Therapists_Guide_to_Brief_CBTManual

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Published by the Department of Veterans Affairs, South Central Mental Illness Research, Education, and Clinical Center (MIRECC), 2008. Suggested citation: Cully, J.A., & Teten, A.L. 2008. A Therapist’s Guide to Brief Cognitive Behavioral Therapy. Department of Veterans Affairs South Central MIRECC, Houston. To request a copy of this manual, please contact Michael Kauth at michael.kauth@va.gov
ACKNOWLEDGMENTS We would like to thank the multiple individuals and organizations that supported this work. This project emanated from our passion for teaching and our desire to increase the availability and quality of cognitive- behavioral therapies in health care settings. Our mentors and colleagues were instrumental in their encouragement and feedback. We would like to give special thanks to the following individuals: Evelyn Sandeen, PhD and Melinda Stanley, PhD (expert consultants); Sparkle Hamilton, MA (project assistant); and Heather Mingus (Graphic Artist); Anne Simons, PhD (past CBT supervisor – AT). We are also grateful to the support of the Veterans Health Administration This work was supported by a Clinical Educator Grant from the South Central
Page 1: A T H E R A P I S T ’ S G U I D E
Page 5 and 6: 1 Introduction to Brief Cognitive B
Page 7 and 8: Module 1: Introduction to Brief Cog
Page 9 and 10: substance use requires a higher lev
Page 11 and 12: Module 2: Using Supervision Objecti
Page 13 and 14: Selecting a Supervisor/Consultant T
Page 15 and 16: facilitate more informed questions
Page 17 and 18: necessary tool for all therapists.
Page 19 and 20: Module 4: Case Conceptualization an
Page 21 and 22: C) Assessing cognitions. Within the
Page 23 and 24: A focused clinical hypothesis for a
Page 25 and 26: Functional Assessment: ABC’s Ante
Page 27 and 28: Module 5: Orienting the Patient to
Page 29 and 30: Avoidance and escape are particular
Page 31 and 32: Module 6: Goal Setting Objectives
Page 33 and 34: seems to have trouble understanding
Page 35 and 36: Module 7: Agenda Setting Objectives
Page 37 and 38: Troubleshooting Agenda Setting In d
Page 39 and 40: Module 8: Homework Objectives • T
Page 41 and 42: Using Bibliotherapy as Homework Bib
Page 43 and 44: Module 9: Identifying Maladaptive T
Page 45 and 46: Although you may not discuss belief
Page 47 and 48: Example continued: Therapist: “Le
Page 49 and 50: Core Beliefs Throughout therapy, hy
Page 51 and 52: Situational Questions What happened
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Module 10: Challenging Maladaptive
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patients will generate new emotions
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Example Homework Assignments 1. Lis
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Module 11: Behavioral Activation Ob
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The figure below visually describes
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meaningful activities related to th
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Module 12: Problem Solving Objectiv
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L (Listing the Potential Pros and C
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SOLVED: Problem-Solving Exercise pe
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Short-Term Positive Consequences Lo
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comfortable with certain recommenda
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Step #5: Debrief After the Exercise
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How Guided Imagery Works Research h
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Script #2 - The Beach: Imagine your
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Module 14: Ending Treatment and Mai
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• Discuss questions or concerns t
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REFERENCES
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APPENDIXA: PATIENTHANDOUTS
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Cognitive Distortions 1. All-or-Not
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Situational Questions What happened
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Functional Assessment: ABC’s Ante
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EXCURSIONS/COMMUNITY Activities Che
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SOLVED: Problem-Solving Exercise pe
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Short-Term Positive Consequences Lo
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Deep-Breathing Technique Step #1: P
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Script #3 - The Meadows: Imagine yo
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Self-Management Time Guide I. Mood
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Sample Brief CBT Outline #1 Patient
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Sample Brief CBT Outline #2 Patient
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