Core CBT Skills for Self Evaluation
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This document is a self-evaluation checklist for clinicians to assess their skills and experience with various cognitive behavioral therapy (CBT) techniques and tools. It includes over 50 specific CBT skills, techniques, and tools and asks clinicians to indicate how often they have used each one, ranging from never to using it weekly with most clients. Some examples of CBT skills and tools listed include establishing a collaborative therapeutic relationship, cultural self-awareness, case conceptualization, psychoeducation, thought monitoring, cognitive restructuring, exposure therapy, and relapse prevention planning. References are provided for where the checklist was developed.
Core CBT Skills for Self Evaluation
- 1. CBT Checklist for Self-Evaluation 1 CBT Skills and Capacity Self-Evaluation Check List Clinical Skill or Clinical Tool Never Used Once 2 to 3 Times Use Weekly w/Most Clients Establishing Collaborative Set e.g. empathy, genuineness, positive regard, active listening and co-expertise (your clinical their expertise of self) Recognition of Cultural Self as clinician and how privilege and oppression factors impact clinical work. Using ADDRESSING Model to Understand Individual Experiences of Privilege and Oppression that Could Impact Treatment, Clinical Relationship and Mental Health. Case Conceptualization and CBT biopsychosocial application (Judith Beck’s and Others) 1. https://www.psychologytools.com/resource/belief- driven-formulation/ 2. https://www.psychologytools.com/resource/proces s-focused-case-formulation/ 3. https://www.pinterest.co.uk/pin/380976449714781 374/ 4. https://www.researchgate.net/publication/3521690 65_Adapting_cognitive- behavioral_therapy_for_a_Malaysian_muslim/figur es?lo=1 Introduction Session for CBT Clients: Orientation to CBT, assessment of concerns, & set goals. Termination and Relapse Prevention Planning Structuring CBT Sessions: Review of homework, connecting sessions, setting agenda, skill trouble shooting, exploration of new skill, homework and practice and follow up planning. Structuring CBT Treatment for Health/MH Concern: e.g. Session 1 Orienting to treatment and goals Session 2. Concerns and intervention, Session 3 – 10 targeted, Session 11-12 termination and relapse prevention. Use of Thought Logs Using thought logs for cog change. Socratic Questioning: Using clinical questions to explore beliefs and allow in new thinking. Mental Health, Health and Situational Specific Psychoeducation e.g. Depression, Anxiety, Trauma, Sleep, Cancer dx., Living w/ Chronic Illness. Activity Monitoring/Monitoring of Targeted Change Action Motivational Interviewing for Change Vulnerability + ABCDE model of Behavior (Vulnerability Factors like sleep, diet and exercise plus Antecedent, Behavior, Consequence, Disputation of Beliefs, Effect of New Beliefs). Functional Analysis: Developing a model for V+ABCDE triggers for why symptoms and behaviors are still present. Psychoeducation on Basic CBT Model: Thoughts, Sensations, Emotions, Situations and Behavior in Change
- 2. CBT Checklist for Self-Evaluation 2 Clinical Skill or Clinical Tool Never Used Once 2 to 3 Times Use Weekly w/Most Clients Adapting Clinical Treatment for Cultural Factors: Using a model to adapt CBT intervention to cultural factors. Clinical Assessment of Social, Biological, and Psychological Factors (e.g. beliefs and history) Clinical Assessment Tools/Screeners to Assess and Track Change with Client e.g. Depression (PHQ9), Sleep Assessments (Epworth’s Sleepiness Scale), Anxiety (GAD7) Clinical Assessment of Cognitive Coping: Automatic Thoughts, Core-Cognitions, Cog. Distortions, Clinical Assessment Behavioral Factor: Safety Behaviors, Activity Level, Self-Care, Sleep, Diet Clinical Assessment Emotion Factors: Emotional coping skills, emotion beliefs, emotion triggers. Psychological Tools: Relaxation training e.g. PMR, Abdominal Breath, Square Breath, Visualization Psychological Tools: Distraction skills and cognitive coaching. Psychological Tools: Behavioral Activation, rational, motivational development and tracking outcomes. Psychological Skills: Challenging and recognizing cognitive distortions e.g. thought records, identifying core beliefs, challenging core beliefs, cognitive triad (Self, Others, Future). Psychological Skill: Exposure tools e.g. safety behaviors, exposure hierarchy, vicious cycle of anxiety or depression, imaginal exposure, in-vivo exposure, interoceptive exposure, extinction, flooding, SUDs, systematic desensitization. Clinical Tool: Downward Arrow to Understand Core Beliefs. Clinical Tool: Decatastrophizing techniques e.g. Five questions, building horror floor, If that then what, visioning positive outcomes. • https://www.manhattancbt.com/downward-arrow- technique/ • https://www.psychpoint.com/mental- health/worksheets/cognitive-restructuring- decatastrophizing/ Clinical Tools: Journaling, Cognitive Restructuring, Playing Out the Script Till the End, HALT-B, Pleasurable Activities List Clinical Tools: Exposure with Response Inhibition Clinical Tools: Fact Checking – Checking beliefs against reality e.g. believing worthless, finding exceptions to belief. Clinical Tools: Behavioral Experiments – Tring New actions that challenge old beliefs. Clinical Tools: Assertiveness skills e.g. Simple but HARD Communication, Balance between Aggressive, and Passive Clinical Tools: Pain gate education, depression, learned helplessness, and behavioral activation, neuroplasticity and new thoughts. References for Checklist Development • https://www.ucl.ac.uk/pals/research/clinical-educational-and-health-psychology/research-groups/core/competence-frameworks-2 • https://positivepsychology.com/cbt-cognitive-behavioral-therapy-techniques-worksheets/ • https://depts.washington.edu/uwhatc/PDF/TF-%20CBT/pages/1%20Therapist%20Resources/TF- CBT%20Components,%20Rationale,%20&%20Methods%20Worksheet.pdf • https://www.mirecc.va.gov/visn16/guide-to-brief-cbt-manual.asp