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Basic Assumptions & Principles

of

Cognitive Behavior Therapy

Asit kumar Maurya

P. G. Diploma in Counseling, Guidance

&

Psychological Intervention

Outline of Presentation

Outline of Presentation  Basic of CBT  Definition of CBT  Basic Principles and Approaches

Basic of CBT

Definition of CBT

Basic Principles and Approaches

Some Behavioral Interventions and Cognitive

Interventions

Applications of CBT

Conclusions

Basic of CBT

Basic of CBT • Set of ‘talk’ psychotherapies that treat psychiatric conditions. • Used cognitive and

Set of ‘talk’ psychotherapies that treat psychiatric

conditions.

Used cognitive and behavioral approaches.

CBT basically based on cognition because

cognition process leads to behavior, and cognitive

dysfunction leads to behavioral dysfunctions.

Use as individual and in group.

As effective as psychiatric medications.

Brief and time limited.

use for developed Self help skills.

Definition of CBT

Definition of CBT • Cognitive-behavioral therapy is an action-oriented form of psychotherapy that assumes that

Cognitive-behavioral therapy is an action-oriented

form of psychotherapy that assumes that

maladaptive, or faulty, thinking patterns cause

maladaptive behavior and "negative" emotions.

Modifying dysfunctional thinking and behavior leads to improvement in symptoms.

Cognitive therapy is defined by a cognitive

formulation of the disorder and a cognitive conceptualization of the particular patient.

Rationale for CBT

Rationale for CBT • Negative emotions are elicited by cognitive processes developed through influences of learning.

Negative emotions are elicited by cognitive

processes developed through influences of learning.

Adverse life events elicit automatic processing,

which is viewed as the causal factor.

Cognitive triad: Negative automatic thoughts center around our understanding of:

Ourselves Others (the world) Future

Basic Principles and Approaches

Basic Principles and Approaches • People contribute to their own psychological problem as well as behavioral

People contribute to their own psychological problem

as well as behavioral symptoms.

Individuals react to and interpret event in terms of

their perceived significance: beliefs, expectation and

attitudes effect behavior.

Cognitive deficiencies can cause emotional disorders.

Faulty thinking is the cause of emotional and

behavioral problems.

Basic Principles and… cont…

Basic Principles and… cont… • Change mood states by using cognitive and behavioral strategies: 

Change mood states by using cognitive and

behavioral strategies:

Identifying/modifying automatic thoughts & core beliefs,

Regulating routine, and

Minimizing avoidance.

Promote rapid symptom change.

Behavioral principles - Basic assumption of

behavioral theories is that maladaptive behaviors are

learned and can be unlearned, and that new, more

adaptive behaviors can be learned.

Basic Principles and… cont…

Basic Principles and… cont… • Cognitive principles - Basic assumption of cognitive theories is that maladaptive

Cognitive principles - Basic assumption of cognitive theories is that maladaptive behavior result from irrational or distorted way of thinking emphasis is on internal thought processes.

Emphasis on Here and now” principles it is usually more fruitful to focus on current processes

rather than the past.

The interacting-systems principle: it is helpful to look at problems as interactions between thoughts,

emotions, behavior and physiology and the environment in which the person operates.

The empirical principle: it is important to evaluate both our theories and our therapy empirically.

Some Behavioral Interventions and Cognitive Interventions

Breathing retraining

Relaxation

Behavioral activation

Interpersonal effectiveness training

Problem-solving skills

Social skills training

Graded task assignment

Monitor automatic thoughts

Teach imagery techniques

Promote cognitive restructuring

Examine alternative evidence

Modify core beliefs

Applications of CBT

Applications of CBT  Mood Disorders  Anxiety Disorders  Emotional Disorders  Eating Disorders 

Mood Disorders

Anxiety Disorders

Emotional Disorders

Eating Disorders

Marital Problems

Behavioral Medicine

o Headaches

o Insomnia

o

Chronic Pain

o

Smoking Cessation

o

Hypochondriasis

Conclusions

Conclusions • Cognitive-behavioral therapy is a form of psychotherapy that assumes that maladaptive, or faulty,

Cognitive-behavioral therapy is a form of

psychotherapy that assumes that maladaptive,

or faulty, thinking patterns cause maladaptive

behavior and "negative" emotions.

Irrational or distorted way of thinking thinking is the cause of emotional and behavioral problems.