Emotional evaluation, 0~ 10, how many points would you give to your anxiety?
Point 1: Show the workflow of CBT therapists.
Point 2: Introduce the principle and thinking of CBT treatment.
The third point: introduce the source and present situation of CBT.
Principle:
Cognitive activities affect behavior.
Cognitive activities can be perceived and changed.
The change of our behavior can actually be adjusted by the change of cognition.
Cognitive model:
Cognition, emotion and behavior are interactive.
Background (emotion/environment/interpersonal relationship)
The main principles of CBT:
Specific processing ideas:
Preliminary evaluation meeting: what should I do if visitors come?
Specific steps of the first treatment
Second and subsequent processing steps
Three stages:
Start setting the schedule (5~ 10 minutes), have a short chat first, and then set the interview content.
After starting work (30~40 minutes), what is his mood and what questions do you want to ask us? Parent-child relationship (addiction, maladjustment, etc. )
Summary and feedback (5~ 10 minutes), what are the gains and problems?
If it exceeds the time, then you should reflect on why the efficiency utilization rate is so low. Maybe you were taken away by a visitor, so we should learn some guiding skills, how to guide him back and pay attention to his problems; Or, reflect on it, is it because we haven't considered it clearly in some aspects, is it because some of our technologies are not in place, or is it because of other reasons? The average time is 45~55 minutes, so we should reflect on what is missing or what is more.
Evaluation interview:
Start the interview:
Evaluation stage:
3. CBT's first and second talks.
65438th+0th meeting
Initial stage:
Mental health education:
Intermediate stage:
End stage:
4.CBT's first dialogue. Live demonstration
Conceptualization is challenging, which is also the soul of CBT. The structured process of each consultation was introduced before, but the content of 10 will definitely be different, so how to proceed? This is the content of conceptualization.
1, what is conceptualization?
Anbeck, the father of cognitive therapy, said:
Anbeck's daughter, Guinness Baker (editor-in-chief of this textbook) particularly emphasizes that cognitive behavioral therapy is based on conceptualization, or an understanding of each patient's special beliefs and behaviors, so therapists are looking for various ways to cause cognitive changes, that is, to correct the patient's thinking and belief system, thus bringing about direct changes in mood and behavior.
Experienced cognitive behavioral therapists: conceptualizing cases, establishing relationships, socializing and educating patients, identifying problems, testing hypotheses and summarizing ... Novices must first learn the skills of establishing therapeutic relationships, conceptualizing skills and various skills of cognitive behavioral therapy.
Becoming a professional cognitive behavioral therapist needs to go through three stages:
situation
Reading books; This book is so difficult that I will never understand it; Feeling sad, the behavior is to close the book, and the physiological reaction is uncomfortable. There is an intermediate belief in this. If I can't fully understand these things, it means I'm slow. There is a core belief at a deeper level, and I am not competent. Why do you think you can't? Maybe when I was a child, my father was strict, and he said nothing.
Situation-automatic thinking-reaction
So how to consult 10?
The first three times were mainly behavioral results.
2. How to conceptualize?
3. Three steps of conceptualization