Metacognitive & CBT Tools to Address Anxiety & Depression

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#metacognitive #counselingtechniques #cognitivebehavioral

Introduction
~ Metacognitive essentially means “thinking about thinking” and refers to the knowledge and regulation of one’s own cognitive processes
~ MCT agrees that prior experiences create schema which influence interpretation of events, however, MCT focuses not on the content of the thoughts but the what the person pays attention to.
~ Metacognitive experiences are the reactions people have as a result of their cognitive appraisals
MCT is may use cognitive behavioral therapy (cbt) strategies to address thinking styles such as personalization, overgeneralization or anxiety prone.
~ MCT focuses on disorder specific cognitive biases such as mood congruent memory
~ In one study, NFC, acted as the only mediator between treatment and depression recovery
Metacognitive Components
~ Metacognitive knowledge refers to declarative knowledge of cognitive processes and includes
~ Personal knowledge (e.g., Ways of thinking (rumination, analysis), and personal abilities and limitations) (Mindfulness)
~ Negative metacognitive beliefs (distress intolerant thoughts) focus on
~ The uncontrollability of thoughts and belief that thoughts need to be controlled
~ Rumination
~ Threat monitoring
~ Unhelpful reactions that backfire (away behaviors)
~ Positive metacognitions are beliefs about the need to have the particular beliefs to stay safe or prepared
~ Task knowledge (e.g., How to do something (cook, meditate, learn, control thoughts)) (Skills Training)
~ Strategic knowledge (e.g., Advantages/disadvantages and applicability of each strategy) (Problem Solving)
Metacognitive Components
~ Metacognitive experience is the personal experience and perception of difficulty that a person feels about implementing the cognitive behavioral strategies to address their anxiety, anger or depression.
~ How confident do I feel that I can do it and it will be successful? (Fact-based reasoning vs. Emotional reasoning)
~ Metacognitive monitoring and control refers to self-supervision and regulation of the cognitive processes including their ability to plan, monitor, evaluate and regulate their cognitive activities by adjusting task goals, regulating attentional awareness (shot), and selecting cognitive strategies.
~ What is the best course of action
~ How effective is this course of action
~ What needs to be done differently or continued?

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