Cognitive Behavioral Therapy

Depression

“For There is Nothing Good or Bad, but Thinking

Makes it So.”

--William Shakespeare’s Hamlet

Conceptual Model

The Cognitive Triad.Cognitive Distortions/Negative Automatic

thoughts.Schemas.

An integrated model.

Stages in CBT

Development of a conceptual model & educating the client.

Cognitive restructuring and behavioral skills.

Rehearsal.

Understanding Your Negative Moods

Thoughts

Feelings

Situations

Behaviors

Cognitive Techniques

Self-monitoring homework.

Labeling distortions for clarity.

Double standard method.

Devise experiments.

Questioning evidence for conclusions.

Decatastrophizing (What if…?).

Cognitive Techniques (Cont…) Externalization of negative voices.

Feared fantasy technique.

Examining advantages and disadvantages.

Turning adversity to advantage.

Use of paradox and/exaggeration.

Replacement imagery.

Behavioral Techniques

Social skills training.

Assertiveness training.

Activity scheduling.

In vivo exposure.

Relaxation training.