casonjc1's version from 2015-05-05 16:52
|2. 2 parts: a) List 4 common problematic behaviors to watch for in insomnia b) Name and explain how to use a common tool to assess one's sleep patterns.||Some common problematic behaviors in insomnia include: |
Eating in bed or close to bedtime
Exercise close to bedtime Napping during day
A common tool used to assess one’s sleep pattern is a sleep log. Before starting any interventions, you want 1 to 2 weeks of data on sleep including things like each night’s sleep hours, naps, meds, alcohol, bedtime, lights out/sleep attempt time, sleep latency, wake times [list each], leaving bed, sleep quality, and restfulness upon waking. Together with the client you can review this information and try to find areas of distortion or dysfunction to target with CBT.
|3. Describe 3 major parts of CBT treatment for couples in 1-2 sentences each.||1. Teach about positive exchanges (and teach about negative/positivereciprocity -i.e., that negative tends to breed negative and the reverse) |
2. Focus on partners' past in a positive, nostalgic way (to reawakeninitial thoughts of first attraction and limerance)
3. Teach and rehearse reflection, clarification, feedback incommunication
4. Get couple to face, speak to each other, not just to therapist
5. Teach couple to shift accusations & shoulds into requests
6. Teach couple to decrease/eliminate (via in-session txist shaping) a. threats/ultimatums b. swearing c. sarcasm/derision d. passive-aggressive behaviors e. rhetorical questions f. "kitchen sinking" (i.e., throwing multiple complaints, esp. fromthe past, at a partner when mad) g. disqualifying a partner's positive efforts/intentsh. negative mind-reading, negative attributions
7. Teach couple to schedule positive activities (e.g., "date nights," walks, footrubs)
8. Get couple to practice perspective taking & communication skillsvia role-plays, re-enacting problem incidents, and reverse role-plays
9. Teach couple about process and perils of negative framing
10. Teach couple to identify deeper, more symbolic sources of distress,anger
11. Teach couple to decrease catastrophizing, but put things inperspective (against backdrop of prior kind acts, happiness)
12. Teach couple to increase problem-solving as a team
13. Educate about and teaching couple to break their particular viciouscycles (and see the nexus with their deeper beliefs)
14. Get couple to focus on common goals, values, points of agreement
15. Get couple to focus on satisfaction of shared long-term "happy" vs.individual short-term "right"
|4. What are two useful CBT strategies for a client with anorexia?||• Non-confrontational use of psyco hed to help pt reassess the risks and benefits of the illness|
• Experimental approach – each step in therapy cast as an opportunity to gather information
• Emphasis on functional effects of patient choices (“How well has that been working out for you?”) rather than challenging rationality or validity • Explore patient’s attachment to symptoms and fear of change.
|6. What are two of the most key beliefs and two of the most key behaviors to address in bipolar pts at each pole of the disorder?||Manic/Hypomanic Phase: Beliefs: Grandiose beliefs - “I have special powers, I’m a genius, I’m special, other people just don’t understand, I don’t need treatment or medications” Behaviors: Medication non-compliance, multitude of harmful behaviors as a result of grandiosity/impulsivity, substance abuse.|
Depressed Phase: Beliefs: Hopelessness - “Things will never get better, I’m never getting better so what's the point of torturing myself with medications anyway Behaviors: non-compliance with treatment/medications, self harm, substance abuse.
|8. What is the weight criterion difference between anorexia and bulemia?||Both AN and BN can binge/purge but AN must have weight <85% of their expected weight.|