Behavior Therapy REBT/CBT

Created by Albert Ellis

Used this to defeat his own fear of women

REBT

Thinking Assessing Analyzing Doing

Thinking

Assessing

finding perceptions

Deciding 

Teach

Analyzing 

Look at possible outcomes 

Doing

Implement

RCBT

Does NOT dismiss behavior PROBLEMS OCCUR BC OF IRRATIONAL BELIEFS

How do irrational beliefs start

interaction with significant others

Irrational beliefs vs.

Rational beliefs

Self defeating beliefs vs.

Self Help

how do problems change

turning irrational beliefs into rational ones

What is rigid and extreme beliefs and what do they cause

“Should, must, have, to” these can concern: Disrespect, Fair treatment, etc. these cause emotional disturbance

What is at the core of many emotional disturbances

Blame: Not taking responsibility and only blaming others

what are the three types of self acceptance

1. Self 2. Other 3. Life 

How can you facitilitate behavior modification

Internal Dialogue, Cognitive Restructuring, Behaviors and consequences

3 Steps to behavior modification

Self Observation Develop new strategies, Learn new skills

This model helps you understand client’s feelings, thoughts, emotions through what 

Others talk (what others say about you and self talk (what you say about you) 

A-B-C Framework

Activating, Beliefs, Consequences

A

Activating, what started it

B

Beliefs, how do you assess it

C

Consequences, emotional and behavioral perception of events, these can be unhealthy and healthy 

Extra D in the A-B-C-D Model 

D, dispute irrational beliefs through

Three main components to dispute irrational beliefs

Detecing Debating and Discriminating

Detecting

Teach how to notice and handle the belief

Debating

Interrogate the belief

Discriminating

Develop internal filter to differentiate rational and irrational beliefs

What to do when you find an irrational belief

Clients need to argue themselves out of it with specific evidence that it is wrong

E in the ABCDE model 

New system of evaluation and belief

How does REBT view the therapist and client relationship

Ellis OGS: Unnecessary and insufficient

Beck new wave: Necessary but insufficient 

Cognitive Errors 

Arbitrary conclusions, Generalization, Labeling/Mislabeling, Personalization, Selective Abstraction

Therapists Function is to

Identify irrational beliefs, find the root and how client intentionally recreates it, use the D step in the ABCDE model 

What can therapists do to help clients Physically change

Give them an environment to practice rational beliefs

encouaging them to engage in activities that will encounter their self-defeating beliefs 

Client’s Responsibilites

Complete assignments (argue and hold clients accountable)

Review their progress

Make future plans (WERE VS. ARE__USE EVIDENCE)

Stratigies to cope with new challenges (Relapse prevention)

Constantly assigned future HW

3 types os Techniques 

Cognitive, Emotive, and Behavioral 

What does imprecise language lead to

Distorted Behavior

Disputing Irrational Beliefs 

Cognitive, challenge irrational thoughts and replace with rational 

Changing ones language

Cognitive, question and reframe language

Rational emotive Imagery

Emotive, imagine worst case scenario

Humor

Emotive, not taking self too seriously

Shame Attacking Exercises

Behavioral, do embarrassing acts to reduce fear

Relaxation techniques

Behavioral to reduce tension, deep breathing etc.

Four Step model to build Resilience

Search for strenghts

Construct clients personal model of reslience

Consider ways to apply PMR to problem area

Conduct/practice experiments while focused on resilience 

PMR 

Start with the hobbies they do which are their strengths, talk about how they handle the obsitcles in those strengths, apply that to current issue 

Stress Innoculation Training 

1. Conceptual educational phase 

2. Skill acquistion

3. Application and follow through 

1. Conceptual and education Phase

Theraputic alliance—what stress is/other aspects of it

Theraputic alliance-reconceptualize stress-give tools-learn about its role 

Skill Acquisition

Coping Strategy education and practice

learn coping-direct actions-cognitive coping-reverse self statements-self monitor 

Application and Follow through 

Transfer into life, huge emphasis on follow up