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Cognitive behavioral therapy ( Aaron Beck)
  • focus on changing:
  • thoughts
  • feelings
  • behaviors
  • changing one factor changes the other ones
Examples of CBT
  • ID feeling states by examining varation in emotion (1-10, strength of emotion)
  • ID thoughts (magnification: what is the worst possible thing that could happen)
  • practice new behaviors: journaling, acting as if the problem is gone
Dialectical Behavioral Therapy
  • Marsha Linehan's work with Borderline
  • Treatment principle: create a dynamic that promotes two opposed goals for treatment (change and acceptance)
DBT
  • assume they are doing the best they can
  • accept that relapse is part of the recovery process
  • no penalty for relapse (harm reduction model)
Minfulness is the key:
  • focus on the here and now (four square breathing)
  • develops acceptance of self and enviroment
  • works on emotional regulation (magnification
  • develops distress tolerance (hold amr out to side until uncomfortable and adapt to it)
Motivational Interviewing
  • motivation
  • helps a client come to their own conclusions
Motivation
  • a state of readienss or eagerness to change that can fluctuate and be influenced
  • is the probability a person will enter into, continue, and adhere to a specific change strategy
  • eg. weight watchers
Motivational interviewing
  • socratic questioning
  • helps people come to their own conclusions
  • recognize and do something about present or potential problems
  • promotes client readiness to change and try various courses that can lead to health
Ambivalence is normal
  • conflicting feelings about a behavior
  • there are strategies to target ambivalence that focus on problem solving and empowerment
Change Theory
  • how to alter their behaviors and ours
  • we can dismiss a client as being in denial or that they haven't reached their bottom yet
  • then we are no longer able to help them
  • they do not have to be ready to get help
Control of the process
  • the client holds the power and the responsibility to effect self change
  • people are more likely to change if they begin to look at:
  • personal relevance of the problem and change
  • perceived cost and risks of the problem and change
  • desireability of problem behavior and choice among alteratives
Vanburen's self concept of self efficacy
  • an important indicator of success
  • the lcients belief in:
  • their own ability to change
  • there are many treatments or alternatives to choose from
  • the treatment will help
Stages of Change: overview
  • precon
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