Cognitive Behavioral Therapy

Author(s):  
Nancy P. Kropf ◽  
Sherry M. Cummings

Chapter 3, “Cognitive Behavioral Therapy: Theory and Practice,” presents the history, examines the theoretical underpinnings, and explains the essential skills and techniques of cognitive behavioral therapy (CBT). Theoretical principles, such as cognitive distortions, underlying assumptions and schema, and their presentation in older adults, are discussed. The treatment approach of CBT is outlined, including the nature of the therapeutic relationship, changing cognitions, behavioral strategies, the use of homework in treatment, and special considerations and adaptations for practice with older clients. Various contexts and settings where CBT is implemented are summarized, such as individual and group settings within community-based, acute-care, and long-term-care facilities. The chapter ends with the case example of cognitive behavioral treatment with an older female caregiver, which highlights and illustrates CBT practice with older adults.

Author(s):  
Amy E. West ◽  
Sally M. Weinstein ◽  
Mani N. Pavuluri

RAINBOW: A Child- and Family-Focused Cognitive-Behavioral Treatment for Pediatric Bipolar Disorder is a comprehensive, evidence-based treatment manual designed specifically for children ages 7–13 with bipolar spectrum disorders and their families. Developed by experts in pediatric mood disorders and tested in a randomized clinical trial (RCT), RAINBOW integrates psychoeducation and cognitive-behavioral therapy (CBT) with complementary techniques from mindfulness-based intervention, positive psychology, and interpersonal therapy to address the range of therapeutic needs of families affected by this disorder. Guided by the evidence on the neurobiological and psychosocial difficulties accompanying pediatric bipolar disorder, this treatment targets the child and family across seven core components: Routine, Affect Regulation, I Can Do It, No Negative Thoughts and Live in the Now, Be a Good Friend/Balanced Lifestyle for Parents, Oh How Do We Solve This Problem, and Ways to Get Support. Throughout the treatment, the child and family will learn how to identify mood states and triggers of mood dysregulation, and develop cognitive and behavioral strategies for improving mood stability. Children will build social skills, and caregivers will develop greater balance and self-care in their own lives. The family will learn ways to use routines, problem-solving, and social support to improve overall family functioning. Intended for qualified child-focused mental health professionals, this manual includes the conceptual background of the treatment and user-friendly step-by-step instruction in delivering RAINBOW with families, including handy session outlines and engaging worksheets for the child and caregiver(s).


2007 ◽  
Vol 36 (1) ◽  
pp. 35-40 ◽  
Author(s):  
Barbara J. Amster ◽  
Evelyn R. Klein

AbstractPerfectionistic people set unrealistic goals and, when they fail to reach them, experience self-criticism and blame. Preliminary research revealed that perfectionism appears to be a characteristic of people who stutter (PWS) (Amster, 1995). The purpose of the present study was to explore perfectionism in PWS and to determine if a modified cognitive behavioral therapy approach alone and combined with Stuttering Modification could help reduce perfectionistic tendencies and stuttering behaviors. Degree of perfectionism and scores of stuttering severity were measured with eight adult PWS and compared at pre-treatment, mid-treatment, after 6-weeks of treatment, and at 15 weeks follow-up, after treatment was withdrawn. Initial open-trial testing showed promising results as perfectionism and stuttering severity were reduced and communication attitudes improved. CBT significantly reduced perfectionism by mid-point. Stuttering decreased significantly throughout all phases of the study. Possible implications are discussed.


2001 ◽  
Vol 15 (4) ◽  
pp. 299-310 ◽  
Author(s):  
Norman Epstein

This article briefly summarizes the behavioral, cognitive, and affective factors that have been implicated in couples’ relationship problems, describes representative interventions for those factors, and reviews the current status of outcome research on cognitive-behavioral therapy for couples. Although the initial studies have provided encouraging findings concerning the effectiveness of cognitive-behavioral treatment for distressed couples, limitations in the number and scope of the studies leave many unanswered questions. In particular, studies have not assessed the impact of cognitive-behavioral couple therapy as it is conducted in clinical practice. Additional research is needed to address issues such as the relative efficacy of different cognitive restructuring interventions and the impact of integrating interventions targeting cognitive, affective, and behavioral aspects of relationship problems.


2000 ◽  
Vol 14 (3) ◽  
pp. 261-285 ◽  
Author(s):  
Sherry A. Falsetti ◽  
Heidi S. Resnick

This article reviews the assessment and cognitive behavioral treatment of patients with civilian trauma related posttraumatic stress disorder (PTSD), and presents a case example to illustrate the use of cognitive behavioral therapy for PTSD. Areas of importance for assessment include thorough trauma history, PTSD symptomatology, comorbid disorders, coping skills, distorted cognitions, and level of behavioral avoidance. There are now several cognitive behavioral therapies available for the treatment of PTSD that have been empirically validated. These treatments will be briefly described and the extant treatment outcome literature will be reviewed. A case example, highlighting cognitive strategies within cognitive behavioral therapy, is presented.


2017 ◽  
Vol 31 (1) ◽  
pp. 41-56 ◽  
Author(s):  
C. Meghan McMurtry ◽  
Rachel M. Tomlinson ◽  
Lara M. Genik

Pain is a highly prevalent experience in pediatric medical populations, both in an acute form (e.g., iatrogenic pain from needle procedures) as well as in more chronic forms (e.g., as a result of arthritis, inflammatory bowel disease, or as a disease/disorder in and of itself). Guided by the biopsychosocial model, the overarching objective of this work is to examine cognitive behavioral treatment of anxiety in pain contexts. Specific aims are to (a) provide a brief overview of anxiety in youth with a high fear of needles and those experiencing chronic pain, (b) review the evidence base for cognitive behavioral therapy (CBT) for these populations, (c) outline considerations for implementing CBT-based approaches, and (d) provide two case examples which illustrate the application of CBT in these contexts. Brief concluding remarks include suggestions for future research such as improved screening and treatment of comorbid anxiety in the context of pain.


2006 ◽  
Vol 20 (1) ◽  
pp. 45-57 ◽  
Author(s):  
Stefan G. Hofmann ◽  
Lisa A. Scepkowski

The recent psychopathology literature suggests that individuals with social phobia overestimate social standards and are deficient in setting and attaining social goals, have a negative perception of themselves as social objects, and show heightened self-focused attention when confronted with social threat. They further overestimate the potential cost of a social encounter, experience their anxiety as uncontrollable and visible to others, view their social skills as inadequate, rely on safety behaviors and avoidance strategies to control their anxiety, and engage in post-event rumination. Traditional cognitive-behavioral therapy does not adequately address all of these features of social phobia during treatment. We discuss here an enhanced version of cognitive-behavioral treatment for social phobia, which is expressly designed to address these factors. The results of an uncontrolled pilot study suggest that this new treatment may be more effective than traditional cognitive-behavioral therapy for social phobia.


2021 ◽  
Vol 8 (1) ◽  
pp. 1-10
Author(s):  
Polak K ◽  

Efficacious interventions for Substance Use Disorders (SUDs) among veterans are of central importance. To address this need, Transcending Self Therapy: Four-Session Individual Integrative Cognitive Behavioral Treatment (Individual-TST-I-CBT) was developed.


2016 ◽  
Vol 3 (3) ◽  
Author(s):  
Thyagarajan R

Attention-deficit/hyperactivity disorder (ADHD) remains one of the most prevalent mental health diagnoses identified in school-age children. Affected children show an increased risk for school failure, social difficulties, and the development of psychiatric co-morbidities. Despite the availability of evidence-based behavioral protocols for managing ADHD-related impairments, psychologists often encounter difficulties involving parents in the sustained implementation of these interventions. Cognitive-behavioral treatment aims to teach children with Attention Deficit Hyperactivity Disorder (ADHD) strategies to help them increase their self-control and problem-solving abilities, through modeling, role playing and self-instruction. Cognitive-behavioral treatment has shown mixed effectiveness regarding ADHD behaviors Cognitive-behavioral therapy (CBT) can address treatment obstacles through emphasizing psycho-education, the development of a collaborative treatment context. This article presents a case study of Jay, a 9-year-old child with ADHD. He was supplemented with child-focused CBT strategies by the psychologist and parental behavioral management training by the parent. This case study outlines a central role of CBT intervention in collaboration with the Parent in managing ADHD children.


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