Combining Cognitive Behavioral Therapy and …

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Combining Cognitive Behavioral Therapy and motivational InterviewingJim Carter, Behavioral HealthUCSD SOMLa Jolla, CAPresented At:CCCOE Spring Staff TrainingApril, 2011CBT = Cognitive Behavioral TherapyMI = motivational InterviewingAgendaCBT for substance useMI for substance useSimilarities and differencesRationale for combiningWays to combinePossible models for combiningCBT Model of DisordersPredisposing FactorsPrecipitating FactorsDysregulation in Function Behavioral System Cognitive System Affective System+Dysregulationin Substance Use ProblemsCognitive DysregulationAttention to positive and negative outcomesAttribution (internal vs. external) Decision making (risk taking)Self-efficacyAttitudes, beliefs, schemasBehavioral DysregulationPositive and negative reinforcementConditioning (cue reactivity)Displaced reinforcementsCBT ProcessCase conceptualizationTime-limited and solution-focusedStructured and directiveIndividual and/or group formatSound therapeutic relationship is essentialEducative and skill-building processes Socratic method Role play, rehearsal, shaping Homework Examples of CBT Topics for Substance Use ProblemsTriggers and decision pointsCoping with urges and cravingsHandling social pressuresCatching and challenging distorted beliefsEmotional regulation ( , anger mgt.)

Combining Cognitive Behavioral Therapy and Motivational Interviewing Jim Carter, Ph.D. Specialty Behavioral Health UCSD SOM La Jolla, CA Presented At:

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