Fundamentals of Mental Health Nursing by unknow

Author:unknow
Language: eng
Format: epub
ISBN: 9781118880227
Publisher: John Wiley & Sons, Inc.
Published: 2017-08-22T00:00:00+00:00

CBT structure

Table 16.1 outlines some of the elements of CBT.

Table 16.1 Cognitive behavioural therapy (CBT) techniques

CBT element Details

CBT assessment The clinician does a very structured assessment to assist a joint understanding of the problems and predisposing, precipitating and maintenance factors

Problems and goals Formal statements that describe the problem are agreed with the patient and written down. SMART goals are agreed

Use of protocol based treatments Clinicians tend to flexibly follow a treatment guide, so that best evidence based practice is followed. An example of this is Clark and Wells' (1995) treatment of social phobia

Measurement Clinicians regularly use questionnaires such as the GAD-7 (Spitzer, 2006) and PHQ-9 (Kroenke et al., 2001). This helps them gain additional information about the patient's problem and allows measurement of progress

Behavioural experiments Testing out the validity of the patient's beliefs by experimenting with changing a behavior: for example, a patient was asked to go into the supermarket because he believed (incorrectly) he would panic and collapse there. These experiments are carefully planned and reviewed to maximise learning

Behavioural changes Behavioural changes such as engaging in activities when depressed or planning a normal diet in an eating disorder. Again the rationale for these is agreed and they are carefully reviewed after completion

Negative thought diary Patients record thoughts that are distorted and find evidence that they are untrue or unhelpful

Relapse prevention Patients identify what could cause relapse and identify ways to minimise this and remain well

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