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

✍ Scribed by David F. Tolin

• Publisher: The Guilford Press
• Year: 2024
• Tongue: English
• Leaves: 683
• Edition: 2
• Category: Library

✦ Table of Contents

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