Cognitive behaviour therapy is a talk (psychotherapy) therapy wherein the therapist focus on modifying or altering the faulty cognitions in an individual in order to treat the symptoms of mental illness

1. COGNITIVE
BEHAVIOR THERAPY
Presented By Mamta Bisht

2. HOW WE FEEL DEPENDS ON
WHAT WE THINK .
Presented By Mamta Bisht

3. COGNITIONS
Cognition are the higher order mental
process that help us to gather and process
the information.
Cognitive functions includes thinking,
remembering, judgement, decision making
and problem solving.
Presented By Mamta Bisht

4. COGNITIVE TRIAD
Behavior and actions of a person depends upon
cognitive triad.
People’s beliefs about themselves
People’s beliefs about their
personal world (including
the people in their lives)
People’s beliefs about their
future
Presented By Mamta Bisht

5. How your thoughts
affect your behavior??
A person who thinks himself
as unworthy of love or
respect may feel withdrawn
in social situations and
behave as a shy person. He
may also lack social skills like
communication or
interactions.
Presented By Mamta Bisht

6. COGNITIVE BEHAVIOR THERAPY
Cognitive behavior therapy is based on the
concept that our thoughts, emotions, physical
sensations, and behaviors are interconnected.
Negative or faulty cognitions can result into
maladaptive patterns of behavior.
The gaol is to modify the thinking patterns that
is contributing to the patient’s problem.
Presented By Mamta Bisht

7. Presented By Mamta Bisht

8. DEFINITION
Cognitive behavior therapy is a type of talk
therapy (psychotherapy) that is focussed on
modifying the distorted cognitions and
maladaptive behaviors.
Presented By Mamta Bisht

9. AIMS OF CBT
• to identify the distorted cognitions.
• to change or modify the distorted thinking
pattern.
• to substitute more realistic cognitions.
Presented By Mamta Bisht

10. ASSUMPTIONS OF CBT
• How we behave in a situation depends on
our thoughts and perception.
• Distorted cognitions leads to maladaptive
behaviors.
• Thoughts can be controlled and modified.
• Therapeutic change can be produced by
altering the distorted thinking patterns in
an individual.
Presented By Mamta Bisht

11. INDICATIONS
• Depression
• Eating disorders
• PTSD
• Personality disorders
• Sleep disorders
• OCD
Presented By Mamta Bisht

12. INDICATIONS
• Anxiety disorder (Panic & generalized anxiety
disorders, social anxiety) Phobias
• Bipolar disorder
• Anger issues
• Schizophrenia
• Substance abuse
• Sexual disorders
Presented By Mamta Bisht

13. DURATION OF THERAPY
Cognitive behavior therapy is a structured and
short term therapy , usually lasting for 12-25
weeks.
Sessions: once a week meeting
Presented By Mamta Bisht

14. BASIC CONCEPTS OF CBT
1. Automatic thoughts (cognitive errors/
cognitive distortions)
2. Schemas (Core Beliefs)
Presented By Mamta Bisht

15. BASIC CONCEPTS OF CBT
1.Automatic thoughts (cognitive errors/
cognitive distortions)
These are the rapidly occurring thoughts
(usually negative ) in response to a situation
without rational analysis.
e.g. “people with laugh at me when they see
how badly I bowl” is an automatic thought that
occurs in someone who has been asked to go
for bowling and responds negatively.
Presented By Mamta Bisht

16. BASIC CONCEPTS OF CBT
2.Schemas (core beliefs)
These are the pattern or framework of thoughts
that help us organize and interpret the
information.
Core beliefs produce the automated thoughts.
These may be adaptive or maladaptive.
(positive or negative)
Presented By Mamta Bisht

17. BASIC CONCEPTS OF CBT
2.Schemas (core beliefs)
e.g. Schemas associated with failure
No matter what I do, I will fail (maladaptive)
If I try and very hard, I will succeed (adaptive)
Schemas associated with lovability
I am stupid. No one would love me.
(maladaptive)
People love me for who I m (adaptive)
Presented By Mamta Bisht

18. TECHNIQUES OF CBT
1. Identifying the troubling situation.
2. Recognizing the automatic thoughts and
schemas
3. Modifying the automatic thoughts and
schemas
4. Behavioral interventions
Presented By Mamta Bisht

19. 1.Identifying the troubling situation
These may include
stress full situations or
other issues such as
medical condition,
divorce, grief or
symptoms of mental
illness.
Presented By Mamta Bisht

20. 2.Recognizing the automatic thoughts and
schemas
• Identify the thought distortions by using
guided questions or through thought
recording.
Client is asked to keep a record of situations that
caused stress and the automatic thoughts that
were elicited by the situation.
• The patient is helped to identify
“maladaptive cognitions” and their “logical
errors”.
Presented By Mamta Bisht

21. 3.Modifyingthe automatic thoughts and schemas
Counterbalancing intruding cognitions and the
emotions with another thought.
eg. When an anxious patient with chest pain
becomes apprehensive thinking that he has a
heart problem; he may be trained to think it is
only muscular pain and does not relate to the
heart
Presented By Mamta Bisht

22. 3.Modifyingthe automatic thoughts and schemas
Stopping intrusive cognitions thoughts
through distraction.
E.g doing mental arithmetic or copying a
figure.
Presented By Mamta Bisht

23. 4.Behavioral interventions
• Defining the problem more clearly.
• Dividing it into small sub-problem which
can be better managed.
• Finding out alternate methods of solving
each problems
Presented By Mamta Bisht

24. ADVANTAGES
• Teach the clients rational self-
counselling skills.
• Emphasize getting better, rather than
feeling better.
• CBT creates long-term results since the
cause of the problem is corrected.
• Focus on the client's goals, rather than
attempting to impose the therapist's
goals on the client.
Presented By Mamta Bisht

25. DISADVANTAGES
• A therapist is like a personal trainer that
advises and encourages but cannot 'do' it
for the client.
• Ineffective if client lacks concentration and
motivation.
• Time consuming
• Due to the structured nature, not suitable
for people with more complex mental
health needs or learning difficulties
Presented By Mamta Bisht

26. THANK YOU
Presented By Mamta Bisht