Final #2

jacquelinecole1's version from 2015-05-05 21:28


Question Answer
Describe 3 major parts of CBT treatment for couples in 1-2 sentences each.the modification of unrealistic expectations in the relationship

correction of faulty attributions in relationship interactions (too much generalization about things that have happened or thoughts like my wife is late, she must not love me)

the use of self-instructional procedures to decrease destructive interaction. (pausing to take a breath before responding, using listening techniques)

A primary agenda of CBT is identifying partners’ schemata or beliefs about relationships in general their thoughts about their own relationship and how this effects their emotions and behaviors.
Name the basic belief/attitude and coping strategy (overt behavior) of a person with obsessive-compulsive personality disorder.The basic belief/attitude: Errors are bad, I must not err. Perfection is possible. Coping strategy: Perfectionism and Avoidance of obsessional thoughts through compulsive behavior/ritual
. Briefly describe the cognitive profile for PTSD and name 2 predictors of poor recovery from PTSD.Persistent reexperiencing of the trauma,
Persistent avoidance of stimuli associated with the trauma,
Persistently hi arousal
Briefly describe the cognitive profile for OCD as well as 2 likely obstacles to treatment.Pervasiveness of obsessions and compulsions, increasing strength of obsessions and compulsions because client finds it hard to resist avoidance or compulsions, perception of weakness.

one common pitfall is attempting to challenge the intrusion (is the oven off?) as opposed to the appraisal (there will be a fire and it will be my fault). Identifying a clients appraisal of a situation may be difficult to identify for therapist. clients over estimation of danger is another obstacle.
How would you educate your client on how to lose weight and what 2 suggestions would you make?goal setting: more specific → more likely to be successful. Ambitious goals can be good but overly-ambitious can be discouraging. Regular feedback improves outcomes Self-Monitoring:Self-monitoring requires that rather than beating yourself up for not attaining a goal, you attend to your own individual experiences. When you self-monitor, you begin to notice barriers, pay attention to physical cues and identify challenges to changing your behavior. Feedback (from outside sources eg healthcare provider with accurate measuring devices) & reinforcement Boosting belief that you can do it: focus on your behavior and perception of your ability to succeed (best way to do this is to have past successes. Start small like eating fruit with dinner) Find incentives (eg lower premium on healthcare if healthier)
Describe for him the different aspects of the anger mode. What are some basic helpful strategies he can utilize when triggered?Feelingsverbally/ physically aggress against people or things that frustrate or disappoint, pull back/withdraw love or contact, move toward someone that’s connected w/ upset, clench fists, get louder or more activated, yell, curse. Bodily symptoms: red in the face, heart pounding, faster breathing,tensing of muscles, adrenaline pumping in the body, feeling of greater strength

Strategies when triggered: Be aware of and name what’s happening: “I’m getting really upset and activated right now.” Remind yourself of the need to take care and slow down the process so you can carefully assess what’s going on: “Uh oh. I’d better slow down so I don’t do something damaging that I regret.”
Take several slow, cleansing breaths before you do anything. This slows your forward momentum and allows some of the “dust” to settle, allowing you to see more clearly what’s going on and what’s really at stake vs.what it feels like is at stake.

Clarify your options (including doing nothing at all) based on what you know and your past experience. For example, if you’re remembering that you often jump to the worst possible conclusion and then regret screaming, you could take a moment to regroup and tell yourself you’re not going to go that route this time. You could decide to take a little time first to clarify what’s going on by asking non-pointed open-ended (not yes/no answerable) questions: “What exactly do you mean by ‘something happened to the car’?”

Decide among a wider range of options how to respond, NOT react to the situation. If you do take this time and cool down a little you’re making it much more likely that you’ll be responding to the realities of the situation and in a more helpful way than if you just fed the anger mode in the normal way. You’ll be a lot happier (and so will any other affected) if you have these options in your repertoire of behaviors and there’s a lot less wear on tear on your relationships and your body if you practice these approaches on a regular basis.

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