CBT
COGNITIVE
BEHAVIORAL
THERAPY
Student : mohammed yousef
202112789 Ammar damra
202211761
*THE OUT LINES :
1.the definition.
3. Principle of CBT.
4.techniques of CBT.
5.nursing interventions ofCBT.
6.types of CBT.
7.types of therapy sessions.
8.goals sittings.
9.conclusion.
THE DEFINITION
COGNITIVE THERAPY IS A TYPE OF PSYCHOTHERAPY BASED
ON THE CONCEPT OF PATHOLOGICAL MENTAL PROCESSING.
THE FOCUS OF TREATMENT IS ON THE MODIFICATION OF
DISTORTED COGNITIONS AND MALADAPTIVE BEHAVIORS .
CBT OPERATES ON THE PREMISE THAT HOW WE THINK
INFLUENCES HOW WE FEEL AND BEHAVE. IT INVOLVES
IDENTIFYING AND CHALLENGING NEGATIVE THOUGHT
PATTERNS AND REPLACING THEM WITH MORE REALISTIC
AND ADAPTIVE ONES.
PRINCIPLES OF CBT
- Collaboration: Therapists work collaboratively with clients, fostering a
supportive and empowering environment where clients actively participate in
their own treatment
- Cognitive Restructuring: This involves helping clients recognize and
challenge cognitive distortions, such as all-or-nothing thinking,
catastrophizing, and overgeneralization, by examining evidence for and
against their beliefs.
- Behavioral Techniques: CBT employs various behavioral strategies, such
as exposure therapy, behavioral experiments, and skills training, to help
clients develop healthier coping mechanisms and habits
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APPLICATION OF CBT.
-CBT for Depression:
In addition to cognitive restructuring and behavioral activation, CBT for depression may
incorporate techniques such as problem-solving skills training and assertiveness training to
address interpersonal difficulties.
-CBT for Anxiety Disorders:
Exposure therapy, in vivo or imaginal, is a cornerstone of CBT for anxiety disorders,
supplemented by relaxation training, mindfulness techniques, and cognitive restructuring to
challenge anxious thoughts and beliefs. body image.
-CBT for Eating Disorders:
CBT for eating disorders employs techniques such as food diaries, meal planning, and
cognitive restructuring to challenge dysfunctional beliefs about food, weight, and
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TECHNIQUES OF CBT
- Cognitive Restructuring:
Describe the process of identifying and challenging maladaptive thoughts
and beliefs using techniques such as Socratic questioning and thought
records.
- Behavioral Activation:
Explain how behavioral activation aims to increase engagement in
rewarding activities to counteract depression and enhance mood.
- Exposure Therapy:
Introduce exposure techniques for anxiety disorders, including systematic
desensitization and in vivo exposure.
NURSING INTERVENTIONS IN CBT
- THERAPEUTIC RELATIONSHIP:
NURSES PLAY A VITAL ROLE IN ESTABLISHING AND MAINTAINING A THERAPEUTIC ALLIANCE WITH CLIENTS, PROVIDING EMPATHY,
SUPPORT, AND ENCOURAGEMENT THROUGHOUT THE THERAPEUTIC PROCESS.
- ASSESSMENT AND MONITORING:
NURSES ARE RESPONSIBLE FOR CONDUCTING COMPREHENSIVE ASSESSMENTS, INCLUDING MENTAL STATUS EXAMINATIONS AND RISK
ASSESSMENTS, TO IDENTIFY APPROPRIATE CANDIDATES FOR CBT AND MONITOR TREATMENT PROGRESS OVER TIME.
-PSYCHOEDUCATION:
NURSES EDUCATE CLIENTS AND THEIR FAMILIES ABOUT THE PRINCIPLES OF CBT, HELPING THEM UNDERSTAND THE RATIONALE
BEHIND INTERVENTIONS AND EMPOWERING THEM TO ACTIVELY ENGAGE IN TREATMENT.
- COLLABORATION AND REFERRAL
NURSES COLLABORATE WITH OTHER MEMBERS OF THE HEALTHCARE TEAM, SUCH AS PSYCHIATRISTS, PSYCHOLOGISTS, AND SOCIAL
WORKERS, TO ENSURE COORDINATED AND INTEGRATED CARE FOR CLIENTS RECEIVING CBT. WHEN NECESSARY, NURSES FACILITATE
REFERRALS TO SPECIALIZED MENTAL HEALTH SERVICES FOR FURTHER EVALUATION AND TREATMENT.
TYPES OF CBT
CBT encompasses a range of techniquesand approaches that
address ourthoughts, emotions, and behaviors.These can range
from structured Psycho therapies self-help practices including:
1-Cognitive therapy : centers on identifying and changing in
accurate or distorted thought patterns, emotional responses,
andbehaviors.
2-Dialectical behavior therapy (DBT): addresses destructive or
disturbing thoughts and behaviors while incorporating treatment
strategies such as emotional regulation and mindfulness.
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TYPES OF CBT
3-Multimodal therapy suggests that psychological issues must
betreated by addressing seven different but interconnected
modalities:
behavior, affect,sensation, imagery, cognition,interpersonal
factors, anddrug/biological considerations.
4-Rational emotive behavior therapy(REBT) involves identifying
irrational beliefs, actively challenging these beliefs, and finally
learning to recognize and change these thought patterns.
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TYPES OF THERAPY SESSIONS
Two types of therapy sessions:
1-Individual Psychotherapy
2-Groups therapy:
A- psychotherapy Groups
B-Closed Groups
C-Family therapy
D-Educational Groups
E-Support Groups
GOALS SITTING
It is important for the patient to have specific goals they want to achieve by the
time they are finished the course of therapy.
It is also important to have goals between sessions, that are more attainable and
realistic.
The SMART goals framework is one way of achieving that.
A goal should feel 80% do-able and 20% challenging so as to strike the right
balance.
S - Specific (well defined, clear, and unambiguous)
M - Measurable (specific way to measure your progress towards the goal)
A - Attainable (something not impossible - “Do something 80% attainable and 20% hard”)
R - Realistic
GOALS SITTING
T - Time (must have a start and finish date if the goal is not time
constrained, there will be no sense of urgency to achieve the goal!)
Example of a SMART goal could be: “Add more structure to your day
” (i.e. - make your bed, eat regular meals, have a regular sleep
schedule, and make a regular schedule).
Another SMART goal could be: “Have more social interaction by
calling one friend each week. ”
CONCLUSION
COGNITIVE THERAPY IS FOUNDED ON THE PREMISE THAT HOW PEOPLE THINK SIGNIFICANTLY
INFLUENCES THEIRFEELINGS AND BEHAVIOR.
THE CONCEPT WAS INITIATED IN THE 1960S BY AARONBECK IN HIS WORK WITH DEPRESSED
CLIENTS. SINCE THATTIME, IT HAS BEEN EXPANDED FOR USE WITH A NUMBEROF EMOTIONAL
ILLNESSES.
COGNITIVE THERAPY IS SHORT-TERM, HIGHLY STRUCTURED,AND GOAL-ORIENTED THERAPY
THAT CONSISTS OF THREEMAJOR COMPONENTS: DIDACTIC, OR EDUCATIONAL, ASPECTS;
COGNITIVE TECHNIQUES; AND BEHAVIORAL INTERVENTIONS.THE THERAPIST TEACHES THE
CLIENT ABOUT THE RELATIONSHIP BETWEEN HIS OR HER ILLNESS AND THE
DISTORTEDTHINKING PATTERNS. EXPLANATION ABOUT COGNITIVETHERAPY AND HOW IT
WORKS IS PROVIDED.
THE THERAPIST HELPS THE CLIENT TO RECOGNIZE HIS ORHER NEGATIVE AUTOMATIC
THOUGHTS (SOMETIMES CALLEDCOGNITIVE ERRORS).
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THE RESOURCES!!!!!
Psychiatric mental health nursing
Dsm-5 ( diagnostic and mental disorders 5th ed)
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THANK YOU
