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Cognitive Behavioral Techniques
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CBT is based on the premise that thoughts, emotions, and behaviors are interconnected , and by changing maladaptive thoughts and behaviors, one can reduce stress and improve psychological well-being. Core Principles Stress results not just from external events, but from how individuals interpret those events. Cognitive restructuring can reduce emotional distress. Skills training and behavioral experiments can support lasting change. Techniques a) Cognitive Restructuring Purpose: Identify and challenge distorted or irrational thoughts. Method: o Recognize negative automatic thoughts (e.g., “I can’t handle this”). o Evaluate their accuracy. o Replace with more balanced thoughts (e.g., “I’ve handled similar situations before”). Application: Reduces catastrophizing and self-defeating thoughts during stress. Clinical note: Effective in stress-related disorders like GAD, adjustment disorder, and occupational burnout. b) Thought Records Purpose: Monitor and evaluate thoughts that cause stress. Method: Clients record triggering events, emotional responses, automatic thoughts, evidence for/against those thoughts, and alternative balanced thoughts. Outcome: Encourages reflective thinking and reduces reactivity. c) Problem-Solving Training Steps: o Identify the problem clearly. o Generate multiple solutions. o Weigh pros and cons. o Select and implement a solution. o Evaluate the outcome. Use: Helps manage stressors by promoting a structured and proactive approach. d) Mindfulness-Based Cognitive Therapy (MBCT)
Combines CBT with mindfulness. Teaches individuals to observe thoughts non-judgmentally. Effective in reducing stress, especially in recurrent depression and anxiety. e) Cognitive Defusion (from ACT) Helps clients "detach" from distressing thoughts instead of challenging them. Reduces the emotional impact of stressful thinking patterns. f) Socratic Questioning Therapist asks guiding questions to help the client discover inconsistencies in thinking. Builds metacognitive awareness and cognitive flexibility. g) Stress Inoculation Training (SIT) – Meichenbaum A structured CBT-based intervention: Phase 1 – Conceptualization: Understanding the nature of stress. Phase 2 – Skills Acquisition: Learning coping skills (relaxation, cognitive restructuring). Phase 3 – Application: Practicing in imagined or real stressful situations. Effective for exam anxiety, work-related stress, and chronic illness. Technique Advantages Disadvantages Cognitive Restructuring
Teaches individuals to control physiological functions (e.g., heart rate, muscle tension) using electronic monitoring. Enhances awareness and self-regulation of stress responses. e) Activity Scheduling Helps individuals prioritize tasks and break overwhelming stressors into manageable steps. Increases a sense of mastery and reduces avoidance behavior. f) Assertiveness Training Teaches individuals to express themselves confidently and respectfully. Reduces interpersonal stress and builds self-esteem. g) Habit Reversal Training Used to manage stress-related habits (e.g., nail-biting, hair pulling). Involves awareness training, developing competing responses, and social support. h) Systematic Desensitization (Wolpe) Reduces stress associated with phobic or anxiety-provoking stimuli. Process: o Teach relaxation. o Construct an anxiety hierarchy. o Gradually expose while remaining relaxed. Example: Managing social anxiety by slowly increasing exposure to social events. Technique Advantages Disadvantages Progressive Muscle Relaxation (PMR)
Technique Advantages Disadvantages planning. Biofeedback