Transcript Cognitive-Behavioral Approaches

Cognitive-Behavioral
Approaches
Role playing
• Discuss wellness and stress management.
• Identify a 6 month goal; write it according
to guidelines.
• Counselor, facilitate a discussion of
strategies your partner can use to achieve
their goal.
• Switch roles.
Debrief
• Did you mutually define a clear,
achievable, concrete goal?
• Were you able to help the cx identify
strategies they would be able and willing
to use?
• Were you able to write goals and
strategies appropriately?
• Questions?
Behavior Theory
1. Learning is the basis of our behavior,
emotional experience and thinking.
2. Important types of learning
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Classical conditioning
Operant conditioning
Social learning
Cognitive-Behavioral Theory
1. Identifies problematic beliefs in response
to activating events.
2. These beliefs tend to be absolute, all or
nothing, distortions of reality, irrational.
3. The beliefs lead to feelings.
4. The feelings lead to problematic
experiences.
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Negative and unproductive feelings
Problematic behaviors
Approaches Using Behavioral and
CBT Strategies
Logical Consequences
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Logical vs. Natural
Positive
Negative
Short term
Long term
Demo using a wellness/stress management
goal
Behavior chains-ABCs
A. Antecedents: people, places, things,
thoughts, emotions, etc.
B. Behavior: Operationalize exactly what
behavior is problematic
C. Consequences
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Short and long term
Positive and negative
Key Questions
1. Where can we interrupt the
chain?
2. How can we use the power of
consequences to reinforce new
behaviors?
• Rewards
• Punishments
Cognitive Restructuring
• Explore cx’s thoughts-handout
• Identify those that are self-defeating,
irrational, absolute, inaccurate
• Challenge them
– Is that really true?
– What’s the evidence of that?
– Is that true of others, or just you?
• Cx constructs positive alternative thoughts
• Plan to “catch” the cognitive distortions
Fish Bowl Role Play
A cx at your supportive housing facility is
struggling with feeling isolated and alone.
He believes others don’t like him because
he’s on meds and because he smells bad
(even though he doesn’t); he says “every
time I go into the game room, people stop
talking and they even leave.” He is
convinced he scares others.
As you observe…
1. Notice any cognitive distortions.
2. Identify how the counselor challenges
them.
3. Write down your own possible
challenges.
4. Come up with positive alternative
thoughts.