Cognitive-behavioral therapy (CBT) – Terms and Terminologies

Cognitive-behavioral therapy (CBT) employs a range of terms and concepts that are integral to its framework. Below is a glossary of common terms used in CBT:

Core Concepts

Term Description
Automatic Thoughts Spontaneous, habitual thoughts that occur without conscious effort, often leading to emotional responses.
Schemas Deeply held core beliefs or mental frameworks that shape how individuals interpret experiences.
Cognitive Restructuring A technique to identify, challenge, and modify distorted or unhelpful thoughts.
Behavioral Activation Encouraging engagement in activities to improve mood and reduce avoidance.
Exposure Therapy Gradual confrontation with feared stimuli to reduce anxiety or phobias.
Psychoeducation Teaching clients about psychological concepts and how their thoughts and behaviors affect emotions.
Thought Records Tools to track and evaluate automatic thoughts, evidence for and against them, and alternative perspectives.
Socratic Questioning A guided questioning method to help clients examine the validity of their thoughts and beliefs.

Behavioral Concepts

Term Description
Behavioral Experiments Activities designed to test the accuracy of beliefs or assumptions.
Graded Exposure A step-by-step approach to confronting anxiety-provoking situations in a hierarchical order.
Activity Scheduling Planning positive, goal-directed activities to improve mood and reduce procrastination.
Reinforcement Using rewards to encourage positive behavior changes.

Cognitive Concepts

Term Description
Core Beliefs Fundamental, often unconscious beliefs about oneself, others, and the world (e.g., “I am unlovable”).
Intermediate Beliefs Rules and assumptions derived from core beliefs (e.g., “If I fail, people will reject me”).
Cognitive Triad Negative views of the self, world, and future, commonly seen in depression.
Cognitive Model A framework explaining how thoughts, feelings, and behaviors interact and influence each other.

Emotional Regulation Techniques

Term Description
Mindfulness Present-moment awareness and acceptance of thoughts and feelings without judgment.
Distress Tolerance Skills to manage emotional crises without making the situation worse.
Relaxation Techniques Strategies like deep breathing, progressive muscle relaxation, or visualization to reduce stress.

Problem-Solving Techniques

Term Description
Problem-Solving Skills A structured approach to identifying and resolving life challenges.
SMART Goals Specific, Measurable, Achievable, Relevant, and Time-bound objectives to guide therapy.
Relapse Prevention Strategies to anticipate and manage potential setbacks or challenges.

Advanced Techniques

Term Description
Imagery Rescripting Replacing distressing mental images with more positive or neutral alternatives.
Behavioral Chain Analysis A technique to analyze the sequence of events, thoughts, and behaviors leading to a problematic outcome.
Cognitive Defusion A mindfulness strategy to help clients detach from unhelpful thoughts.

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