1. Copyright © 2005 Mosby, Inc. All rights reserved. Slide 0

2. Copyright © 2005 Mosby, Inc. All rights reserved. Slide 1 Chapter 31 Cognitive Behavioral Treatment Strategies

3. Copyright © 2005 Mosby, Inc. All rights reserved. Slide 2 Characteristics of Cognitive Behavioral Therapy Empirically based—Extensive evidence supports its efficacy. Goal oriented—Explicit goals evaluate the patient's progress and treatment outcome. Practical—Focus is on solving current problems of living. Collaborative—Collaboration with the patient is emphasized. Open—The therapeutic process is open and explicit. Homework—Homework assignments are given often. Measurements—Measurements are taken at baseline, during treatment, and at the end of treatment. Active—The therapist serves as a teacher and coach, while the patient practices the strategies learned in therapy. Short term—Therapy usually lasts 6 to 20 sessions.

4. Copyright © 2005 Mosby, Inc. All rights reserved. Slide 3 Figure 31-1 Phases of behavior.

5. Copyright © 2005 Mosby, Inc. All rights reserved. Slide 4 Figure 31-2 Interacting systems in human behavior.

6. Copyright © 2005 Mosby, Inc. All rights reserved. Slide 5 Cognitive Behavioral Treatment Strategies Anxiety reduction—Relaxation training; biofeedback; systematic desensitization; interoceptive exposure; flooding; vestibular desensitization training; response prevention; eye movement desensitization and reprocessing Cognitive restructuring—Monitoring thoughts and feelings; questioning the evidence; examining alternatives; decatastrophizing; reframing; thought stopping Learning new behavior—Modeling; shaping; token economy; role playing; social skills training; aversion therapy; contingency contracting