Cognitive-Behavioral Approaches

1. Cognitive-Behavioral Approaches

2. Role playing • Discuss wellness and stress management. • Identify a 6 month goal; write it according to guidelines. • Counselor, facilitate a discussion of strategies your partner can use to achieve their goal. • Switch roles.

3. Debrief • Did you mutually define a clear, achievable, concrete goal? • Were you able to help the cx identify strategies they would be able and willing to use? • Were you able to write goals and strategies appropriately? • Questions?

4. Behavior Theory • Learning is the basis of our behavior, emotional experience and thinking. • Important types of learning • Classical conditioning • Operant conditioning • Social learning

5. Cognitive-Behavioral Theory • Identifies problematic beliefs in response to activating events. • These beliefs tend to be absolute, all or nothing, distortions of reality, irrational. • The beliefs lead to feelings. • The feelings lead to problematic experiences. • Negative and unproductive feelings • Problematic behaviors

6. Approaches Using Behavioral and CBT Strategies

7. Logical Consequences • Logical vs. Natural • Positive • Negative • Short term • Long term Demo using a wellness/stress management goal

8. Behavior chains-ABCs • Antecedents: people, places, things, thoughts, emotions, etc. • Behavior: Operationalize exactly what behavior is problematic • Consequences • Short and long term • Positive and negative

9. Key Questions • Where can we interrupt the chain? • How can we use the power of consequences to reinforce new behaviors? • Rewards • Punishments

10. Cognitive Restructuring • Explore cx’s thoughts-handout • Identify those that are self-defeating, irrational, absolute, inaccurate • Challenge them • Is that really true? • What’s the evidence of that? • Is that true of others, or just you? • Cx constructs positive alternative thoughts • Plan to “catch” the cognitive distortions

11. Fish Bowl Role Play A cx at your supportive housing facility is struggling with feeling isolated and alone. He believes others don’t like him because he’s on meds and because he smells bad (even though he doesn’t); he says “every time I go into the game room, people stop talking and they even leave.” He is convinced he scares others.

12. As you observe… • Notice any cognitive distortions. • Identify how the counselor challenges them. • Write down your own possible challenges. • Come up with positive alternative thoughts.