Cognitive Therapy for Challenging Problems – Judith Beck

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Dr. Beck has taught thousands of clinicians through training programs at the Beck Institute and has presented hundreds of workshops nationally and internationally on a variety of cognitive therapy topics. Among her many professional publications are two essential texts in the field, used at hundreds of universities worldwide.

In this seminar, she will teach you how to diagnose, conceptualize, plan strategy and implement solutions for the challenging problems that arise when treating clients.

Dr. Beck discusses how to specify problems, differentiate between practical and psychological problems, use a cognitive framework to understand why the latter set of problems has arisen and use a variety of interventions from various psychotherapeutic modalities.

• Analyze challenging problems according to a cognitive framework.
• Describe key techniques to enhance the therapeutic relationship.
• Describe key techniques to help clients change dysfunction beliefs that interfere with treatment.
• Implement strategies to improve the therapeutic alliance to achieve treatment goals.
• Apply techniques to increase motivation, improve therapy session and change core beliefs.

Cognitive Therapy

• Cognitive Therapy in 2010 and challenging problems
• Applying techniques from other modalities within a cognitive framework
• Recognize and determine the level of intervention needed for challenging problems

Why Challenging Problems Arise

• Formulate difficulties in cognitive terms
• Conceptualize clients with personality disorders
• Plan treatment based on a cognitive conceptualization

Improving the Therapeutic Alliance with Challenging Clients

• Essential strategies for all clients
• Specialized strategies for clients who are angry, manipulative, entitled, resistant, or unrevealing
• Use the therapeutic alliance to achieve therapeutic goals
• Respond effectively to your own negative reactions to clients

Setting Goals with Resistant or Unmotivated Clients

• Strategies for clients who refuse to set goals
• Addressing vague or unrealistic goals
• When clients set goals for others

Structuring the Therapy Session with Challenging Clients

• Setting agendas
• Resistance to therapist intervention
• Lack of problem solving

Modifying Automatic Thoughts of Challenging Clients

• Clients feelings of invalidation
• Clients who are too distressed
• The inability to identify thoughts and images

Enhancing Homework Completion

• Strategies to maximize homework completion
• Handling the session when homework isn’t complete

Modifying the Core Beliefs/Schemas of Challenging Clients

• Use an information-processing diagram to educate clients
• Motivate clients to change their beliefs
• Specialized strategies to modify entrenched beliefs at the intellectual and the emotional level
• Change the meaning of early traumatic experiences

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