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Combining Cognitive Behavioral Therapy and …
Combining Cognitive Behavioral Therapy and Motivational InterviewingJim Carter, Behavioral Health, La Jolla, CAUCSD SOMP resented At:39thAnnualSummer Clinical Institute In Addiction StudiesUCSD CCARTAA ugust 4th, 2010 CBT = Cognitive Behavioral TherapyMI = Motivational InterviewingAgenda CBT for substance use MI for substance use Similarities and differences Rationale for Combining Ways to combine Possible models for combiningCBT Model of DisordersPredisposing FactorsPrecipitating Factors+Dysregulation in Function Behavioral System Cognitive System Affective SystemDysregulation in Substance Use Problems Cognitive Dysregulation Attention to positive and negative outcomes Attribution (internal vs. external) Decision making (risk taking) Self-efficacy Attitudes, beliefs, schemas Behavioral Dysregulation Positive and negative reinforcement Conditioning (cue reactivity) Displaced reinforcementsCBT Process Case conceptualization Time-limited and solution-focused Structured and directive Individual and/or group format Sound therapeutic relationshi
CBT = Cognitive Behavioral Therapy MI = Motivational Interviewing Agenda • CBT for substance use • MI for substance use • Similarities and differences • Rationale for combining • Ways to combine • Possible models for combining
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