2. Origins of CBT
Does it work?
The underlying model
Techniques
Apps
Overview
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3. Aaron Becks developed the approach known as cognitive
therapy as a result of his research on depression
Becks observation of depressed clients revealed that they
had a negative bias in their interpretation of certain life
events, which contributed to distorted cognitive thoughts
Today CBT is collection of theories and techniques
It is called CBT as it uses a collection of cognitive, behaviour,
and emotive techniques
CT + BT = CBT
Origins of CBT
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4. CBT is one of the most established researched
psychological therapies
For some problems such as anxiety and depression,
CBT is as effective as medication and can also
enhance effects of medication (AustralianAssosciationofCBT,
2015)
Does CBT Work?
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5. Why use CBT for children and
adolescents?
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• Empowering, skills oriented, immediately
addresses issues
• Develops cognitive ability, empathy, moral,
reasoning
• Emotional regulation and behavioural self control
• Self control & educative
• Applied at individual, group, classroom levels
• Addresses a wide range of childhood disorders
• Is ‘best evidence’ not ‘best practice’
6. Generalised Anxiety Disorder
Child/adolescent behaviour problems
Anger and aggression
Panic
Obsessive Compulsive Disorder
Phobias
Depression
Eating disorder
Brain injury
Social anxiety
In particular CBT has demonstrated
effectiveness with individuals experiencing the
following problems:
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7. --- “People are disturbed not by things but the
view that they take of them” Epictetus 1st
Century AD
-- “…there is nothing either good or bad, but
thinking makes it so”. Hamelet, 2,2,254
What is CBT?
The underlying model
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8. The basic belief behind CBT is that it is not
the environmental factors that are
responsible for how a person feels and
behaves. Rather it is the way an individual
thinks that causes a reaction.
Thinking: different people can think
differently about the same event. It is the
way in which we think about the event that
influences how we feel and how we act.
What is CBT?
The underlying model
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11. CBT model emphasises that it is not the
event/situation that causes the emotional
distress rather it is the individuals view of
that event or situation
CBT works by focusing on those negative
thoughts and learning how to change
them as well as learning how to change
unhelpful behaviour
Underlying Cognitive Model
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12. CBT aims to teach people that it is possible to have
control over your thoughts, feelings, and behaviour.
CBT helps challenge the individuals negative
thoughts, behaviour, and feelings.
Techniques
CBT
CT BT
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13. Involves identifying unhelpful thoughts or beliefs
1. being able to detect unhelpful thinking pattern
2. being able to challenge those unhelpful
thoughts and developing more helpful, adaptive way of
thinking
* “what evidence do you have for this?”
* “is there a more helpful way of
thinking?”
* “why must it absolutely be that way?”
Cognitive Therapy (CT)
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14. Look for alternative explanations
What is the evidence for and
against this thought?
Is your thought factual?
Are you jumping to conclusions?
How can you check if your thoughts
are actually true?
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Challenging Negative Thoughts
* Reality testing
• Is there another way
you can look at this
situation
• What else could this
mean?
* Putting it into prospective
• Is the situation really as bad?
• What is the worst thing that can happen?
How likely is that?
• What is most likely to happen?
• Will this matter in 5 years time?
16. Exposure therapy
Pleasant Event Scheduling- changing a persons
environment or activity that may help alter their
moods
Relaxation- there are various ways to learn to relax,
including progressive muscular relaxation, applied
relaxation, mindfulness (new and popular technique)
Behaviour Therapy (BT)
https://www.youtube.com/watch?v=cDflnqo0TQs
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18. Sundas Rehman 18
Negative Nancy
• Draw a grumpy person and some
negative thoughts or statements
coming from her, around her
• Ask your student to brainstorm with
you the negative statements or
thoughts they have been thinking
• After, process the effects of being
negative
• Finally create a problem solving map
to help change those negatives into
positives
19. Problem Solving
1. What is the problem?
2. What could I do?
3. What might happen if? (consider consequences for
each idea)
4. Pick best solution.
5. Do it.
6. Did it work?
Behaviour Therapy (BT)
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20. Assessing Behaviour
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• —Connection between thoughts, feelings, behaviours.
• —Ask about specific behavioural reactions to a typical
event?
• —How much control did the child have over their
behaviour?
• —How did the child feel about their behavioural
reaction?
• —Did the child understand fully the consequences of
their behavioural reaction?
• —What was the level of intensity of child’s behavioural
reaction?
21. Strategies for assessing behaviour
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• Ask how they behaved in relation to a particular
feeling
• Using goal-directed thinking: Assess how
behaviours help or don’t help a particular goal the
child wants to achieve
• Is thinking this way helping me
achieve my goals?
—
For the younger child:
Draw it out or use cartoons
22. When teachers use CBT, they can help their students
control their own behaviour, rather than enforcing
external reinforcements
CBT teaches students to use their inner-speech to
modify their underlying belief
Cognitive strategies help students learn “how-to-
think, instead of “what to think”
In the classroom it can be argued that it is even more
important to teach students HOW to use their
thinking to improve their own behaviour
Teachers using CBT
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23. Overall numerous studies indicate that teaching
children cognitive strategies can strengthen pro-
social behaviour and decrease maladaptive behaviour
like disruption and aggression.
We can equip our students with skills to remain in
control across various different situation if we teach
them to Stop and Think- Critically.
Teachers using CBT
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24. Be aware of the developmental stage of the young
person (think about psychological, cognitive, and
emotional development)
Involve families
Make it interesting and engaging: use appropriate
language, worksheets, and/or videos
The Use of CBT with Young People
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25. Apps for mood- children and
adolescents
1. The Grouchies
2. Optimism
3. My Mood Tracker
4. Mood Tracker
5. Mood Chart
6. iMood Journal
7. Sad Scale
8. Mood Me
INSIDE OUT: MOVIE FOR
EMOTIONAL AWARNESS
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26. Kendall, P.C. (2000). Child and Adolescent Therapy:
Cognitive-Behavioural Procedures. The Guildford
Press, New York
Australian Association of Cognitive Behaviour
Therapy.(2015). Retrieved 19th of October 2015 from:
http://www.aacbt.org/viewStory/WHAT+IS+CBT%3F
O’Kelly, M. (2014). CBT in action, a practitioners guide.
Premier Publishing and Media, USA
References
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27. Examples of disputes
—Where is the evidence that …?
—Am I what they say I am?
—Am I an awful kid if I make mistakes?
—Just because it happened once, will it always be this way?
—Is it really so awful?
—Does everything have to be easy?
—Where is the evidence you can’t stand it?
—What’s the worst thing that could happen & how likely is it that this
will occur? What is the best thing that could happen? What is the
most realistic outcome?
—Where is it written that everything should be fair and go your way?
TIPS
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Notas del editor
* Discuss the aim of this workshop- to enhance your skills in managing your own mental health along with that of your students. To give you your own tool box to deal with situations may cause anxiety, depression and so on. This intern will eqip you will skills to understand what your students maybe feeling.
CBT is a general term used today to describe a variety of techniques all of which use beneficial tools in the classroom
Children or adolescents most commonly experience high level of anxiety and depression.
Often in our counselling sessions these two are the main areas we tackle.
Classic example is that when looking at the glass of water filled halfway, one person will see it half full and the other half empty.
Thoughts underline an individuals core beliefs, for example a student is not attempting maths at all at school, they think they just can’t do it, not capable hence their core belief is they are not capable so why try i.e. behaviour towards maths “I am not even going to try”
The goal is to become more self aware, have a better understanding of self and improve self control
CBT is a combination of cognitive therapy and behavioural therapy
Hand out worksheet “core belief”
Play a mindfulness video
https://www.youtube.com/watch?v=cDflnqo0TQs