Once you’re aware of them, you can learn how to reframe those thoughts so they’re more positive and productive.įor example: “I blew the report because I’m totally useless” can become “That report wasn’t my best work, but I’m a valuable employee and I contribute in many ways.” 2. Your therapist will ask about your thought process in certain situations so you can identify negative patterns. Thinking this way can affect what you do and it can even become a self-fulfilling prophecy. Perhaps you tend to over-generalize, assume the worst will happen, or place far too much importance on minor details. This involves taking a hard look at negative thought patterns. Some of the techniques that are most often used with CBT include the following 9 strategies: 1. learning new behaviors and putting them into practiceĪfter speaking with you and learning more about the issue you want help with, your therapist will decide on the best CBT strategies to use.identifying negative thinking and reshaping it in a way that changes how you feel.becoming aware of unproductive thought patterns and how they can impact your life.identifying specific problems or issues in your daily life.Whatever approach your therapist takes, it will include: These are skills you can continue to use for the rest of your life.ĭepending on the issue you’re dealing with and your goals, there are several ways to approach CBT. Your therapist will teach you how to make changes you can implement right now. But, if you reframe your thoughts in a more positive way, it can lead to more positive feelings and helpful behaviors. However, in cases of severe intellectual disability, neurocognitive disability, neurodevelopmental disorder, autism spectrum disorder, or other problems that make it impossible for someone to benefit from a cognitive therapy, TF-CBT is not indicated.The key principle behind CBT is that your thought patterns affect your emotions, which, in turn, can affect your behaviors.įor instance, CBT highlights how negative thoughts can lead to negative feelings and actions. TF-CBT can be used with children and youth who have intellectual, cognitive, or other developmental problems if their level of functioning allows them to engage in and benefit from a cognitive therapy. If a child does not have clinically significant problems related to traumatic events, TF-CBT is not indicated. Consequently, they may not have significant mental health symptoms related to those experiences. Some children are highly resilient, possess effective coping skills, and have strong familial and social support systems to help them manage potentially traumatic experiences effectively. If a child does not have a known history of traumatic events, TF-CBT is not indicated. Every effort should be made to locate and engage a supportive parent or other caregiver in the treatment process. While TF-CBT can be done with children without a supportive caregiver, substantial parts of the treatment will be lost. Parent/Caregiver Involvement: Having a supportive parent or other caregiver such as a grandparent, other kinship caregiver, or foster parent involved in treatment is highly desirable.Co-morbid Diagnoses: TF-CBT can be used successfully with traumatized children and youth with co-occurring difficulties such as ADHD, oppositional defiant disorder, and conduct disorder.Other Trauma-related Problems: Children may have other trauma-related problems such as depression, anxiety, fear, shame, self-blame, behavior problems, sexual behavior problems, or traumatic grief.Research has found that children consistently experiencing 4 or more PTSD symptoms can benefit from TF-CBT. The child does not have to meet full diagnostic criteria for PTSD. PTSD Symptoms: Child has significant symptoms of PTSD.
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