![]() This then elicited crying because she believed this would never happen. When the therapist asked a 45-year-old single woman what positive visual image she could produce, she began to describe herself in a bedroom holding a man she loved. Positive images are often instructive because they indicate the patient’s belief about how problems might be satisfactorily resolved. For example, a panic disorder patient had the image that she would be driving across a bridge, lose control, and see herself plummeting to her death. These are not hallucinations, but rather images that entail the belief that something dangerous will happen. ![]() Many patients (especially anxious patients) report having visual images when they are anxious. ![]() g., “If I don’t get approval, then I’m a failure”). Typical automatic thoughts are “I’ll never be happy” or “I’ll lose control” or “I’m a failure.” More general, pervasive thoughts are called underlying assumptions: these refer to “should statements” (e.g., “I should get the approval of everyone”) and “if-then statements” (e. The cognitive therapist will try to elicit automatic thoughts, which are thoughts that come spontaneously, seem plausible to the patient, and are associated with negative affect. The patient’s interpretation is key, for it will become one of the initial targets for therapy. For example, different patients might become depressed because the breakup signifies that they are unlovable, that they will not be able to care of themselves, or that they cannot trust their judgment. Unfortunately many clinicians believe they know what the event meant to the patient, but they may be completely wrong. The cognitive assessment attempts to elicit the patient’s idiosyncratic interpretations of events. Patient: I can never be happy with anyone else. Therapist: And if I can never be with her again I feel depressed because I think. Patient: I’ll never be able to be with her again. “I felt depressed when we broke up because I thought. I am going to give you some sentences and I want you to finish them with the first thoughts that come to mind. Therapist: You said you felt depressed and hopeless after you and Susan broke up. The therapist will inquire as to the meaning of the breakup. For example, the patient may report that he felt depressed and hopeless after the breakup of a relationship and that these feelings precipitated the current major depressive episode. The therapist is not only interested in the patient’s symptoms and life history but also in his interpretation of events. The cognitive therapy intake is different from traditional intake interviews. Home » Misc » List of automatic thoughts List of automatic thoughtsĪssessment - Cognitive Therapy NYC From the Jason Aronson CollectionĬognitive Assessment from the book Cognitive Therapy: Basic Principles and Applications
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