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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 relationship is essential Educative and skill-building processes Socratic method Role play, rehearsal, shaping Homework Examples of CBT Topics for Substance Use Problems Triggers and decision points Coping with urges and cravings Handling social pressures Catching a
Combining Cognitive Behavioral Therapy and Motivational Interviewing Jim Carter, Ph.D. Specialty Behavioral Health, La Jolla, CA UCSD SOM Presented At:
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