive restructuring and problem solving. Cognitive restructuring is the main pillar of CBT to seek, as its name implies, restructure the cognition of the individual. We start with identifying the dysfunctional thoughts that bring anxiety exaggerated, exaggerated sadness, exaggerated anger… thoughts that also lead the individual have runaway behaviors, avoidance, isolation, aggressiveness, basically behaviors that undermine their relationships, their activities, the achievement of their goals, which maintain their disorder or difficulty and may even make them worse.
After identifying these thoughts we have some paths. The first is to evaluate thoughts, to seek evidence for and against thought. and answer them more functionally.
The second is acceptance. Accept that the thought is there and that it will not cause you any harm… leaving He leaves . .
. alone. In Problem Solving, we identify an individual's ability to solve their problems of the day, we discuss ways to solve the problem, we put in place and we teach this skill.
If you already know cognitive therapy, you may have heard about the Questioning. Socratic. These questions are considered the main techniques of cognitive therapy and they are nothing but a direction that the therapist does so that the patient can identify, evaluate and respond, in a way, your dysfunctional thoughts alone.
There is a list of basic thoughts we can follow, but with experience and, depending on the case, we may ask different questions. The most common questions you can use as a base and training are as follows: To look for evidence of the validity of thoughts, you can ask: - What evidence supports this idea? - What is the evidence against this idea?
After that, we can further reinforce the dysfunctionality of thought by questioning some alternative interpretations: - What would be the reaction of someone else who not feel and think like you? - What advice would you give to another person who has been or is going through the same situation? - Is there another thought that explains the same situation?
Is there an alternative explanation? - What is the evidence in favor of these alternatives? As a motivator for the customer to disconnect from his thinking, his exaggerated idea, We may ask: - What is your goal in this situation?
What do you want to achieve? - Does Dysfunctional Thinking (PD) help or hinder the achievement of your goal? When we deal with very exaggerated, catastrophic thoughts that we call when the patient think that terrible consequences will happen, we can go to Decatastrophizing: - What worse can happen if the PD is true?
Could you get over it or have you got over something like that? - What is the best that could happen? - What is the most realistic result?
Doing this decatastrophizing, bringing the worst and the best that can happen, can help the patient realize that he is exaggerating. And also to remind you that he's been through something similar in the past but today he's It's ok. To uncover beliefs, questioning can be a simple one: - What does PD mean?
What does he say about you? Or, if it is true, what does it say about you? And again, to reinforce new ideas and seek change, we might ask: - What is the effect of my belief in this PD?
- What is the effect of me changing my thinking? - What should I do about it? What is the effect of believing in an alternative interpretation?
- Advantages and disadvantages of continuing to believe in PD. - How can I think, feel and act differently if the situation occurs again With that, we can then write the Coping Card. That is the next step or technique I will talk about.
Comment below if you use any questions other than the ones I said or if you have difficulty knowing which question to use so that staff can try to help you. Coping Card After we then ask the questions, and have a good idea how to answer the Dysfunctional thinking, we set up a coping card. This coping card can be done in many ways, on mobile, on paper, in a notebook, agenda… whatever the patient thinks best.
We can start it by asking what dysfunctional thinking we are responding to… so that the customer does not get lost. Then we take all the answers the customer gave to the questions and make a paragraph, a summary with them. After that, we put this coping card as an action plan and combined it with the patient so he reads daily and when the thought dysfunctional appear.
This is to reinforce your new thinking and help it have more functional answers. We can also set a specific time for reading… and even set an alarm clock for such. Preferably during the session.
Behavioral Experiment and Exposures - Testing thoughts and new behaviors. Using Questioning and Coping Cards are important techniques that almost always go together for better results in the medium and long term. Only these two techniques, we can do the cognitive restructuring of great part of dysfunctional automatic thoughts.
When that doesn't happen, or we need a bigger boost, we use other CBT techniques: the behavioral experiment and the exhibitions. Behavioral experiments and exposures serve to enable the patient to test your dysfunctional thoughts. Both dysfunctional thoughts about the danger of the situation and its ability deal with the situation and its possible consequences.
The idea is to demonstrate that, most of the time, your thoughts are exaggerated, we we can demonstrate that the situation is less terrible than it seems to be and that he is more capable than you think. But how do we do these experiments? do we simply throw the patient into the situation?
Do not. We use the other two techniques I have already mentioned so that the client can cope with your dysfunctional thoughts during the experiment and get a closer conclusion positive. In the preparation of the behavioral experiment, we verified which the patient's fear, we challenge their thoughts, write a coping card and ask possible obstacles and thoughts that may appear.
We challenged that too. We seek to be prepared for most thoughts or events that may happen. during the experiment.
We then determine when and how the experiment will be done. It is put into practice during or out of session, client anxiety is assessed during the event and the results are evaluated by comparing how he thought he would look and deal with the situation and how it really got and coped. All of these techniques help in cognitive restructuring and the client gets more and more more confident, having symptom improvement and learning how to handle your thoughts.
The last thing I am going to talk about today is about problem solving. As I said earlier, cognitive therapy works on cognitive restructuring and Problem solving. And how do we do this second?
Using the previous techniques. When the client has a hard time making decisions, we can ask a question about your fear of decision making we can brainstorm of all solutions, evaluate each solution, make a list of advantages and disadvantages of each possible solution or choice, evaluate each answer with more questions, assemble a coping card and test fears with an experiment… through choices smaller. Now that you know the main techniques of Cognitive Therapy, be sure to learn more about this amazing theory of psychology.
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