Case Management Using CBT

Experience
Beliefs and assumptions
Critical incident / precipitating events
Perpetuating factors
o Cognition,
o behavior,
o emotion,
o physiology

Behavioral change is a marker of effectiveness of the therapy

Counseling goals must have the components of:

o Cognition,
o behavior,
o emotion,
o physiology

Cognitive triad of depression:

- Negative view of self
o Avoidance of wishes
- World
o Paralysis of the will (hopelessness)
- Future
o Suicidal wishes
o Increased dependence

Core beliefs:
- Performance core beliefs
o Unhelpful
- Relationship core beliefs
o Unlovable
- Worthless
o Sinful
o Moralistic way of being judge

Identifying core beliefs

 Case Conceptualization

Core beliefs Assumptions Coping strategies Situation Automatic

thoughts Reaction

Reaction is always the presenting concern (behavior, affect, cognition,

physiology)

Situation what triggered the reaction

Automatic thoughts thoughts behind the reaction; targeting the automatic

thoughts can only lead to relapse. Core beliefs must be attended.

Core beliefs should be restructured to avoid relapse

Assumptions If-then thinking

Treatment Planning

1. Initial stage
a. Establishing the therapeutic relationship
b. Providing psycho-education
c. Setting goals
i. How do you like things to be different?
ii. What are the things that you want to change?
d. Socializing patient to cognitive model
e. Socializing patient to process of therapy
2.