COGNITIVE BEHAVIOUR THERAPY (CBT) DR GIAN LIPPI CONSULTANT PSYCHIATRIST UNIVERSITY OF PRETORIA & WESKOPPIES HOSPITAL FORENSIC UNIT

BASICS PSYCHOTHERAPY TREATMENT OF CHOICE FOR A NUMBER OF CATEGORIES OF PSYCHIATRIC DISORDERS - MOOD DISORDERS - ANXIETY DISORDERS - SOMATOFORM DISORDERS - ADJUSTMENT DISORDERS - PERSONALITY DISORDERS - SLEEP DISORDERS - IMPULSE-CONTROL DISORDERS NOT ELSEWHERE CLASSIFIED - ETC 2 COMPONENTS - COGNITIVE COMPONENT - BEHAVIOURAL COMPONENT

COGNITIVE RESTRUCTURING PATIENTS WITH MOOD DISORDERS PRESENT WITH COGNITIVE DISTORTIONS (ERRORS IN LOGICAL THOUGHT) - SELECTIVE ABSTRACTION (SELECTIVELY ATTEND TO CERTAIN DETAIL, IGNORE THE REST) - DICHOTOMOUS REASONING (“BLACK OR WHITE, NO GRAY AREAS”) - OVERGENERALIZATION - ARBITRARY INFERENCE (JUMP TO CONCLUSIONS WITH VERY LITTLE EVIDENCE) - PERSONALIZATION (“EVERYTHING THAT GOES WRONG IS MY FAULT”) - CATASTROPHISING (“MAKING A MOUNTAIN OUT OF A MOLEHILL”) DEPRESSION RESULTS IN THOUGHTS BEING NEGATIVE NEGATIVE AUTOMATIC THOUGHTS DEVELOP - INSTANT, REFLEX NEGATIVE THOUGHTS CHARACTERIZED BY COGNITIVE DISTORTIONS COGNITIVE COMPONENT OF CBT IS COGNITIVE RESTRUCTURING - PATIENT IS INSTRUCTED TO IDENTIFY COGNITIVE DISTORTIONS & NEGATIVE AUTOMATIC THOUGHTS - COGNITIVE DISTORTIONS ARE BROKEN DOWN BY PROVIDING ALTERNATIVE VIEWS & THOUGHTS ABOUT EVENTS - MOST COMMON NEGATIVE AUTOMATIC THOUGHTS ARE REPLACED BY POSITIVE THOUGHTS ABOUT THE SUBJECT

BEHAVIOURAL MODIFICATION DAILY BEHAVIOUR IS INFLUENCED BY MOOD - DEPRESSED PATIENTS WHO DON’T WANT TO EAT OR GET OUT OF BED BEHAVIOURAL COMPONENT OF CBT IS BEHAVIOUR MODIFICATION - PATIENT TO CHANGE BEHAVIOUR EVEN IF THE MOOD MAKES IT DIFFICULT (GET OUT OF BED AT A CERTAIN TIME, MAKE SURE SOMETHING IS REGULARLY EATEN) - SCHEDULE ACTIVITIES (LIKE EXERCISE) - SCHEDULE PLEASURABLE ACTIVITIES - ASSERTIVENESS TRAINING - PROBLEM SOLVING TRAINING

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