COGNITIVE BEHAVIOUR THERAPY CBT DR GIAN LIPPI CONSULTANT

COGNITIVE BEHAVIOUR THERAPY (CBT) DR GIAN LIPPI CONSULTANT PSYCHIATRIST UNIVERSITY OF PRETORIA & WESKOPPIES HOSPITAL FORENSIC UNIT

BASICS PSYCHOTHERAPY TREATMENT OF CHOICE FOR A NUMBER OF CATEGORIES OF PSYCHIATRIC DISORDERS - MOOD DISORDERS ANXIETY DISORDERS SOMATOFORM DISORDERS ADJUSTMENT DISORDERS PERSONALITY DISORDERS SLEEP DISORDERS IMPULSE-CONTROL DISORDERS NOT ELSEWHERE CLASSIFIED ETC 2 COMPONENTS - COGNITIVE COMPONENT - BEHAVIOURAL COMPONENT

COGNITIVE RESTRUCTURING PATIENTS WITH MOOD DISORDERS PRESENT WITH COGNITIVE DISTORTIONS (ERRORS IN LOGICAL THOUGHT) - SELECTIVE ABSTRACTION (SELECTIVELY ATTEND TO CERTAIN DETAIL, IGNORE THE REST) DICHOTOMOUS REASONING (“BLACK OR WHITE, NO GRAY AREAS”) OVERGENERALIZATION ARBITRARY INFERENCE (JUMP TO CONCLUSIONS WITH VERY LITTLE EVIDENCE) PERSONALIZATION (“EVERYTHING THAT GOES WRONG IS MY FAULT”) CATASTROPHISING (“MAKING A MOUNTAIN OUT OF A MOLEHILL”) DEPRESSION RESULTS IN THOUGHTS BEING NEGATIVE AUTOMATIC THOUGHTS DEVELOP - INSTANT, REFLEX NEGATIVE THOUGHTS CHARACTERIZED BY COGNITIVE DISTORTIONS COGNITIVE COMPONENT OF CBT IS COGNITIVE RESTRUCTURING - PATIENT IS INSTRUCTED TO IDENTIFY COGNITIVE DISTORTIONS & NEGATIVE AUTOMATIC THOUGHTS - COGNITIVE DISTORTIONS ARE BROKEN DOWN BY PROVIDING ALTERNATIVE VIEWS & THOUGHTS ABOUT EVENTS - MOST COMMON NEGATIVE AUTOMATIC THOUGHTS ARE REPLACED BY POSITIVE THOUGHTS ABOUT THE SUBJECT

BEHAVIOURAL MODIFICATION DAILY BEHAVIOUR IS INFLUENCED BY MOOD - DEPRESSED PATIENTS WHO DON’T WANT TO EAT OR GET OUT OF BED BEHAVIOURAL COMPONENT OF CBT IS BEHAVIOUR MODIFICATION - PATIENT TO CHANGE BEHAVIOUR EVEN IF THE MOOD MAKES IT DIFFICULT (GET OUT OF BED AT A CERTAIN TIME, MAKE SURE SOMETHING IS REGULARLY EATEN) - SCHEDULE ACTIVITIES (LIKE EXERCISE) - SCHEDULE PLEASURABLE ACTIVITIES - ASSERTIVENESS TRAINING - PROBLEM SOLVING TRAINING

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