Session 3: Developing the In vivo Hierarchy and Craving Management

Author(s):  
Sudie E. Back ◽  
Edna B. Foa ◽  
Therese K. Killeen ◽  
Katherine L. Mills ◽  
Maree Teesson ◽  
...  

This chapter describes session 3 of the COPE therapy. The therapist will be guided in this chapter on how to provide the rationale for in vivo exposure exercises and will generate an in vivo hierarchy with the patient. This chapter provides the therapist with instructions for how to teach patients to use the Subjective Units of Distress Scale (SUDS). Cognitive behavioral techniques for how to manage cravings to use are reviewed for the therapist, such as decision delay, healthy distracting activities, breathing retraining exercise, play it out technique, cognitive restructuring, and urge surfing.

Author(s):  
David H. Barlow ◽  
Laren R. Conklin ◽  
Kate H. Bentley

A substantial number of strong studies have established the efficacy of cognitive-behavioral treatment for persons with panic disorder with or without agoraphobia. These treatments include some combination of cognitive elements, exposure to interoceptive sensations similar to physiological panic sensations, in vivo exposure, and breathing retraining. A number of excellent studies have established the clinical efficacy of situational in vivo exposure for patients with moderate to severe agoraphobia and specific phobia. The most common treatment approaches for social anxiety disorder include social skills training, relaxation techniques, exposure-based treatment methods, and multicomponent cognitive-behavioral treatments.


Author(s):  
Annisa Sofiana

Procrastination is often experienced by almost everyone, including students who often delay to resolve any responsibility in the academic process that would decrease the individual academic achievement. cognitive restructuring is one of the cognitive techniques used in counseling in addition to cognitive behavioral techniques (behavioral) and didaktif techniques. This technique has several procedures by focusing on identifying an effort and changing dysfunctional thoughts or negative self-statements into a new belief that is more rational and adaptive, which will affect more rational behavior anyway. Cognitive restructuring techniques assessed to be an alternative counseling techniques in reducing academic procrastination.


2017 ◽  
Vol 41 (S1) ◽  
pp. S417-S417
Author(s):  
T. Sarmiento Luque ◽  
J.M. Sanchez

This paper presents a clinical case of trichotillomania. Therefore, the aim of this study is to present in detail the procedure followed in a case of trichotillomania in a public health context, using cognitive-behavioral techniques, in order to deepen the knowledge of the efficacy of these treatment procedures and demonstrate the feasibility of implementation.The results obtained show significant improvements in different clinical aspects: first, the hair pulling behavior disappeared completely; moreover, anxiety diminished significantly and mood normalized. All these results allow us to conclude that the intervention was successful.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2020 ◽  
Author(s):  
Hassan Majeed ◽  
Charles Stanfa ◽  
Donna Sudak

Cognitive-behavioral therapy (CBT) is an empirically supported psychotherapy shown to be effective and durable for the treatment of a variety of psychiatric illnesses. It is problem focused and conceptually driven. Cognitive restructuring, behavioral activation, exposure, and developing good action plans for out-of-session practice are tools that benefit patients for a lifetime. The purpose of this review is to provide an overview of the literature that supports the use of CBT, introduce the key elements of the therapeutic approach, and illustrate them with case examples. The structure of the session and the CBT approach to the therapeutic alliance are highlighted in the text.  This review contains 23 tables, and 59 references. Key words: Cognitive-behavioral therapy, cognitive restructuring, collaboration, behavioral activation, exposure


Author(s):  
Sudie E. Back ◽  
Edna B. Foa ◽  
Therese K. Killeen ◽  
Katherine L. Mills ◽  
Maree Teesson ◽  
...  

Chapter 5 discusses session three of the COPE treatment program, which details the development of the in vivo exposure hierarchy and craving management. The patient will construct a hierarchy of exposure exercises based on the discomfort that each exercise will cause them using a subjective units of distress scale (SUDS). Strategies for managing cravings are also presented, such as avoiding triggers, distraction, focusing on negative consequences, and challenging your thoughts.


Author(s):  
Susan E. Sprich ◽  
Steven A. Safren

Self-coaching or cognitive restructuring is a valuable skill for those with attention-deficit/hyperactivity disorder (ADHD). This chapter continues the discussion of the cognitive component of cognitive behavioral therapy (CBT) introduced in the previous chapter. It includes instructions regarding how to review thought records, and it uses a coaching metaphor to discuss various styles of coaching. The chapter concludes with a discussion of how to formulate helpful alternative thoughts to use in place of negative automatic thoughts.


Author(s):  
Debra A. Hope ◽  
Richard G. Heimberg ◽  
Cynthia L. Turk

This chapter explains the tripartite model of anxiety: physiological arousal, behavioral disruption and avoidance, and distorted cognition. The interaction of these three components underlies the cognitive–behavioral therapy (CBT) model for this treatment. The material begins laying the groundwork for cognition as the precipitating event in a downward spiral and for avoidance as key in maintaining the problem. These concepts are important for helping clients understand the rationale for the primary components of treatment (cognitive restructuring and exposure both in and out of session). One goal of this chapter is to develop a common language to understand anxiety, which is helped by spending some time on each of the three components of anxiety to ensure that the client understands each component before moving on to their interaction.


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