CBT exam questions & answers
2023/2024
CBT frame of reference - ANSWER-• Concrete change and empowerment When and why did it arise? - ANSWER-• US in the 1940s • Response to psychodynamic therapy being lengthy ($), intrusive, past oriented • CBT moved towards problem focussed, empowering, shorter, accessible, simple therapy Basic assumptions - ANSWER-• Individuals contribute to their own problems by how they interpret events and situations • Behaviour is influenced by thoughts, feelings, phys processes, and consequence of behaviour Central tenets of CBT - ANSWER-• Behaviour is influenced by thoughts, feelings, phys processes, and consequence of behaviour • Cognitions do not cause emotional difficulties, they are part of a complex process • Central task of therapist is to help clients understand how they construct and construe reality • Focus on collaboration and the discovery process ABCDE model - ANSWER-A- activating event B- beliefs about A C- consequences of beliefs (emotions, lack of emotions D- disputing the beliefs about the activating event E- effect of the disputation Principle CBT is based on ever-evolving formulation of the client and their problems in cognitive terms - ANSWER-
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• current thinking • problematic behaviours • precipitating factors • key developmental events • enduring patterns of interpreting Principle CBT requires a sound therapeutic alliance - ANSWER-• warmth, empathy, genuine regard, competence Principle CBT emphasises collaboration and active participation - ANSWER-• therapy is teamwork • agreement on focus, frequency, homework Principle CBT is goal oriented and problem focussed - ANSWER-• therapist pays attention to obstacles preventing goals • therapist conceptualises the problem and develops appropriate intervention Principle CBT initially emphasises the present - ANSWER-• focus on specific situations that are distressing • realistic appraisal of distressing situations usually leads to symptom reduction Principle CBT is educative - ANSWER-• client becomes own therapist, emphasis on relapse prevention Principle CBT aims to be time limited - ANSWER-• 4-14 sessions for straight forward depression and anxiety • Start out weekly, then fortnightly, then monthly
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