Doing CBT: A Comprehensive Guide to Working with Behaviors, Thoughts, and Emotions

Cover
Half Title Page
Title Page
Copyright
Dedication
About the Author
Preface
Acknowledgments
Contents
1. Laying Out the Basics
	Meet Our Clients
	Thinking Like a CBTer
	What Is CBT?
	What Does a CBT Session Look Like?
	What Does CBT Look Like over Time and across Sessions?
	Tailoring CBT to the Individual
	Learning CBT by Applying It to Yourself
Part I. Why Do People Suffer?
	2. The Behavioral System and How It Can Go Wrong
		What Makes a Behavior Maladaptive?
		Where Do Behaviors Come From?
		What Do Behaviors Do?
		Linking Conceptualization to Intervention
	3. The Cognitive System and How It Can Go Wrong
		What Makes Cognition Maladaptive?
		Automatic Cognitive Processes
		Semi-Automatic Cognitive Processes
		Effortful Cognitive Processes
		Linking Conceptualization to Intervention
	4. The Emotional System and How It Can Go Wrong
		What Makes Emotions Become Maladaptive?
		Where Do Emotions Come From?
		What Do Emotions Do?
		Linking Conceptualization to Intervention
	5. Creating Solid Case Conceptualizations
		Putting the Puzzle Together
		Turning Case Conceptualizations into Treatment Plans
Part II. How Do We Help?
	Where Do I Start?
	Picking Your Targets
	CBT Style
	Section A. How We Engage the Client
		6. Therapy Assessment and Case Formulation
			Diagnostic Assessments
			Therapy Assessments
			Orienting the Client to CBT
			Collaborative Model Building
			Repeated Measurement
		7. CBT Finesse
			Making a Relationship That Works
			Cultural Competency
			Important Points for Early Treatment
			Motivate That Client
			What about Countertransference?
			More CBTish Aspects of the Therapeutic Relationship
			Providing CBT Virtually
			On Boundaries and CBT
			Preventing Relapse
	Section B. Behavior‑Level Interventions
		8. Situation Selection and Stimulus Control
			Positive Cues, Negative Cues
			Situation Selection: Choosing Your Environment
			Stimulus Control: Manipulating Your Environment
		9. Contingency Management
			Behavior and Its Contingencies in Therapy
			Do More of That: Increasing Desired Behavior
			Do Less of That: Decreasing Undesired Behavior
			Preparing for Contingency Management
			Contingency Management in Action: Prompt–Praise–Ignore
			Contingency Management in Action: The Token Economy
			Contingency Management in Action: Self-Control Strategies
			Contingency Management in Action: Reinforcing Clinically Relevant Behavior in Session
			Contingency Management in Action: Changing Aversive Contingency Patterns in Couples and Families
			Using Schedules of Reinforcement in Therapy
			Sticky Points in Reinforcement
		10. Direct Behavioral Prescriptions and Graded Task Assignment
			Activity Scheduling
			Graded Task Assignment
		11. Exposure
			Avoidance in Its Many Forms
			Understanding Exposure
			How Does Exposure Work?
			“Pitching” Exposure
			Developing an Exposure Hierarchy
			Inhibitory Learning Principles to Boost Exposure
			Is It Safe?
			Getting in the Right Zone
			Exposure Troubleshooting
			How Do You Know When You’re Done with an Exposure?
			Postexposure Processing
			What If It Goes Wrong?
		12. Behavioral Skill Training
			Social Skill Training
			Problem-Solving Training
	Section C. Cognitive‑Level Interventions
		13. What’s the Client Thinking?
			What Thoughts Are We Looking For?
			The Principles of Guided Discovery
			Using Socratic Questioning to Elicit Interpretations
			Using Role Playing to Elicit Interpretations
			Using Checklists to Identify Interpretations
			Monitoring Thoughts
		14. Restructuring Thoughts
			Identifying What’s Wrong
			Helping the Client Reach, Accept, and Rehearse a More Adaptive Way of Thinking
			Addressing Information-Processing Biases
		15. Leaving Thoughts Alone
			The Argument for Not Challenging Thoughts
		16. Going Deeper with Intermediate and Core Beliefs
			Finding Intermediate and Core Beliefs
			Restructuring Intermediate and Core Beliefs
	Section D. Emotion-Level Interventions
		17. Modulating Emotion
			Emotional Response Modulation as an Emotion Regulation Strategy
		18. Distress Tolerance
			Is Calming Down Overrated?
			Distress Tolerance as a Potential Target
			Acceptance of Emotions
			Emotion Regulation as a Potential Target
			Teaching Clients to Regulate Emotions
Part III. Putting It All Together
	19. Putting It All Together: William’s CBT
		Therapy Assessment
		Initial Treatment Planning
		Psychoeducation and Model Building
		Tracking William’s Progress
		Assertion Training
		Relaxation Training
		Activity Scheduling
		Contingency Management
		Problem-Solving Training
		Cognitive Restructuring
		Relapse Prevention
		Roads Not Taken
	20. Putting It All Together: Anna’s CBT
		Therapy Assessment
		Addressing Cultural Issues
		Initial Treatment Planning
		Psychoeducation and Model Building
		Tracking Anna’s Progress
		Exposure
		Relapse Prevention
		Roads Not Taken
	21. Putting It All Together: Elizabeth’s CBT
		Therapy Assessment
		Motivational Interviewing
		Initial Treatment Planning
		Psychoeducation and Model Building
		Tracking Elizabeth’s Progress
		Emotion Identification Training
		Acceptance
		A Wrinkle in the Plan
		Cognitive Restructuring
		A Wrinkle in the Relationship
		Problem-Solving Training and Assertion Training
		Termination
		Roads Not Taken
	22. Putting It All Together: Bethany’s CBT
		Therapy Assessment
		Initial Treatment Planning
		Psychoeducation and Model Building
		Tracking Bethany’s Progress
		Exposure and Response Prevention
		A Change of Strategy
		A Wrinkle in the Relationship
		Roads Not Taken
Appendix A. Further Reading
Appendix B. Tools for the Clinician
References
Index