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Combining Cognitive Behavioral Therapy and …
Combining Cognitive Behavioral Therapy and Motivational InterviewingJim Carter, Behavioral HealthUCSD SOMLa Jolla, CAPresented At:CCCOE Spring Staff TrainingApril, 2011 CBT = 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 pointsCopi
CBT = Cognitive Behavioral Therapy MI = Motivational Interviewing Agenda CBT for substance use MI for substance use Similarities and differences
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