Cognitive Behavioral Interventions Group Therapy Activities Quickstart guide with Dawn Elise Snipes provides unique ways to help people learn and practice cbt tools to enhance mental health
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At its core CBT has the principles of noticing, understanding and addressing thoughts feelings and behaviors
Functional Analysis
The process of identifying the antecedents (causes/triggers) and consequences (positive/negative) of behaviors
Problem Identification and Solving
Activity
When you experience a problem…
How can you remember to practice the pause?
What techniques can you use to get through the initial adrenaline rush?
Describe a time you get upset and effectively managed it.
Give an example of a time you got upset and did not effectively manage it.
What was the difference?
Activity
Give an example of when you have used each distortion
Discuss why each distortion may develop
Explore the benefits and drawbacks of each distortion
Identify ways to address each distortion
ABC-DE
A=Activating Event
B=Automatic Beliefs
C=Consequences
D=Dispute automatic beliefs
E=Evaluate effectiveness of reactions
Activity
Identify 3 things that trigger anxiety (Bridges, authority figures, tests, relative coming to visit)
Identify 3 things that trigger anger (Tailgating, lying, computer problems, laziness)
Cognitive Restructuring
Literally changing your thoughts
Find meaning in the current event
Challenge the interpretation
Develop a both/and perspective
Activity
Identify 3 common triggers for anxiety or anger.
Find meaning in the current event
Interpret the event as a challenge instead of a threat
Develop a both/and perspective
Systematic Desensitization
Learning to effectively use coping skills to reduce distress through gradual exposure
Level 1: Imagine and describe the distressing event
Level 2: Expose yourself, at a safe distance, to the distressing event
Level 3: Experience the distressing event
Process
For each level, rate distress on a scale from 1-5.
Use skills of choice to reduce your distress until you are at a 1.
Practice until you can think about the event without getting distressed.
Cognitive Processing Therapy
What is the evidence for and against?
Is this based on facts or feelings?
Are all aspects of the situation being considered?
Are you using all or nothing terms?
Are you confusing high and low probability events?
What is the most logical course of action?
Example: Anxiety about heart attack/dying
Activity
Identify 3 things you are worried about right now. (Not being good enough, failure, being alone forever)
Acceptance and Commitment
Accepting reality as it is and committing to choosing thoughts and behaviors which will help you move toward a rich and meaningful life
Commitment
Determination to improve the next moment
Realization that there are multiple aspects to commit to in your rich and meaningful life
Summary
There are a variety of ways to help people explore and address the thoughts which may be keeping them stuck.
Some techniques will work better in certain situations
Since cognition is based on prior experiences, teaching CBT in group can help clients explore alternate interpretations and information in similar situations
By developing a broader understanding of situations people can explore the effectiveness of their thinking in terms of how it impacts their ability to live a rich and meaningful life.
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