Studieboek - Wider applications of CBT
36 important questions on Studieboek - Wider applications of CBT
What does research say about CBT for EDs?
What are the different eating disorders? (8 + 1)
2. Bulimia
3. Binge eating disorder
4. Pica
5. Rumination disorder
6. Avoidant/restrictive food intake disorder
7. Other specified feeding or ED
8. Unspecified feeding or ED
(9. Obesity - medical condition)
What are common core themes in eating disorders? (2)
2. Control (over-controlling and at risk of losing control)
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What are common cognitive processes in EDs? (2)
2. Dissociation (can be induced by self-starvation or over-eating. Leads to failing to learn that emotions can be tolerated)
What is common for affects in EDs? (3)
2. Emotions overriding the sensations of hunger or satiation
3. Emotions being mistaken for hunger, which is maintained by the soothing effect of eating
What is common for motivation for treatment in EDs?
What are common cognitions in EDs? (3)
2. 'I've over-eaten. I can't stand the feeling. I'm repugnant and fat'
3. 'I feel bad. Eating will comfort me'
What are common emotions caused by the common cognitions in EDs?
2. Despair and anticipatory calm
What is common behavior caused by the common emotions in EDs? (3)
2. Extreme compensation (can cause the urge to over-eat afterward, which can turn into a trigger for the common cognitions)
3. Comfort eating or binge-eating
What are the maintenance cycles in EDs?
What needs to be considered in the treatment of BN, binge eating, and obesity?
What is the difference between type 1 and type 2 trauma?
What are the key issues when working with survivors of trauma? (4)
2. Sense of self
3. Interpersonal and systemic issues
4. Complexity of presentations
What are the problems regarding the memory of trauma in working with trauma survivors (3)
2. Intrusive memories
3. False memory (detail is unreliable, but general memories are not. Therefore, focus on the meaning that the client is left with)
What are the problems in the sense of self of trauma survivors? (2)
2. Consequences of developmental trauma can be a fragmented or absent sense of selve
What are things to consider regarding interpersonal and systemic issues in working with trauma survivors? (2)
2. Repeated early life trauma has often been linked to personality disorders
How can a therapist deal with the complexity of presentations in working with trauma survivors?
For what patients with trauma might compassionate mind therapy (CMT) be helpful?
What is the evidence for the usage of CBT for trauma survivors?
What are the aspects on which there is a focus in the stabilization phase in the treatment of trauma survivors?
What are some recommendable guidelines for the treatment of trauma survivors? (6)
2. Remember the qualities of memories and do not force recollections
3. Focus on the accessible DSM problems as far as possible, using treatment protocols where appropriate
4. Keep the possibility of having to accommodate interpersonal difficulties, schema-driven problems, and multi-problem presentations in mind
5. Consider a stepped approach
6. Keep risk assessment on your agenda
What are the important aspects of the Beckian approach to anger management? (3)
2. If guilt and shame are prominently linked to angry outbursts, a compassionate focus could be incorporated into CBT
3. Assertiveness training can supplement CBT in managing anger
What are the stages of anger control? (3)
2. Skills acquisition (the client learn techniques to help lower arousal when provoked)
3. Application training (the clients rehearse the techniques in progressively more difficult situations, perhaps starting with the imagination and working up to in vivo).
What are the steps in the management of different stages of a potentially anger-provoking situation? (4)
2. Coping with physical arousal
3. Coping with cognitive arousal
4. Post-confrontation reflection
What are the potential difficulties in working with clients in therapy for anger? (4)
2. Some clients are referred because others think they have a problem (may help to begin with a positive formulation of the cycles of anger management to illustrate the advantages to motivate them)
3. Losing the Rogerian stance and cognitive curiosity can cause engagement difficulties (figure out a response before the therapeutic impasse is established)
4. Important to consider the risks
In what disorders are psychoses common?
Why are appraisals of actual experiences key in the treatment of psychosis?
What are other factors in psychosis that may require special care? (4)
2. The pleasurable experience of mild mania
3. Idiosyncratic thought processes making it difficult to keep track of the client's thinking
4. The sometimes neediness of the client's family
What are important things about the treatment of relationship problems? (2)
2. Cognitive-behavioral formulations allow issues to be approached by looking at the interlinkages between cognition, emotions, behaviors and physical state
How can relationship difficulties be treated? (3)
2. DBT for clients with BPD promises significant impact on interpersonal and social adjustment
3. CBCT and systemix CBT have a wealth of theory and research
What is the distinction between substance abuse and substance dependence that was used in the DSM-IV?
What are reasons for people to engage in substance abuse or addictive and harmful behaviors? (4)
2. Manage cravings (physiological or psychological)
3. Coping with adverse circumstances
4. Contain severe psychiatric symptoms
Why is long-term input required instead of short-term treatment?
What is part of the cognitive behavioral approach to substance misuse and addictive behaviors? (6)
2. Strong emphasis on building a non-blaming conceptualisation, whilst encouraging the development of a sense of autonomy and responsibility
3. Helpful to emphasize asssets such as adaptive coping styles or strong social supports
4. Collaborative therapeutic alliance is imported and relates to compliance
5. Preparedness for change can fluctuate and goes hand in hand with motivational work (worth taking the risk of changing)
6. Decide whether to encourage control of the problem behavior or total abstinence (the latter in case of more severe problems)
What are common problems in working with people compelled to engage in harmful behaviors? (3)
2. Difficult behaviors such as non-compliance and dishonesty
3. Some problem behaviors are difficult to identify as manisfestations may be hard to recognize
What does the developmental model of substance misuse include?
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