Como se ESTRUTURA uma sessão em Terapia Cognitivo-Comportamental. (3° Ed. Judith Beck) 13/23

Summary

In this video, Georgia Matos explains the structured yet flexible approach to Cognitive Behavioral Therapy (CBT) sessions. The process includes three main parts: initial, intermediate, and final. The therapist collaborates with the patient to define session goals, assess mood, and review progress. Through interventions, the therapist works on patient issues while keeping the action plan on track. The session concludes with a summary and feedback, ensuring the patient’s needs are addressed. Matos emphasizes the importance of a logical flow in CBT while adapting to each patient's unique needs, making it easier to follow and apply in practice.

Takeaways

• 😀 The structure of a CBT session follows a logical sequence, making it easy to follow and not needing to be memorized.
• 😀 The initial session involves assessment, including creating a case conceptualization, diagnosis, and treatment plan.
• 😀 The first actual treatment session (after the assessment) focuses on understanding the patient's problems while referring to the case conceptualization.
• 😀 CBT sessions are divided into three parts: initial, intermediate, and final stages, each with specific goals.
• 😀 In the initial part, the therapist checks the patient's mood, medication adherence, and any suicidal ideation.
• 😀 The therapist and patient collaboratively define the agenda for the session, with the patient stating their goals, and the therapist proposing topics to address.
• 😀 The therapist asks for an update on both the positive and negative experiences the patient had during the week to begin the session.
• 😀 Prioritizing the agenda is crucial, so the therapist and patient can focus on the most important issues first during the session.
• 😀 In the intermediate part, the therapist addresses the key issues from the agenda, offers interventions, and discusses the action plan from the previous session.
• 😀 The final part of the session includes summarizing the session, setting the next action plan, and obtaining feedback from the patient on the session's effectiveness and any areas for improvement.

Q & A

What is the basic structure of a therapy session in Cognitive Behavioral Therapy (CBT)?

A typical therapy session in CBT is divided into three parts: the initial part, the intermediate part, and the final part. The session structure is designed to follow a logical sequence, but it’s not rigid or fixed.

What is the role of the therapist during the initial part of the session?

During the initial part, the therapist checks the patient's mood, verifies whether the patient is following prescribed medication, and assesses the overall well-being of the patient. The therapist also collaborates with the patient to define the agenda for the session and prioritizes the topics to address.

How does the therapist handle the assessment of the patient's emotional state?

The therapist assesses the patient's emotional state by checking for signs of suicidal ideation and asking the patient whether they have had any thoughts of harming themselves or others during the past week.

Why is it important for the therapist to confirm whether the patient is taking medication as prescribed?

Although therapists do not prescribe medication, it is important for them to ensure that the patient is taking their medication as prescribed. This helps ensure the therapy’s effectiveness, as medication and therapy often complement each other.

What happens during the intermediate part of the session?

In the intermediate part, the therapist works on the main issues outlined in the session’s agenda, focusing on interventions and evaluating whether additional interventions are needed. The therapist also discusses and revises the patient's action plan.

What role does collaboration between the therapist and the patient play in the therapy process?

Collaboration is a core principle in CBT. The therapist and the patient work together to set session goals, prioritize tasks, and decide on the best approach for addressing issues. This partnership ensures that the patient remains engaged and motivated throughout the therapy process.

What should be included in the action plan for the following week?

The action plan for the next week includes tasks or goals for the patient to work on. The therapist will ask the patient if they feel able to complete the tasks and will ensure that there are no remaining doubts. The plan is meant to guide the patient’s progress between sessions.

What is the purpose of summarizing the session at the end?

Summarizing the session helps reinforce key points and outcomes. The therapist highlights the most important aspects of the session in a positive way, ensuring that both therapist and patient are clear on what was accomplished and what needs attention in future sessions.

What feedback is typically requested from the patient during the final part of the session?

The therapist asks for feedback on how the patient felt about the session, if anything was bothersome, if there’s anything they would like to change in future sessions, and if the therapist understood their concerns correctly. This feedback helps improve the therapy process.

How does the therapist ensure that the patient understands the rationale behind interventions and action plans?

The therapist explains why specific interventions or action plans are being proposed, helping the patient understand their purpose. This transparency encourages the patient to be more engaged and committed to the treatment plan.