Podcast
Questions and Answers
What is a fundamental characteristic of Cognitive Behavioral Therapy (CBT)?
What is a fundamental characteristic of Cognitive Behavioral Therapy (CBT)?
- Frequent sessions
- Individual-centric therapy
- Long-term therapy
- Goal-focused therapy (correct)
Which of the following best describes the nature of CBT sessions?
Which of the following best describes the nature of CBT sessions?
- Sessions typically occur once a month
- Sessions are action orientated with assigned homework (correct)
- Sessions prioritize past events over current issues
- Sessions last several hours
What percentage of therapeutic outcomes do interpersonal skills like empathy and warmth contribute, according to research?
What percentage of therapeutic outcomes do interpersonal skills like empathy and warmth contribute, according to research?
- 75%
- 50% (correct)
- 25%
- 100%
Which perspective does CBT operate from?
Which perspective does CBT operate from?
Which aspect is NOT a focus of CBT?
Which aspect is NOT a focus of CBT?
How is CBT described in terms of therapy duration?
How is CBT described in terms of therapy duration?
What is the role of homework in CBT?
What is the role of homework in CBT?
Which category does 'worrying' fall into in the 5-aspect model?
Which category does 'worrying' fall into in the 5-aspect model?
When assessing a patient, what is the first step typically taken?
When assessing a patient, what is the first step typically taken?
What is the purpose of linking thoughts, feelings, and behaviours in the assessment process?
What is the purpose of linking thoughts, feelings, and behaviours in the assessment process?
How does the CBT model suggest measuring emotions?
How does the CBT model suggest measuring emotions?
What emotional states are considered primary emotions?
What emotional states are considered primary emotions?
Which of the following statements best describes the relationship between thoughts, feelings, and behaviors?
Which of the following statements best describes the relationship between thoughts, feelings, and behaviors?
What might be a complex emotion experienced by individuals?
What might be a complex emotion experienced by individuals?
How does anxiety affect a person's thoughts, as described in the content?
How does anxiety affect a person's thoughts, as described in the content?
What behaviors might someone like Anne exhibit due to constant worry and anxiety?
What behaviors might someone like Anne exhibit due to constant worry and anxiety?
Which of the following is a thinking error commonly associated with anxiety?
Which of the following is a thinking error commonly associated with anxiety?
What aspect of the CBT model is referred to as the 'Hot-cross bun' formulation?
What aspect of the CBT model is referred to as the 'Hot-cross bun' formulation?
What impact do emotions have on thoughts and behaviors?
What impact do emotions have on thoughts and behaviors?
What is one of the aims of the module?
What is one of the aims of the module?
Which of the following is a session learning outcome?
Which of the following is a session learning outcome?
What is emphasized in the module regarding mental health problems?
What is emphasized in the module regarding mental health problems?
Why is further reading recommended in the module?
Why is further reading recommended in the module?
Which author is associated with client-centred therapy?
Which author is associated with client-centred therapy?
What does CBT stand for?
What does CBT stand for?
What is one of the specific skills taught in the module?
What is one of the specific skills taught in the module?
Which document outlines the process for identifying common mental health disorders?
Which document outlines the process for identifying common mental health disorders?
Flashcards
What is Cognitive Behavioral Therapy?
What is Cognitive Behavioral Therapy?
A type of therapy that focuses on changing negative thought patterns, behaviors, and emotional responses.
What are the goals of CBT?
What are the goals of CBT?
CBT aims to help individuals identify and challenge negative thoughts, develop more adaptive coping skills, and change unhelpful behaviors.
What is the core principle of CBT?
What is the core principle of CBT?
CBT is based on the idea that our thoughts influence our feelings and behaviors, and vice versa.
What is the time focus of CBT?
What is the time focus of CBT?
CBT is considered a 'here and now' therapy, focusing on current problems and solutions rather than past events.
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How is CBT practiced?
How is CBT practiced?
CBT is a collaborative approach where the therapist and client work together to identify and address challenges.
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How long does CBT typically last?
How long does CBT typically last?
CBT is designed to be a relatively short-term treatment approach, usually involving a limited number of sessions.
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What is the nature of CBT?
What is the nature of CBT?
CBT emphasizes action steps and encourages clients to put what they learn into practice through homework assignments.
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What is the perspective of CBT?
What is the perspective of CBT?
CBT acknowledges the interconnectedness of biological, psychological, and social factors that contribute to mental health.
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Five-Aspect Model
Five-Aspect Model
A mental framework used in CBT to understand and address problems. It consists of five interconnected aspects: Thoughts, Feelings, Physical Sensations, Behaviours, and Situation.
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Thoughts
Thoughts
The individual's subjective interpretation of an event or situation. These can be positive, negative, or neutral and influence feelings and behaviours.
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Feelings
Feelings
The emotional response to thoughts and events. This includes a range of emotions like happiness, sadness, anger, fear, and anxiety.
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Physical Sensations
Physical Sensations
Physical sensations and changes in the body associated with emotions. This includes factors such as increased heart rate, muscle tension, nausea, or fatigue.
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Behaviours
Behaviours
Actions, reactions, and coping mechanisms used in response to thoughts, feelings, and situations. These can be adaptive (helpful) or maladaptive (unhelpful).
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Situation
Situation
The specific context or environment in which the thoughts, feelings, and behaviours occur. It can involve people, places, timings, or specific situations.
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Thoughts lead to feelings
Thoughts lead to feelings
How our thoughts influence our emotions. For example, if you think you're going to fail a test, you might feel anxious.
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Thinking errors or distortions
Thinking errors or distortions
Cognitive distortions are inaccurate or biased thinking patterns that can lead to negative emotions. It's like seeing the world through a distorted lens.
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Primary emotions
Primary emotions
Emotions like happiness, sadness, fear, anger, and disgust are considered basic, fundamental feelings.
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Complex emotions
Complex emotions
Emotions like anxiety, guilt, shame, humiliation, and jealousy are complex feelings that often involve a combination of primary emotions.
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How I feel affects what I think
How I feel affects what I think
Emotions can directly influence our thoughts. If we feel scared, we might think something is wrong or that we are in danger.
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How we think, feel and behave are linked
How we think, feel and behave are linked
Our thoughts, feelings, and actions are interconnected. For example, if we are anxious, we might avoid social situations, which could then confirm our belief that we are not good at socializing.
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General cross-sectional formulation
General cross-sectional formulation
A framework in cognitive behavioral therapy (CBT) to understand a person's difficulties by considering five aspects: situation, thoughts, feelings, behaviors, and physiological response. It's like a pie chart of how these elements interact.
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Separating thoughts, feelings and behaviours
Separating thoughts, feelings and behaviours
The process of separating and identifying our thoughts, feelings, and behaviors in a specific situation. It involves noticing how these three elements contribute to our experience.
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What is Cognitive Behavioral Therapy (CBT)?
What is Cognitive Behavioral Therapy (CBT)?
A therapy based on the idea that our thoughts, feelings, and behaviors are all connected. By changing our thoughts, we can change our feelings and actions.
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What is the relationship between thoughts, emotions, and behaviors?
What is the relationship between thoughts, emotions, and behaviors?
The understanding that how we think about a situation directly impacts how we feel about it.
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What is the CBT model?
What is the CBT model?
A model that helps us understand how our thoughts, feelings, and behaviors all interact. It's like a puzzle where each piece affects the others.
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What does it mean to be self-aware in CBT?
What does it mean to be self-aware in CBT?
The ability to observe and identify your own thoughts, feelings, and behaviors. It's like being a detective inside your own mind.
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What is cognitive restructuring in CBT?
What is cognitive restructuring in CBT?
The ability to change negative thought patterns that are causing distress. It's like rewriting a story in your head.
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What are behavioral interventions in CBT?
What are behavioral interventions in CBT?
Learning new behaviors that help you feel better. This is like practicing a new skill to improve your wellbeing.
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What is formulation in CBT?
What is formulation in CBT?
The process of identifying the underlying causes of a problem. It's like figuring out the root of a tree.
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What is treatment planning in CBT?
What is treatment planning in CBT?
A plan to address a problem using CBT techniques. It's like a roadmap to recovery.
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Module Information
- Module name: NURS 3141 - Introduction to CBT for Mental Health Nurses
- Module leaders: Dr. Tim Carter and Gary Payne
- Optional Module
- Year: 2024-25
Course Details
- Topic: Cognitive Behavioural Therapy (CBT) for Mental Health Nurses
- Week: 5
- Date: Wednesday, October 23, 2024
- Time: 9:00 AM
- Format: Introduction to CBT for mental health nurses
Assessment Details
- Assessment type: ExamSys – Multiple-Choice Questions
- Formative Exam: To be confirmed (TBC)
- Summative Exam: 50 or more marks, combining multiple-choice questions (MCQs), short answer questions, and drag-and-drop activities.
- Exam date: Early to mid-January
- Exam time: To be confirmed (TBC)
- Resources: Themes and expectations based on taught content, PowerPoint slides, and reading material available on Moodle.
- Additional reading: Available
Welcome and Introductions
- Introductions will be held.
- Housekeeping procedures will be discussed.
- The module overview will be presented.
- Students' feedback on the module format will be discussed. This included a greater emphasis on practical skills and self-directed study.
Learning Outcomes
- Module aim: To provide an understanding of CBT-informed assessment, formulation, and intervention processes for common mental health problems.
- Module aim: To demonstrate an understanding of various CBT-informed skills and techniques.
- Session learning outcomes: To provide an understanding of the module, associated ExamSys examination, CBT fundamentals, and the CBT model, and its application.
CBT Fundamentals
- Short-term therapy
- Goal-focused
- Evidence-based
- Collaborative
- Focus on the "here and now"
- Bio-psycho-social perspective
- Weekly sessions
- Action-oriented with homework assignments
Fundamentals of Therapy
- Interpersonal skills are important
- Empathy
- Warmth;
- Non-judgmental;
- Positive Regard
- Appropriate body language, tone, and eye contact
- Research suggests these aspects contribute to 50% of a therapeutic outcome
Formulation
- Methods for understanding problems
- Analysing problem maintenance
- Identifying intervention strategies
Thoughts lead to Feelings
- Considering the image/situation, what thoughts arise?
- Potential explanations of the situation
- Emotional impact of those thoughts
How I think affects how I feel
- Example provided: Thoughts (people kissing or consoling) -> Feelings (anger or sadness)
Thinking Errors or Distortions
- Various types of cognitive distortions, such as all-or-nothing thinking, mental filtering, jumping to conclusions, overgeneralizing, disqualifying the positive, magnification/minimization, emotional reasoning, labeling, personalization, etc. Descriptions of each distortion are included in the presentation.
Emotions are very important!
- Primary emotions (happiness, sadness, fear, anger, disgust)
- Complex emotions (anxiety, guilt, shame, humiliation)
How I feel affects what I think
- Example provided: Feelings (scared and anxious) -> Thinking (something is wrong or in danger)
How we think, feel, and behave are linked
- Interconnectedness of thoughts, feelings, and behaviors; they influence each other in a circular pattern
General Cross-Sectional Formulation
- A model visually represents the interrelation between situation, thoughts, emotions, bodily sensations, and behaviors.
Recap
- Small group discussions to summarise what each member has learned during the session
Separating Thoughts, Feelings, and Behaviors
- Example presented using case of "Anne"
Role Play
- Role play activity where Gary and Tim will demonstrate CBT initial assessment method
Ideas for Questions
- Examples of questions to ask during the initial CBT assessment
The Process
- Describing the process of conducting a CBT assessment
- Starting with the situation, moving to thoughts, feelings, and behaviors
- Linking thoughts, feelings, and behaviors in a bidirectional manner (linking them both in one direction and the other)
- Identifying opportunities to measure thoughts and emotions
- Importance of empathy and curiosity
CBT Model
- Using a recent example, how can you measure thoughts, feelings, emotions.
- Example of questions to ask
Formulate Your Own Recent Experience
- Instruction to develop a cross-sectional formulation model of a recent experience of feeling anxious.
Homework
- Read Understanding presentation of anxiety disorders
- Read core module PowerPoint Slides for Day 1
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