1. COGNITIVE BEHAVIOUR THERAPY (CBT)
DR GIAN LIPPI
CONSULTANT PSYCHIATRIST
UNIVERSITY OF PRETORIA & WESKOPPIES HOSPITAL
FORENSIC UNIT

2. BASICS
PSYCHOTHERAPY TREATMENT OF CHOICE FOR A NUMBER OF CATEGORIES OF PSYCHIATRIC DISORDERS
- MOOD DISORDERS
- ANXIETY DISORDERS
- SOMATOFORM DISORDERS
- ADJUSTMENT DISORDERS
- PERSONALITY DISORDERS
- SLEEP DISORDERS
- IMPULSE-CONTROL DISORDERS NOT ELSEWHERE CLASSIFIED
- ETC
2 COMPONENTS
- COGNITIVE COMPONENT
- BEHAVIOURAL COMPONENT

3. COGNITIVE RESTRUCTURING
PATIENTS WITH MOOD DISORDERS PRESENT WITH COGNITIVE DISTORTIONS (ERRORS IN LOGICAL THOUGHT)
- SELECTIVE ABSTRACTION (SELECTIVELY ATTEND TO CERTAIN DETAIL, IGNORE THE REST)
- DICHOTOMOUS REASONING (“BLACK OR WHITE, NO GRAY AREAS”)
- OVERGENERALIZATION
- ARBITRARY INFERENCE (JUMP TO CONCLUSIONS WITH VERY LITTLE EVIDENCE)
- PERSONALIZATION (“EVERYTHING THAT GOES WRONG IS MY FAULT”)
- CATASTROPHISING (“MAKING A MOUNTAIN OUT OF A MOLEHILL”)
DEPRESSION RESULTS IN THOUGHTS BEING NEGATIVE
NEGATIVE AUTOMATIC THOUGHTS DEVELOP
- INSTANT, REFLEX NEGATIVE THOUGHTS CHARACTERIZED BY COGNITIVE DISTORTIONS
COGNITIVE COMPONENT OF CBT IS COGNITIVE RESTRUCTURING
- PATIENT IS INSTRUCTED TO IDENTIFY COGNITIVE DISTORTIONS & NEGATIVE
AUTOMATIC THOUGHTS
- COGNITIVE DISTORTIONS ARE BROKEN DOWN BY PROVIDING ALTERNATIVE
VIEWS & THOUGHTS ABOUT EVENTS
- MOST COMMON NEGATIVE AUTOMATIC THOUGHTS ARE REPLACED BY
POSITIVE THOUGHTS ABOUT THE SUBJECT

4. BEHAVIOURAL MODIFICATION
DAILY BEHAVIOUR IS INFLUENCED BY MOOD
- DEPRESSED PATIENTS WHO DON’T WANT TO EAT OR GET OUT OF BED
BEHAVIOURAL COMPONENT OF CBT IS BEHAVIOUR MODIFICATION
- PATIENT TO CHANGE BEHAVIOUR EVEN IF THE MOOD MAKES IT DIFFICULT
(GET OUT OF BED AT A CERTAIN TIME, MAKE SURE SOMETHING IS REGULARLY EATEN)
- SCHEDULE ACTIVITIES (LIKE EXERCISE)
- SCHEDULE PLEASURABLE ACTIVITIES
- ASSERTIVENESS TRAINING
- PROBLEM SOLVING TRAINING

5. THE END