Techniques of cognitive therapy
Treatment Using Cognitive Therapy
Sessions are carefully planned and structured to maximize their impact and efficiency
10 Procedures for an Initial Session
Sessions are carefully planned and structured to maximize their impact and efficiency
10 Procedures for an Initial Session
Goals
- Help people recognize and correct errors in their information-processing
- Clinicians help people identify their immediate and underlying thoughts and beliefs
- Goals are specified and determined
Therapeutic Alliance
1. Socratic questioning to elicit the client's concerns
2. Active listening for clarification, inconsistencies, and emotional reactions
3. Summarization to provide feedback and enhance clarification
4. Synthesis or analytical questions that pull all of the information together, along with the client's original concern, and pose an analytical question (Scott & Freeman, 2010)
- The cognitive therapist is active, collaborative, goal oriented, and problem focused.
- Nonjudgmental and help clients develop skills they need to make their own judgment and choices
1. Socratic questioning to elicit the client's concerns
2. Active listening for clarification, inconsistencies, and emotional reactions
3. Summarization to provide feedback and enhance clarification
4. Synthesis or analytical questions that pull all of the information together, along with the client's original concern, and pose an analytical question (Scott & Freeman, 2010)
Case Formulation
Before moving forward with interventions, case formulation is developed to reflect in-depth understanding of the client.
According to Persons (1989), a complete case formation includes six elements:
(Seligman & Reichenberg, 2014, 298-99)
Before moving forward with interventions, case formulation is developed to reflect in-depth understanding of the client.
According to Persons (1989), a complete case formation includes six elements:
- List of problems and concerns
- Hypothesis about the underlying mechanism (core belief or schema)
- Relationship of this belief to current problems
- Precipitants of current problems
- Understanding of background relevant to development of underlying beliefs
- Anticipated obstacles to treatment
(Seligman & Reichenberg, 2014, 298-99)