Cognitive Behavioral Therapy Lecture 7 Page: 1

Cognitive Behavioral Therapy

Lecture 7

Chapter 12: Problem Solving

I. Steps
A. Develop a general orientation or set to recognize the problem
B. Define the specifics of the problem and determine what needs
to be accomplished
C. Generate alternative courses of action that might be used to
resolve the problems and achieve the desired goals
D. Decide among the alternatives by evaluating their consequences
and relative gains and losses
E. Verify the results of the decision process and determine
whether the alternative selected is achieving the desired
outcome.
II. Effective Use of Problems-Solving Interventions
A. Problem solving would be most appropriate for individuals who
show a response deficit or inhibitions that transcend a single
situation.
B. Accomplished by progressive shaping of problem-solving skills
C. Initially minor problems are used and the therapist models the
skills
D. As patients progress more complex problems are tackled
E. Final goal is for the individual to approach all problematic
situations with the problem-solving strategy.
III. Behavioral Experiments
IV. Behavioral Activation
V. Relaxation
VI. Coping Cards
VII. Graded Exposure

Chapter 13 Imagery

I. Identifying Images
II. Responding to Images
A. Following Images to Completion
B. Jumping Ahead in time
C. Coping with Images
D. Changing Images
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Chapter 14 Home Work

I. Tailor assignments to the individual (90-100% sure the patient can
and will do the assignment)
II. Provide a rationale as to how and why the assignment might help
III. Set homework collaboratively; seek the patient’s input and
agreement
IV. Make homework a no-lose proposition
V. Begin the assignment (when possible) in session
VI. Help set up systems for remembering to do assignments
VII. Anticipate possible problems: do covert rehearsal when indicated
VIII. Prepare for a possible negative outcome (when applicable).

Chapter 15 Termination and Relapse Prevention

I. A process of decreasing the frequency of session and then
scheduling periodic boaster sessions

Chapter 16 Treatment Planning

I. Build rapport and therapeutic alliance
II. Make explicit the structure of the process of therapy
III. Teach patient the cognitive model and share case conceptualization
IV. Help alleviate the painters distress through cognitive and
behavioral techniques and problem solving
V. Teach the patient how to use these techniques on his/her own and
eventually develop the ability to become their own therapist.

Specific Disorders
Panic Disorder testing catastrophic misinterpretation (fair amount of
research suggesting that there may be low levels of tolerance for the
physiological sensations associated with autonomic arousal)
Generalized Anxiety Disorder assess more realistically the threat of danger
across situations and capacity to cope in stressful situations (worry: working
hard on a problem when you are or perceive yourself as blocked for
engaging in productive activity.)
Social Phobia Cognitive restructuring, anxiety management, guided
exposure
Obsessive-compulsive disorder exposure and response prevention
techniques, magical thinking, use of experiments
Post-traumatic Stress disorder symptom management, identification and
modification of the meaning the patient has attached to the traumatic event.
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Eating Disorders restructure dysfunctional beliefs about food, weight, and

one’s self (self-worth), behavioral interventions on cravings.
Substance Abuse Identifying and testing thoughts and images about taking
drugs, modifying beliefs that increase the risk of drug use
Personality Disorders Therapy emphasizes improvement in current
functioning, (through increasing patient’s repertoire of compensatory
strategies) more emphasis on historical development on core beliefs.

Adjunct Therapy for

Schizophrenia, Bipolar Disorders