Foundations of Cognitive Therapy: Theoretical Methods and Practical Applications

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This will be followed by supervised role-plays to develop your clinical CBT skills and gain feedback from the course staff. The final part of the day involves a structured reflection on your personal and practical learning. The day ends at pm. The course covers core elements of CBT. It is structured in a circular way so that the theory and skills students initially learn are returned to throughout the course in different contexts and with different disorders; this offers students a means to deepen their understanding and application of CBT in a graded manner. The core topics include: CBT theory and principles; CBT assessment; case formulation including the use of disorder-specific models ; developing and maintaining the therapeutic relationship; cognitive change intervention; behavioral interventions; relapse preventions and endings; and the integration of CBT skills into health care.

Benefits of the course include the development of inter-personal therapeutic skills that are relevant across a variety of health and social care settings. Such skills include Socratic questioning, clinical case formulation, planning effective short-term treatment, applying evidence-based CBT interventions, and self-reflective practices to aid personal development. Students will practice assessing, formulating and treating problems such as social anxiety disorder, obsessive-compulsive disorder and panic disorder from within a CBT framework.

The course is well established and continues to receive high levels of student satisfaction from weekly and overall evaluations. They are self-financed, and pay independently, or they are supported by their employer who pays their course fees. This redesign will allow greater access to health and social care workers who would have difficulties accessing appropriate clients with which to train i.

This change will support applicants from ward-based roles, as well as community teams working with client groups with severe and enduring mental health conditions. Students will now be assessed and supervised via clinical role-plays. The KSA essentially requires prospective students to collate evidence that demonstrate adequate experience, knowledge and qualifications to undertake CBT training as set out by the British Association for Behavioural and Cognitive Psychotherapies.


Relevant core professions include qualifications as a clinical psychologist, mental health nurse, occupational therapist, psychiatrist, social worker, accredited counsellor, health visitor and school nurse. If you are not an accredited counsellor but have gained a level 3 counselling certificate and have had over 2 years of face-to-face contact with people with mental health difficulties, then you can gain access to the course by completing the KSA. Does the course allow me to become accredited as a cognitive behavioural therapist?

The course does not, in itself, allow you to apply for accreditation as a cognitive behavioural therapist with the BABCP.

The Blueprint of Cognitive Behavior Therapy

It can, however, open access to full CBT psychotherapy training. The training for full accreditation with the BABCP is at post-graduate diploma level, and requires a year of supervised practice. The first role-play is of an assessment and initial formulation. The second involves a treatment intervention based on a sound formulation. The structured reflections that form part of each teaching day will prepare you for these assignments, and the library service can support you in a search of relevant literature.

The intake of students for each course is intentionally small to allow for greater support from the course tutors. The student numbers vary, but are no greater than Eligible applicants will be invited to short interview with the course team before being offered a place on the Foundation. To apply for the course, complete the application form attached to the website and return it to Nadine Smith, Programme Administrator, nadine.

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Psychodrama and Cognitive Behavioral Therapy: Complementary companions (part 2)

Nicolas Hoffmann. Books by Nicolas Hoffmann. Self-criticism and negative self-to-self relating have been demonstrated to be particularly relevant, especially in instances where comorbid anxiety and affective disorder are present. There is a clear theoretical basis for using CMT within CBT for psychotic symptoms and thus a promising outlook for its inclusion as a therapeutic strategy for symptoms common in schizophrenia. MCT specifies that it is verbal styles of thinking worry and rumination , the focus of attention on threat and negative information, and meta-cognitive actions of thought suppression and avoidance that lead to disorder.

It is by targeting these meta-cognitive processes in treatment that MCT aims to change the way in which people experience and regulate their thoughts. In this sense, MCT is a departure from traditional CBT insofar as it focuses exclusively on the cognitive with no emphasis on behavioral features of treatment. MCT involves teaching people alternative skills to experience their thoughts utilizing techniques such as attention training and altering meta-cognitive beliefs that worrying is necessary or those thoughts cannot be controlled or are dangerous.

Psychodrama and Cognitive Behavioral Therapy: Complementary companions (part 2)

Valmaggia et al 79 recently applied an 8-session course of attentional training treatment in a single case to treat auditory hallucinations in the context of a diagnosis of schizophrenia, resulting in symptom reduction and increased perceived control and mastery of the hallucinations. This example demonstrated how someone who was distressed by repeated abusive hallucinatory voices experienced being very much at their beck and call.

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He felt that he had no control over them and was unable to function in social settings due to their presence. He was trained over 6 weeks to practice daily focusing his attention on different types of auditory stimuli.

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His ability to focus on the radio, clock, and traffic steadily improved. When he began to use this new skill he found that he had much more control over the voices and began to engage more in social activity. MCT is a promising development with the potential for application to schizophrenia.

MOL is a therapy based on the principles of perceptual control theory PCT , 80 , 81 which provides an account of the mechanisms of change within psychotherapy. PCT postulates that the essential feature of successful change within CBT or any other psychotherapy is the shifting of a person's awareness to higher perceptual levels goals so that conflict in control systems can be reorganized.

During a session of MOL, the patients choose to talk about any problem they wanted to discuss. The therapist observes shifts in their awareness, identified through disruptions to the flow of conversation such as changes in gesture, tone of voice, or dialogue flow and directs the patient's attention to these by asking them about associated background thoughts, images, or other perceptual experiences.

This helps them to become aware of the higher goals and standards leading to their problems so that conflict can be reorganized. The redirecting of awareness is similar to the traditional CBT strategies such as Socratic questioning. Outcome studies for MOL indicate that it is an effective and acceptable psychotherapy with benefits at end of therapy and in short-term follow-up studies.

Cognitive models have much to offer in aiding our understanding of the maintenance of the core symptoms of schizophrenia. Cognitive behavioral therapies based on these models have been demonstrated to be effective and valuable treatments for a range of positive and negative symptoms. However, theoretical developments and advances in cognitive treatments of disorders such as anxiety and depression have also helped to reveal a more complex picture of the transdiagnostic processes operating in schizophrenia.

It is becoming clear that it is necessary to develop a broader conceptualization and treatment approach to psychotic symptoms that encompasses the heterogeneity and multifaceted nature of the disorder. Recent developments in cognitive treatments branded as third-wave approaches illustrate the advantage of not only targeting the content of thoughts and beliefs but also developing alternative methods of changing the way in which people relate to their thoughts and feelings.

Collectively, they present a positive and encouraging developing evidence base with promising results. Evidence of the applicability of such approaches to schizophrenia is apparent, and further research is required to examine the wider feasibility and potential as a treatment for psychosis. These developments should be regarded as evolving cognitive therapies as opposed to a new wave.

It is important to view CBT as a range of therapies and increase our understanding of how they might be applied to specific problems and circumstances, where efficacy is best understood through multifaceted and individualized formulations of patients. Oxford University Press is a department of the University of Oxford. It furthers the University's objective of excellence in research, scholarship, and education by publishing worldwide. Sign In or Create an Account.

Sign In. Advanced Search. Article Navigation. Close mobile search navigation Article Navigation. Volume Article Contents. Cognitive Behavior Therapy. CBT Techniques. CBT for Schizophrenia. CBT and Functional Outcome. Developments in CBT for Schizophrenia. Mindfulness-Based Approaches. Acceptance and Commitment Therapy. Compassionate Mind Training. Meta-cognitive therapy. The Method of Levels. Oxford Academic.

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