Cognitive Behavioral Therapy Group Activities | CBT Therapist Aid
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- เผยแพร่เมื่อ 26 ส.ค. 2024
- Cognitive Behavioral Therapy Group Activities | CBT Therapist Aid
#CBT #cognitivebehavioral #grouptherapy
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CBT Interventions
Group Activities
Instructor: Dr. Dawn-Elise Snipes PhD, LPC-MHSP, LMHC
Executive Director: AllCEUs Counseling CEUs and Specialty Certificates
Podcast Host: Counselor Toolbox, Happiness Isn’t Brain Surgery
Objectives
- Explore ways to teach Cognitive behavioral interventions in group
Basis
- Changing thoughts (cognitions) has a direct impact on physiological response (urges and behaviors)
- Changing behaviors has a direct response on thoughts and emotional reactions
- At its core CBT has the principles of noticing, understanding and addressing thoughts feelings and behaviors
Functional Analysis
- The process of identifying the antecedents (causes/triggers) and consequences (positive/negative) of behaviors
- Causes
- Emotional
- Mental
- Physical
- Social
- Environmental (including time & Date)
Problem Identification and Solving
- Stop. Use self talk, distress tolerance and/or relaxation techniques to restrain impulsive actions
- Identify the problem-Who, where, what, why
- Develop alternative solutions
- Explore the short and long term consequences/outcomes of solutions
- Choose a response
- Evaluate the outcome
Contracting
- Identify the problem/target behavior
- Identify a new behavior to replace it
- Identify rewards
- Write a contract
- Monitor behavior
Cognitive Distortions
- Personalization
- Taking everything personally---Its your fault. It was meant to hurt you.
- Exaggeration
- Making a mountain out of a molehill or seeing the worst-case scenario
- All-or-Nothing
- Viewing things in dichotomous terms
- Availability Heuristic
- Noticing what is most prominent in your mind
Cognitive Distortions
- Minimization
- Not giving credit where credit is due
- When you do good things
- When other factors are involved
- Selective Abstraction
- Seeing only what fits your mood/perspective
ABC-DE
- A=Activating Event
- B=Automatic Beliefs
- C=Consequences
- D=Dispute automatic beliefs
- E=Evaluate effectiveness of reactions
Cognitive Restructuring
- Literally changing your thoughts
- Find meaning in the current event
- Challenge the interpretation
- Develop a both/and perspective
- Examples of restructuring (Have clients give examples and practice)
- Threat vs. challenge (Interview, public speaking)
- Failure vs. learning experience (Relationships, hobby)
- Loss vs. opportunity (Job, relationship)
- Powerless vs. empowered (Forgiveness)
Systematic Desensitization
- Learning to effectively use coping skills to reduce distress through gradual exposure
- Levels
- Level 1: Imagine and describe the distressing event
- Level 2: Expose yourself, at a safe distance, to the distressing event
- Level 3: Experience the distressing event
- Process
- For each level, rate distress on a scale from 1-5.
- Use skills of choice to reduce your distress until you are at a 1.
- Practice until you can think about the event without getting distressed.
Cognitive Processing Therapy
- Using analytical questions to help identify cognitive errors and make more effective choices
- Questions
- What is the evidence for and against?
- Is this based on facts or feelings?
- Are all aspects of the situation being considered?
- Are you using all or nothing terms?
- Are you confusing high and low probability events?
- What is the most logical course of action?
- Example: Anxiety about heart attack/dying
Acceptance and Commitment
- Accepting reality as it is and committing to choosing thoughts and behaviors which will help you move toward a rich and meaningful life
- Commitment
- Determination to improve the next moment
- Realization that there are multiple aspects to commit to in your rich and meaningful life
Summary
- There are a variety of ways to help people explore and address the thoughts which may be keeping them stuck.
- Some techniques will work better in certain situations
- Since cognition is based on prior experiences, teaching CBT in group can help clients explore alternate interpretations and information in similar situations
- By developing a broader understanding of situations people can explore the effectiveness of their thinking in terms of how it impacts their ability to live a rich and meaningful life.
Video by Dr. Dawn Elise Snipes on integrative behavioral health approaches including counseling techniques and skills for improving mental health and reducing mental illness.
LOVE her podcast and TH-cam channel! She uses excellent explanations and examples while relaying the information in a comprehensive manner! Thank you Dr Snipes! From Canada 🇨🇦
Wow, thank you! :)
Just discovered the channel and i love it
This is very good!
I am really glad you like it. Please share ideas about what other topics might help for group facilitation
@@DocSnipes I would love group ideas for healthy habits/ the different realms of self-care. I teach classes in a dual diagnosis mental health/ drug alcohol facility. Thank you!
✋😀