Cognitive Behavioral Therapy Series Introduction (02:07)
This training series on CBT techniques includes demonstrations, discussions, and reflections. Dr. Robin Hart will demonstrate techniques in unrehearsed interview formats based on real cases. Dr. Tom Werner will comment on the interviews.
Downward Arrow Technique Case Study: Angela (04:44)
Angela, 42, has anger and stress that affects her marriage. Hart helps her analyze why she feels that something terrible might happen if she arrives late to pick up her children. He prompts her to discover her negative core belief of failure.
Downward Arrow Technique Case Study: David (08:15)
David, 56, has anger and low self-esteem after a break-up. Hart helps him explore his preoccupation with his ex-girlfriend's new relationship. He has put effort into his relationships but all have failed, as his father predicted—creating a negative core belief.
Core Beliefs in CBT (05:06)
Werner distinguishes core beliefs from negative automatic thoughts. He defines them as beliefs held with conviction that are less obvious to the client. They drive problem formulation; hear examples of core beliefs in depressed and anxious clients.
Identifying and Working with Core Beliefs (03:58)
Core beliefs are active in negative emotional mood states. Therapists use them to understand what drives negative automatic thoughts in depressed clients. They also address core beliefs directly to weaken them, while offering the client positive alternatives.
When to Address Core Beliefs (02:57)
Werner discusses exploring core beliefs early in therapy to understand how they drive depression or anxiety. Later, therapists can collaboratively establish core belief formulation and address core beliefs directly.
Using the Downward Arrow Technique (03:16)
Therapists ask clients what their fears or beliefs mean, repeating the question until the client makes repetitive statements about themselves, others, or the world in general.
Continuum Work (02:26)
Therapists try to reduce "black and white" views that clients have about themselves. They help clients gain flexibility and see things on a scale to soften negative core beliefs.
Challenges in Working with Core Beliefs (03:28)
Werner recommends establishing client permission to address core beliefs and becoming aware of potential vulnerabilities. Multiple core beliefs may drive severe depression. He outlines ways to help clients access core beliefs.
Downward Arrow Technique Case Study: Angela (2) (04:37)
Hart helps Angela analyze why she feels that something terrible might happen if she arrives late to pick up her children. He continues asking her what that means about herself until she discovers her negative core belief of failure.
Downward Arrow Technique Case Study: David (2) (07:53)
Hart helps David explore his preoccupation with his ex-girlfriend's new relationship. Hart asks David what this means about himself. Despite his best efforts, all David’s relationships have failed, as his father predicted—creating a negative core belief.
Credits: CBT: Downward Arrow Technique (01:22)
Credits: CBT: Downward Arrow Technique
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