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Cognitive Behavior Therapy
VT
by
Veronica Talia
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Updated Apr 12, 2022
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Chapters
00:00
Chapter 1
00:09
Chapter 2
00:11
Chapter 3
01:37
Chapter 4
01:39
Chapter 5
01:42
Chapter 6
03:04
Chapter 7
04:07
Chapter 8
05:22
Chapter 9
08:18
Chapter 10
08:57
Chapter 11
09:56
Chapter 12
10:40
Chapter 13
11:23
Chapter 14
11:51
Chapter 15
12:29
Chapter 16
12:46
Chapter 17
Audio Transcript
Auto-generated
00:02 - 00:04
Hi my name is veronica Talia and I will be
00:04 - 00:10
presenting about CBT therapy used for play intervention for Children.
00:13 - 00:15
What is cognitive behavioral
00:16 - 00:16
therapy?
00:17 - 00:21
I'm sure some people have heard about the term CBT.
00:21 - 00:24
CBT is a form of therapy
00:24 - 00:29
especially from clinical psychologists who are trying
00:29 - 00:33
to treat extreme cases of anxiety,
00:33 - 00:35
post traumatic stress disorder,
00:36 - 00:37
depression,
00:37 - 00:41
mood disorders and other forms of mental illness.
00:42 - 00:47
CBT therapy is basically valuable because it is goal centered.
00:47 - 00:53
Um It is allowing the client to think behave and react
00:53 - 00:56
differently in a healthier way
00:56 - 00:58
to their triggers.
00:59 - 01:02
Basically it is saying that the behavioral
01:02 - 01:06
responses that the client already has are distorted
01:06 - 01:12
and this treatment is proven successful and that is why it is remade
01:13 - 01:15
basically CBT focuses on learning
01:16 - 01:17
the healthy behaviors
01:17 - 01:20
by effective problem solving
01:20 - 01:24
um In order to triumph the distortion of beliefs
01:24 - 01:27
um The negative thoughts um and the inability to
01:28 - 01:31
you know continue on with work social and play.
01:31 - 01:34
Um As just as normal
01:44 - 01:48
continuing on an example of CBT is actually exposure therapy.
01:48 - 01:56
Um exposure therapy is one form of just exposing um clients to their fears head on.
01:56 - 02:00
In other words um It is used for
02:00 - 02:04
people who struggle with phobias, panic disorders.
02:05 - 02:08
O. C. D. Social anxiety disorders.
02:08 - 02:10
PTSD
02:10 - 02:12
and generalized anxiety disorder.
02:13 - 02:14
Um Some
02:14 - 02:18
some examples actually include virtual reality exposure
02:19 - 02:22
which is just seeing through a different lens
02:23 - 02:26
into basically whatever the fear is on on a screen.
02:27 - 02:29
Um And visualizing yourself exposed to it
02:30 - 02:31
in order to help the reaction.
02:32 - 02:35
Um In vivo exposure and inter oh accepted
02:35 - 02:41
exposure are similar processes um All are just targeted
02:41 - 02:50
at helping the individual to face whatever their fear is head on and to not avoid it.
02:50 - 02:50
Um
02:50 - 02:52
And two
02:52 - 02:57
just be able to get through whatever it is that is bothering them
02:57 - 03:04
um by pinpointing the reality and uncovering whatever it is the root of the trauma.
03:06 - 03:10
So um basically the virtual reality exposure
03:10 - 03:14
is another form of the exposure therapy.
03:15 - 03:16
Um So
03:17 - 03:21
basically the clients as in this photo displayed um
03:21 - 03:27
it's a way of centralizing the fear by presenting them with the actual
03:27 - 03:30
vivid sights and sounds
03:30 - 03:34
of the unwanted stimuli of whatever it is that is a trigger.
03:34 - 03:38
Um An example could include um a patient who is
03:38 - 03:42
from the military and you know has gone through trauma.
03:42 - 03:47
Um Sometimes loud noises are a huge issue for them or just seeing
03:48 - 03:52
um something um is a huge trigger for them hearing.
03:52 - 03:58
Um Just anything like the littlest things um by using virtual reality exposure,
03:58 - 04:04
it's a way for them to be exposed to that trauma and to be able to handle it
04:04 - 04:07
by teaching them ways to cope.
04:09 - 04:12
Another form of CBT therapy is journaling.
04:13 - 04:18
Um So actually CBT therapists recommend journaling because
04:18 - 04:19
it is
04:19 - 04:20
essential
04:21 - 04:24
to process whatever it is, the difficult emotion.
04:24 - 04:27
Um The difficult behaviors and beliefs um
04:28 - 04:32
um An outside event sometimes when we don't process a traumatic event,
04:32 - 04:35
we end up just um
04:36 - 04:36
you know
04:37 - 04:38
shutting down
04:39 - 04:40
or
04:40 - 04:42
pretending like it doesn't exist
04:42 - 04:44
and that can only happen for so long
04:45 - 04:51
um because it actually isn't healthy. Um CBT therapists say that
04:51 - 04:55
journaling is just the best way to hear your own thoughts
04:55 - 04:56
um Taking time
04:57 - 05:00
to be on your own and to just write out exactly
05:01 - 05:04
what is going on and your reactions and how you're feeling.
05:05 - 05:08
Um It could be a simple journal prompt as how am
05:08 - 05:11
I feeling today or something as little as that that can
05:12 - 05:14
allow you to process um whatever it is
05:14 - 05:17
you're struggling internally with um in response to something
05:17 - 05:20
that was triggering or in response to some sort
05:20 - 05:23
of a difficult situation that you're dealing with.
05:25 - 05:28
So um basically CBT therapists name
05:28 - 05:33
Um three Basic principles um which
05:33 - 05:37
they are critical to therapeutic journaling
05:37 - 05:38
which are
05:39 - 05:41
basically the falsify ability
05:42 - 05:42
um
05:43 - 05:46
and that's basically altering information
05:46 - 05:51
um or evidence of something that's like misleading
05:51 - 05:54
um Like a misleading thought countering that misleading
05:54 - 05:58
thought um with like a true actual evidence
05:59 - 06:00
um
06:00 - 06:02
situation. So sometimes we think that
06:03 - 06:06
something is a certain way when
06:06 - 06:12
the evidence proves that it isn't so combating a negative thought
06:12 - 06:14
um kind of like you know,
06:14 - 06:21
I uh I don't think I did well in um that interview um and providing evidence like
06:21 - 06:24
um what makes you think that you didn't do well what makes you think you failed it?
06:24 - 06:26
Um Did someone say that?
06:27 - 06:30
Did someone end the interview early? Did
06:30 - 06:31
was there some sort of a
06:32 - 06:34
and evidence for whatever it is you're feeling.
06:34 - 06:37
Um So falsify ability is really important in journaling.
06:38 - 06:39
Next is non judgment.
06:39 - 06:41
Um I think this is one of
06:41 - 06:45
the most important principles in journaling especially because
06:45 - 06:48
we tend to be really hard on ourselves.
06:48 - 06:51
Every single person is probably the worst judge.
06:51 - 06:53
Um because you know,
06:53 - 06:58
we tend to judge ourselves before we judge others or it could be vice versa.
06:58 - 07:01
Um But basically the principle of non
07:01 - 07:05
judgment is basically allowing yourself to freely express
07:06 - 07:09
yourself in writing without judgment,
07:09 - 07:11
not judging the fact that
07:12 - 07:14
you're reacting in a certain way, not judging your feelings,
07:14 - 07:19
letting them be as they are and reading them for as they are and accepting them.
07:19 - 07:22
Um The last principle is detailed
07:22 - 07:26
so being as descriptive as possible. And journaling is really important
07:26 - 07:31
because sometimes there are little details that we leave out that are actually
07:31 - 07:37
critical um to uncovering the root cause of a trauma or a root cause
07:37 - 07:38
of
07:38 - 07:42
something that is really affecting us on a day to day basis.
07:43 - 07:44
Um and
07:44 - 07:48
Basically by going through the three principles and by journaling on
07:48 - 07:50
a regular basis at least like 30 minutes a day.
07:50 - 07:51
15-30
07:52 - 07:53
psychologists recommend
07:54 - 07:55
it actually
07:56 - 07:59
is life changing for some, it could,
07:59 - 08:03
it allows them to bring in whatever it is they're feeling into therapy
08:03 - 08:05
and to confront it and to move on.
08:05 - 08:13
That's essential is to accept the situation for as it is um to not reject it and
08:13 - 08:14
to feel it feel the emotions like a
08:14 - 08:18
wave that's what as psychologists try to recommend.
08:18 - 08:24
Um and then next is to basically describe the event um in
08:24 - 08:30
in words um using objective experiential falsify a ble method like we
08:31 - 08:34
um explained earlier just um you know
08:35 - 08:39
combating those those negative thoughts um what are
08:39 - 08:41
what is evidence that that is true?
08:41 - 08:43
So describing it in detail,
08:43 - 08:45
observing whatever it is,
08:46 - 08:49
whatever connection that's happening and you're writing,
08:49 - 08:54
observing it um and holding it for as it is and challenging it.
08:54 - 08:57
So as I explained earlier, just challenging negative thinking is so important.
08:58 - 09:03
Um Next is the abc model of cognition. The activating event
09:04 - 09:07
basically leading to the beliefs and the consequences.
09:07 - 09:11
Um So that actually the event is a thing that actually elicits a reaction
09:11 - 09:15
and um basically with with that um
09:16 - 09:17
that affects
09:18 - 09:18
you know
09:19 - 09:20
the consequences.
09:20 - 09:24
Um but obviously the beliefs how we think in response to the activating event
09:25 - 09:28
is huge because
09:28 - 09:29
the activity event
09:30 - 09:32
um that can't be controlled.
09:33 - 09:37
However our beliefs really affect our consequences. And
09:37 - 09:41
it is so so important to realize that our
09:41 - 09:45
thoughts can either make or break a situation or
09:45 - 09:49
or our thoughts can really determine our attitudes and
09:49 - 09:51
then that becomes the person that we are.
09:51 - 09:55
So it's really essential to realize um that we can
09:55 - 09:58
change our beliefs and CBT therapy allows us to do.
09:58 - 09:58
So
09:59 - 10:02
I'm an example is I hear a dog barking
10:02 - 10:03
um and
10:04 - 10:06
I think back to my own childhood pub
10:07 - 10:09
which is just the thinking.
10:09 - 10:14
Um And I feel fuzzy and joyful. So that is basically the response.
10:15 - 10:16
Um So
10:17 - 10:17
basically
10:18 - 10:18
a
10:19 - 10:21
has a huge and direct
10:22 - 10:23
relationship with
10:24 - 10:27
the consequence of the activating event.
10:27 - 10:33
Um And CBT ensures that if we can change the beliefs in response to the activating
10:33 - 10:38
the activation of the stimulus then the consequences of
10:38 - 10:42
our reactions to it and our behaviors will change
10:42 - 10:46
history basically more history is that CBT
10:46 - 10:50
um started off as a restructuring of cognitive thinking.
10:50 - 10:53
Um was first introduced as behavioral therapy.
10:53 - 10:57
And um one of the first clinical psychologist came up with a bell and pad procedure
10:57 - 10:59
which was basically a
11:00 - 11:01
a
11:01 - 11:03
method of
11:03 - 11:06
treatment for bedwetting which was a huge issue um
11:07 - 11:11
when kids were being raised by their by their parents.
11:11 - 11:13
Um A lot of them struggled with bedwetting and
11:13 - 11:14
parents didn't know how to deal with it.
11:14 - 11:20
So they found a way of using the bell and the pad just to activate urination.
11:20 - 11:24
And this um behavioral intervention actually was really useful.
11:25 - 11:30
Um Classical conditioning. Um Just Pavlov's classical conditioning methods
11:31 - 11:32
unconditioned stimulus.
11:32 - 11:37
The food, the unconditioned response um was the drooling.
11:37 - 11:40
Um and then adding a neutral stimulus which was the whistle
11:41 - 11:43
um impairing the whistle and the food to
11:43 - 11:48
the activated an unconditioned response of the salvation.
11:50 - 11:52
And um
11:52 - 11:55
next is operate, conditioning is another form
11:55 - 11:56
of
11:57 - 11:58
basically
11:59 - 12:03
and introducing the behavioral analysis is one of the first um ways
12:03 - 12:10
that psychologists did so early on um was just adding re enforcers and
12:10 - 12:14
um the positive stimulus and negative stimulus and
12:14 - 12:19
seeing the reactions of clients in response to
12:19 - 12:25
um just the positive negative and then the consequences
12:25 - 12:28
and adding or taking away the re enforcers.
12:30 - 12:33
So there are obvious differences between classical conditioning and operating.
12:34 - 12:38
Um definitely the nature of response, the timing
12:38 - 12:42
um of the stimulus and the timing of the response and the role of the learner
12:43 - 12:46
um has a huge effect on both.
12:47 - 12:53
And um overall uh this presentation um just was a way that
12:53 - 12:58
I could show that CBT is definitely very useful and widely popularized.
12:58 - 13:01
Um former play based intervention.
13:01 - 13:04
Um I used as an example because I believe it actually works.
13:04 - 13:08
I've had my own personal experience with CBT therapist and I
13:08 - 13:11
find it that you know when the client does the work especially
13:11 - 13:16
um it is really helpful and it's life changing. So there are techniques for people
13:17 - 13:18
you know from CBT
13:19 - 13:21
coping with all kinds of mental illness and
13:21 - 13:22
learning
13:23 - 13:24
what they are and learning
13:24 - 13:26
to develop the right attitude
13:26 - 13:30
and healthier behavioral responses is
13:30 - 13:34
basically allowing the person to face whatever it is
13:34 - 13:39
that is keeping them from being a whole individual.
13:39 - 13:39
Um
13:40 - 13:45
And doing the things that they are meant to do in their life and to live um purposely
13:45 - 13:53
with values and to know that um they can seek out help and find safety in in others
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