Theory and Practice of Cognitive Behavioral Therapy . Shona N. Vas, Ph.D . Department of Psychiatry & Behavioral Neuroscience Cognitive-Behavior Therapy Program MS-3 Clerkship 2008-2009. Outline. What is Cognitive Behavior Therapy (CBT)? What are the basic principles of treatment?
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Shona N. Vas, Ph.D.
Department of Psychiatry & Behavioral Neuroscience
Cognitive-Behavior Therapy Program
MS-3 Clerkship 2008-2009
J. Beck, 1995
Beck et al., 1979
Thase et al., 1998
Bill goes to collection
“I can never do anything right…”
Low energy, disruption of
sleep, increased fatigue
“I don’t want to deal with it”
“It’s too stressful to think about it”
Thase et al., 1998
About self, world
Underlying Assumptions and Core Beliefs
Lump in throat
“I need time to
be with my friends”
“Oh no, he’s losing interest
and is going to break upwith me….”
Underlying Assumptions & Core Beliefs
“I’m flawed in numerous ways, which means I’m not worthy of consistent attention and care. People only care when they want something.”
Be independent and
you’ll be safe.
Watch out – people
are careless with you.
Pit in stomach
“I am not going to get
through this program -
I’m not as smart
as everyone else.
discover this and I
will be humiliated.”
“If I don’t excel in school, I’m a total failure”
Work extra hard
Training in self-monitoring
Monitor relationship between situation/action and mood.
Applying new coping strategies to larger issues.
Identifying beliefs and biases
Evaluating and changing beliefs
Core beliefs and assumptions
Relapse prevention and termination
Dr. Shona Vas
Psychiatry Department Office: A-312