Psychotherapy Practicum Week 1: CBT Techniques

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Questions and Answers

What are the primary goals of the practicum course in cognitive behavioral therapy?

To deepen theoretical understanding of psychological interventions and acquire basic skills for applying theory in practice.

What are the main components of the course structure described in the document?

Theory discussion, reflection on intervention techniques, practical exercises, homework assignments, and a literature exam.

List two techniques that students will learn to apply during the course.

Exposure and behavioral activation.

What is the significance of literature discussion in the course?

It facilitates understanding and analysis of intervention techniques based on research. Signup and view all the answers

How will homework assignments impact students' evaluations?

Late submission leads to a failing grade and requires a replacement task; assignments are crucial for passing. Signup and view all the answers

Explain the importance of presence in all class sessions.

Attendance is mandatory; absence necessitates a replacement task, affecting overall evaluation. Signup and view all the answers

What is the grading breakdown for the final score in this course?

The literature exam accounts for 50%, and two graded assignments together account for the remaining 50%. Signup and view all the answers

What is the main objective of interoceptive exposure in addressing panic attacks?

The main objective is to expose clients to bodily sensations without avoidance, allowing them to confront and decrease their fear of these sensations. Signup and view all the answers

What skills are expected to be developed through the assignment of challenging dysfunctional cognitions?

The ability to effectively question and challenge dysfunctional thoughts in a therapeutic context. Signup and view all the answers

How does the cognitive model contribute to understanding panic attacks?

The cognitive model helps to dissect panic attacks into physical sensations, cognitions, emotions, and behaviors, illustrating how these elements interact in a cycle. Signup and view all the answers

Identify two effects of interoceptive exposure on clients experiencing panic attacks.

Two effects are cognitive falsification, where feared consequences do not occur, and habituation, which reduces fear of bodily sensations. Signup and view all the answers

Which contraindications should a clinician be aware of before proceeding with interoceptive exposure?

Clinicians should be cautious with clients who have COPD, pregnancy, heart failure, or potential thyroid issues. Signup and view all the answers

What role does challenging cognitions play in the treatment of panic attacks?

Challenging cognitions helps clients to test the validity of their fears and reduces their overall anxiety about panic symptoms. Signup and view all the answers

What is the primary focus of the cognitive-behavioral model in therapy?

The primary focus is on the interaction between situations, thoughts, and behaviors. Signup and view all the answers

In the empirical cycle, what is the first step following problem formulation?

The first step is observation. Signup and view all the answers

How does the scientist-practitioner model guide clinical interventions?

It applies interventions based on knowledge of the etiology of disorders. Signup and view all the answers

Why is it crucial to discuss the rationale of a treatment with a client before starting an intervention?

It ensures the client understands the purpose and is engaged in the treatment process. Signup and view all the answers

What two analyses are included in the etiological model when assessing a client's problem?

The analyses are meaning analysis and function analysis. Signup and view all the answers

What is the goal of interoceptive exposure, and in which type of disorder is it commonly used?

The goal is to reduce fear of bodily sensations, commonly used in panic disorder. Signup and view all the answers

How can clients be effectively involved in understanding their treatment models during therapy?

Clients should be encouraged to discover the model themselves through dialogue and asking questions. Signup and view all the answers

What is the significance of formulating a treatment plan in the empirical cycle?

It provides a structured approach for implementing therapeutic interventions. Signup and view all the answers

Study Notes

Practicum Psychotherapie

Course focus is Cognitive Behavioral Therapy (CBT)
Week 1 topics include rationale, interoceptive exposure, breathing, and relaxation techniques.

Course Objectives

Deepen understanding of theoretical background of psychological interventions
Develop basic skills for applying theories in practice

Learning Objectives

Summarize and analyze material, assessed through exams
Demonstrate knowledge of interventions for various psychological conditions (lectures and Canvas articles)
Develop critical thinking skills, assessed through assignments and exams
Apply empirical method in practice
Analyze and interpret behaviors
Apply and understand exposure therapy
Apply and understand behavioral activation therapy
Challenge dysfunctional cognitive patterns
Explain rationale for interventions

Course Components

Discussion of relevant literature
Reflection on intervention techniques
Practice and application of intervention techniques
Homework assignments
Exam on literature

Course Structure

One day of lectures per week
Morning session: theory review (prior reading is crucial), reflection/demonstration of intervention techniques
Afternoon session: practical application of intervention techniques (2 hours), role-playing (preparation needed, reference Canvas), feedback session (1 hour)

Homework Assignments

Instructions are available on Canvas
Deadlines are detailed in the course materials (handouts/Canvas)
Submit assignments via email to the instructor
Two assignments carry a grade; late submission receives a failing grade plus a resubmission
Assignments are graded based on completeness and timeliness. Resubmission is permissible.

Grading

Attendance at all sessions is mandatory
Absence results in a make-up task
All assignments will be evaluated and graded ('met cijfer' = with a numerical grade, 'voldaan' = satisfactory)
Literature exam accounts for 50% of the final grade
Two graded homework assignments contribute 50% (25% each) to the final grade

Cognitive Behavioral Model

Depicts a cyclical interplay between situations, thoughts, behaviors, and feelings
Interventions focus on specific phases (e.g., thoughts, behaviors)
The model is crucial for understanding the mechanisms of behavior, thoughts and emotions

Empirical Cycle

Focuses on scientific investigation of problems and interventions
Interconnects theoretical frameworks with the practical application in clinical settings
Key elements include problem identification, observation, hypothesis formulation, testing, and evaluation

Scientist-Practitioner Model

Emphasizes the integration of scientific knowledge with practical clinical skills.
Utilizing scientifically proven methods while understanding individual client needs
Evidence-based interventions should be employed

Rationale (Discussion)

This section addresses the significance of discussing rationales with the client before implementing intervention strategies.

Rationale (Components)

Addresses the theoretical basis, including etiology or causes and factors keeping the issue in place
How to approach the issue
Setting clear expectations for treatment

Rationale (Explaining)

Involve the client actively in understanding the model and their own situations
Use relatable examples from the client's experiences
Pose critical questions to encourage deeper understanding

Rationale Interoceptive Exposure

Questions to address the application of interoceptive exposure
The aim(s) of interoceptive exposure
Process during interoceptive exposures
Information necessary to understand the rationale behind interoceptive exposure

Panic Maintenance Model

Demonstrates the circular relationship between physical sensations and anxious thoughts, leading to avoidance behaviors.

Rationale Interoceptive Exposure: Steps

Clinical evaluation determining the applicability and effectiveness of interoceptive exposure in the given clinical circumstance
Outline and delineate steps of the procedure
Analysis of behaviors, cognitions, and emotions
Identifying and challenging maladaptive thoughts/beliefs

Rationale Interoceptive Exposure: Conclusion

The technique of gradual exposure to physical sensations (avoidance)
Reduced anxiety and avoidance related to feared physical sensations
Potential factors that may preclude application of interoceptive exposure (i.e. contraindications)

Preparation for Afternoon Session

Ensure sufficient space for recording sessions
Review provided materials to prepare for role-playing activities
Timely attendance for sessions, 5 minutes prior to the start
Complete or review the week's feedback materials
Coordinate stage activities/arrangements

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Description

This quiz covers the introductory topics of Cognitive Behavioral Therapy (CBT) for the first week of the Psychotherapy Practicum course. It includes the rationale for CBT, interoceptive exposure, and key relaxation techniques. Enhance your understanding of psychological interventions and their application in practice through this assessment.