COGNITIVE
BEHAVIOR THERAPY
Presented By Mamta Bisht
HOW WE FEEL DEPENDS ON
WHAT WE THINK .
Presented By Mamta Bisht
COGNITIONS
Cognition are the higher order mental
process that help us to gather and process
the information.
Cognitive functions includes thinking,
remembering, judgement, decision making
and problem solving.
Presented By Mamta Bisht
COGNITIVE TRIAD
Behavior and actions of a person depends upon
cognitive triad.
People’s beliefs about themselves
People’s beliefs about their
personal world (including
the people in their lives)
People’s beliefs about their
future
Presented By Mamta Bisht
How your thoughts
affect your behavior??
A person who thinks himself
as unworthy of love or
respect may feel withdrawn
in social situations and
behave as a shy person. He
may also lack social skills like
communication or
interactions.
Presented By Mamta Bisht
COGNITIVE BEHAVIOR THERAPY
Cognitive behavior therapy is based on the
concept that our thoughts, emotions, physical
sensations, and behaviors are interconnected.
Negative or faulty cognitions can result into
maladaptive patterns of behavior.
The gaol is to modify the thinking patterns that
is contributing to the patient’s problem.
Presented By Mamta Bisht
Presented By Mamta Bisht
DEFINITION
Cognitive behavior therapy is a type of talk
therapy (psychotherapy) that is focussed on
modifying the distorted cognitions and
maladaptive behaviors.
Presented By Mamta Bisht
AIMS OF CBT
• to identify the distorted cognitions.
• to change or modify the distorted thinking
pattern.
• to substitute more realistic cognitions.
Presented By Mamta Bisht
ASSUMPTIONS OF CBT
• How we behave in a situation depends on
our thoughts and perception.
• Distorted cognitions leads to maladaptive
behaviors.
• Thoughts can be controlled and modified.
• Therapeutic change can be produced by
altering the distorted thinking patterns in
an individual.
Presented By Mamta Bisht
INDICATIONS
• Depression
• Eating disorders
• PTSD
• Personality disorders
• Sleep disorders
• OCD
Presented By Mamta Bisht
INDICATIONS
• Anxiety disorder (Panic & generalized anxiety
disorders, social anxiety) Phobias
• Bipolar disorder
• Anger issues
• Schizophrenia
• Substance abuse
• Sexual disorders
Presented By Mamta Bisht
DURATION OF THERAPY
Cognitive behavior therapy is a structured and
short term therapy , usually lasting for 12-25
weeks.
Sessions: once a week meeting
Presented By Mamta Bisht
BASIC CONCEPTS OF CBT
1. Automatic thoughts (cognitive errors/
cognitive distortions)
2. Schemas (Core Beliefs)
Presented By Mamta Bisht
BASIC CONCEPTS OF CBT
1.Automatic thoughts (cognitive errors/
cognitive distortions)
These are the rapidly occurring thoughts
(usually negative ) in response to a situation
without rational analysis.
e.g. “people with laugh at me when they see
how badly I bowl” is an automatic thought that
occurs in someone who has been asked to go
for bowling and responds negatively.
Presented By Mamta Bisht
BASIC CONCEPTS OF CBT
2.Schemas (core beliefs)
These are the pattern or framework of thoughts
that help us organize and interpret the
information.
Core beliefs produce the automated thoughts.
These may be adaptive or maladaptive.
(positive or negative)
Presented By Mamta Bisht
BASIC CONCEPTS OF CBT
2.Schemas (core beliefs)
e.g. Schemas associated with failure
No matter what I do, I will fail (maladaptive)
If I try and very hard, I will succeed (adaptive)
Schemas associated with lovability
I am stupid. No one would love me.
(maladaptive)
People love me for who I m (adaptive)
Presented By Mamta Bisht
TECHNIQUES OF CBT
1. Identifying the troubling situation.
2. Recognizing the automatic thoughts and
schemas
3. Modifying the automatic thoughts and
schemas
4. Behavioral interventions
Presented By Mamta Bisht
1.Identifying the troubling situation
These may include
stress full situations or
other issues such as
medical condition,
divorce, grief or
symptoms of mental
illness.
Presented By Mamta Bisht
2.Recognizing the automatic thoughts and
schemas
• Identify the thought distortions by using
guided questions or through thought
recording.
Client is asked to keep a record of situations that
caused stress and the automatic thoughts that
were elicited by the situation.
• The patient is helped to identify
“maladaptive cognitions” and their “logical
errors”.
Presented By Mamta Bisht
3.Modifyingthe automatic thoughts and schemas
Counterbalancing intruding cognitions and the
emotions with another thought.
eg. When an anxious patient with chest pain
becomes apprehensive thinking that he has a
heart problem; he may be trained to think it is
only muscular pain and does not relate to the
heart
Presented By Mamta Bisht
3.Modifyingthe automatic thoughts and schemas
Stopping intrusive cognitions thoughts
through distraction.
E.g doing mental arithmetic or copying a
figure.
Presented By Mamta Bisht
4.Behavioral interventions
• Defining the problem more clearly.
• Dividing it into small sub-problem which
can be better managed.
• Finding out alternate methods of solving
each problems
Presented By Mamta Bisht
ADVANTAGES
• Teach the clients rational self-
counselling skills.
• Emphasize getting better, rather than
feeling better.
• CBT creates long-term results since the
cause of the problem is corrected.
• Focus on the client's goals, rather than
attempting to impose the therapist's
goals on the client.
Presented By Mamta Bisht
DISADVANTAGES
• A therapist is like a personal trainer that
advises and encourages but cannot 'do' it
for the client.
• Ineffective if client lacks concentration and
motivation.
• Time consuming
• Due to the structured nature, not suitable
for people with more complex mental
health needs or learning difficulties
Presented By Mamta Bisht
THANK YOU
Presented By Mamta Bisht

Cognitive behavior therapy

  • 1.
  • 2.
    HOW WE FEELDEPENDS ON WHAT WE THINK . Presented By Mamta Bisht
  • 3.
    COGNITIONS Cognition are thehigher order mental process that help us to gather and process the information. Cognitive functions includes thinking, remembering, judgement, decision making and problem solving. Presented By Mamta Bisht
  • 4.
    COGNITIVE TRIAD Behavior andactions of a person depends upon cognitive triad. People’s beliefs about themselves People’s beliefs about their personal world (including the people in their lives) People’s beliefs about their future Presented By Mamta Bisht
  • 5.
    How your thoughts affectyour behavior?? A person who thinks himself as unworthy of love or respect may feel withdrawn in social situations and behave as a shy person. He may also lack social skills like communication or interactions. Presented By Mamta Bisht
  • 6.
    COGNITIVE BEHAVIOR THERAPY Cognitivebehavior therapy is based on the concept that our thoughts, emotions, physical sensations, and behaviors are interconnected. Negative or faulty cognitions can result into maladaptive patterns of behavior. The gaol is to modify the thinking patterns that is contributing to the patient’s problem. Presented By Mamta Bisht
  • 7.
  • 8.
    DEFINITION Cognitive behavior therapyis a type of talk therapy (psychotherapy) that is focussed on modifying the distorted cognitions and maladaptive behaviors. Presented By Mamta Bisht
  • 9.
    AIMS OF CBT •to identify the distorted cognitions. • to change or modify the distorted thinking pattern. • to substitute more realistic cognitions. Presented By Mamta Bisht
  • 10.
    ASSUMPTIONS OF CBT •How we behave in a situation depends on our thoughts and perception. • Distorted cognitions leads to maladaptive behaviors. • Thoughts can be controlled and modified. • Therapeutic change can be produced by altering the distorted thinking patterns in an individual. Presented By Mamta Bisht
  • 11.
    INDICATIONS • Depression • Eatingdisorders • PTSD • Personality disorders • Sleep disorders • OCD Presented By Mamta Bisht
  • 12.
    INDICATIONS • Anxiety disorder(Panic & generalized anxiety disorders, social anxiety) Phobias • Bipolar disorder • Anger issues • Schizophrenia • Substance abuse • Sexual disorders Presented By Mamta Bisht
  • 13.
    DURATION OF THERAPY Cognitivebehavior therapy is a structured and short term therapy , usually lasting for 12-25 weeks. Sessions: once a week meeting Presented By Mamta Bisht
  • 14.
    BASIC CONCEPTS OFCBT 1. Automatic thoughts (cognitive errors/ cognitive distortions) 2. Schemas (Core Beliefs) Presented By Mamta Bisht
  • 15.
    BASIC CONCEPTS OFCBT 1.Automatic thoughts (cognitive errors/ cognitive distortions) These are the rapidly occurring thoughts (usually negative ) in response to a situation without rational analysis. e.g. “people with laugh at me when they see how badly I bowl” is an automatic thought that occurs in someone who has been asked to go for bowling and responds negatively. Presented By Mamta Bisht
  • 16.
    BASIC CONCEPTS OFCBT 2.Schemas (core beliefs) These are the pattern or framework of thoughts that help us organize and interpret the information. Core beliefs produce the automated thoughts. These may be adaptive or maladaptive. (positive or negative) Presented By Mamta Bisht
  • 17.
    BASIC CONCEPTS OFCBT 2.Schemas (core beliefs) e.g. Schemas associated with failure No matter what I do, I will fail (maladaptive) If I try and very hard, I will succeed (adaptive) Schemas associated with lovability I am stupid. No one would love me. (maladaptive) People love me for who I m (adaptive) Presented By Mamta Bisht
  • 18.
    TECHNIQUES OF CBT 1.Identifying the troubling situation. 2. Recognizing the automatic thoughts and schemas 3. Modifying the automatic thoughts and schemas 4. Behavioral interventions Presented By Mamta Bisht
  • 19.
    1.Identifying the troublingsituation These may include stress full situations or other issues such as medical condition, divorce, grief or symptoms of mental illness. Presented By Mamta Bisht
  • 20.
    2.Recognizing the automaticthoughts and schemas • Identify the thought distortions by using guided questions or through thought recording. Client is asked to keep a record of situations that caused stress and the automatic thoughts that were elicited by the situation. • The patient is helped to identify “maladaptive cognitions” and their “logical errors”. Presented By Mamta Bisht
  • 21.
    3.Modifyingthe automatic thoughtsand schemas Counterbalancing intruding cognitions and the emotions with another thought. eg. When an anxious patient with chest pain becomes apprehensive thinking that he has a heart problem; he may be trained to think it is only muscular pain and does not relate to the heart Presented By Mamta Bisht
  • 22.
    3.Modifyingthe automatic thoughtsand schemas Stopping intrusive cognitions thoughts through distraction. E.g doing mental arithmetic or copying a figure. Presented By Mamta Bisht
  • 23.
    4.Behavioral interventions • Definingthe problem more clearly. • Dividing it into small sub-problem which can be better managed. • Finding out alternate methods of solving each problems Presented By Mamta Bisht
  • 24.
    ADVANTAGES • Teach theclients rational self- counselling skills. • Emphasize getting better, rather than feeling better. • CBT creates long-term results since the cause of the problem is corrected. • Focus on the client's goals, rather than attempting to impose the therapist's goals on the client. Presented By Mamta Bisht
  • 25.
    DISADVANTAGES • A therapistis like a personal trainer that advises and encourages but cannot 'do' it for the client. • Ineffective if client lacks concentration and motivation. • Time consuming • Due to the structured nature, not suitable for people with more complex mental health needs or learning difficulties Presented By Mamta Bisht
  • 26.