HOW DO WE TEST THIS THOUGHT? Padesky matches the level of thought with effective CBT interventions.

In today's Clinical Tip, Christine A. Padesky, PhD describes three levels of thought identified in cognitive behavior therapy and the interventions ideally suited to test each. Automatic thoughts are usually tested by looking in the situation in which they occur for the evidence that supports and doesn’t support them. Depending on the frequency of these thoughts, help your clients look for evidence using Socratic Dialogue and/or the 7-Column Thought Record. Underlying assumptions are best tested with behavioral experiments to see if their “if… then…” predictions occur in real life experiments. When core beliefs are tested, use a continuum and core belief record to build new core beliefs rather than focusing on dismantling negative core beliefs. Padesky recommends therapists not test core beliefs in the first 4 - 6 months of therapy (see Hawley, et al., 2017).

For more Clinical Tips, see our YouTube Clinical Tips playlist
https://bit.ly/3hn6LrF

[see Timestamps at end of this section]

*************
REFERENCES
*************

• Hawley, L. L., Padesky, C. A., Hollon, S. D., Mancuso, E., Laposa, J. M., Brozina, K., et al.
(2017). Cognitive behavioral therapy for depression using Mind Over Mood: CBT skill use
and differential symptom alleviation, Behavior Therapy, 48(1), 29–44.
• Greenberger, D., & Padesky, C.A. (2016). Mind Over Mood: Change How You Feel by Changing the Way You Think, 2nd Ed. Available at a discount from Guilford Press: https://bit.ly/3b7UXpZ
• Padesky, C.A. with Greenberger, D. (2020). The Clinician's Guide to CBT Using Mind Over Mood, 2nd Ed. Available at a discount from Guilford Press: https://bit.ly/2L5tR86

*************
RESOURCES (please note, we use bit.ly links when the web address is lengthy):
*************

1) FREE Socratic Dialogue Rating Scale and Manual
Available free online from padesky.com website's Clinical Corner - Clinical Tools section.
[download available from] https://www.padesky.com
[direct link to clinical tools] https://bit.ly/2zgbY3H

2) 7-Column Thought Record
Details for effective use of 7-Column Thought Record found in Mind Over Mood, 2nd Edition (2016) Chapters 6 through 9. And for therapists in The Clinician's Guide to CBT Using Mind Over Mood (2020) in Chapters 4 and 5.
[download available from] https://www.MindOverMood.com
[direct link to worksheets] https://bit.ly/32BHx4S

3) Behavioral Experiments Worksheet (MOM2)
To learn more about how to design and debrief behavioral experiments, see The Clinician's Guide to CBT Using Mind Over Mood. Chapter 7 covers how to setup and design and debrief behavioral experiments to maximize client learning and Chapter 11 shows how to use with anxiety disorders.
[download available from] https://www.MindOverMood.com
[direct link to worksheets] https://bit.ly/32BHx4S

4) Continuum and Core Belief Records
For a rationale and guidance for using Continuum and Core Belief Records, see Chapter 8 of The Clinician's Guide to CBT Using Mind Over Mood (2020).

5) Get 60 client Worksheets from “Mind Over Mood, 2nd Edition” (2016). Available at a discount from Guilford Press: https://bit.ly/3b7UXpZ

6) Follow Padesky on https://www.twitter.com/padesky

TIME STAMPS FOR THE VIDEO
00:00 Clinical Tips Intro
00:20 How Do We Test This Thought?
00:25 Three Types of Thoughts we test in CBT
00:36 Automatic Thoughts explained
00:53 Best intervention to test Automatic Thoughts - LOOK FOR EVIDENCE in SITUATION
01:01 Situation specific Automatic Thoughts - use Socratic Dialogue
01:27 For recurring Automatic Thoughts - use 7-Column Thought Record
01:54 7-Column Thought Record tests out hot thoughts & images that drive moods & behaviors
02:03 If most of evidence supports the hot thought, make an Action Plan to solve a problem
02:10 If some evidence does not support a hot thought, create an Alternative/Balanced Thought
02:39 Benefits of using the 7-Column Thought Record over time
03:22 Underlying Assumptions explained - important for anxiety disorders
04:18 Best way to test Underlying Assumptions - Behavioral Experiments
05:32 Core Beliefs explained
05:58 Best way to test Core Beliefs - use a continuum
06:19 Use a positive continuum along with a core belief record to construct new Core Beliefs
06:58 Levels of thought are all connected.
07:24 Which level of thought should we test?
07:36 For depression, begin identifying negative automatic thoughts & use 7- Column Thought Record
08:05 For anxiety, begin by identifying KEY underlying assumptions & test with behavioral experiments
08:16 Emerging research suggests not a good idea to focus on core beliefs in first 4-6 months
08:37 Three levels of thought. Different interventions ideally suited to test each of them.
08:44 Summary of levels of thought with ideally suited interventions
09:04 Good therapy requires continuous improvement
09:20 Just a hammer?
09:31 Chart showing levels of thought with corresponding interventions

MUSIC
Happy Ukulele from Motion Array

Видео HOW DO WE TEST THIS THOUGHT? Padesky matches the level of thought with effective CBT interventions. канала ChristinePadesky