Cognitive Psychotherapy

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COGNITIVE PSYCHOTHERAPY

Introduction
·         Cognitive therapy is the term applied to psychological treatments intended to change maladaptive  ways of thinking and thereby bring about improvement in psychiatric disorders.
·         Developed by AT Beck
Principles
Therapist attempts to change one or more of distorted ways of thinking that characterizes the disorder
Techniques
i.                    Identify the irrational ideas: although patients can describe some of the ideas like irrational fear of an object, or the unreasonably pessimistic ideas of a depressed patient, they are usually unaware to others
ii.                  Elicit irrational ideas through interviews, asking the patient to keep a daily record of thoughts experienced at times
iii.                To change the irrational ideas: two kinds of techniques are used
·         Verbal
·         Behavioral
Verbal techniques
Verbal techniques are used in two ways:
·         With guidance from the therapist in therapy sessions
·         By the patient during every day activities
 Techniques used by the therapist
·         By giving information
·         Questioning their logical basis
·         The therapist identifies the patients illogical ways of thinking
·         The therapist identifies the patients irrational beliefs
Verbal techniques used by the patient during every day activities (two types)
1.       There are techniques intended to interrupt cognitions
Either focusing attention on the immediate environment or on a normal mental content
A sudden sensory stimulus can be arranged; Eg. By snapping a rubber band on the wrist, a method sometimes called thought stopping.
2.      The second kind of technique is intended to neutralize the emotional effect of irrational thoughts
The patient repeats to himself an appropriate rational response to the irrational thought
Eg. My heart is beating fast because I am feeling anxious, not because I have heart disease

It is useful for the patient to carry a prompt card on which the thoughts are written

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notes.nursium.com: Cognitive Psychotherapy
Cognitive Psychotherapy
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