Cognitive Behavioural Therapy For Dummies

Cognitive Behavioural Therapy For Dummies
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Retrain your thinking and your life with these simple, scientifically proven techniques!   Cognitive behavioral therapy, or CBT for short, is often cited as the gold standard of psychotherapy. Its techniques allow you to identify the negative thought processes that hold you back and exchange them for new, productive ones that can change your life. Increasingly popular among healthcare professionals, the CBT approach can be used by anyone to overcome common problems ranging from depression or anxiety to more complex disorders like OCD, PTSD and addiction. CBT can also be used to simply developing a healthier, more productive outlook on life.  This book shows you how you can easily incorporate the techniques of CBT into your day-to-day life and produce tangible results.. You’ll learn how to take your negative thoughts to boot camp and retrain them, establishing new habits that tackle your toxic thoughts and retool your awareness, allowing you be free of the weight of past negative thinking biases. Move on: take a fresh look at your past and maybe even overcome it Mellow out: relax yourself through techniques that reduce anger and stress Lighten up: read practical advice on healthy attitudes for living and ways to nourish optimism Look again: discover how to overcome low self-esteem and body image issues Whatever the issue, don’t let your negative thoughts have the last say—buy a copy of Cognitive Behavioral Therapy for Dummies and start developing your new outlook on life today!

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Rob Willson. Cognitive Behavioural Therapy For Dummies

Cognitive Behavioural Therapy For Dummies® To view this book's Cheat Sheet, simply go to www.dummies.com and search for “Cognitive Behavioural Therapy For Dummies Cheat Sheet” in the Search box. Table of Contents

List of Tables

List of Illustrations

Guide

Pages

Introduction

About This Book

Foolish Assumptions

Icons Used in This Book

Beyond the Book

Where to Go From Here

Introducing CBT Basics

You Feel the Way You Think

Using Scientifically Tested Methods

Understanding CBT

Combining science, philosophy and behaviour

Progressing from problems to goals

Making the Thought–Feeling Link

Emphasising the meanings you attach to events

CONSIDER THE REACTIONS OF TEN PEOPLE

Acting out

Learning Your ABCs

Characterising CBT

GETTING COMPLICATED

Spotting Errors in Your Thinking

Catastrophising: Turning Mountains Back Into Molehills

All-or-Nothing Thinking: Finding Somewhere In-between

Fortune-Telling: Stepping Away From the Crystal Ball

Mind-Reading: Taking Your Guesses with a Pinch of Salt

Emotional Reasoning: Reminding Yourself That Feelings Aren’t Facts

Overgeneralising: Avoiding the Part/Whole Error

Labelling: Giving Up the Rating Game

Making Demands: Thinking Flexibly

Mental Filtering: Keeping an Open Mind

Disqualifying the Positive: Keeping the Baby and Throwing Out the Bathwater

Low Frustration Tolerance: Realising You Can Bear the ‘Unbearable’

Personalising: Removing Yourself from the Centre of the Universe

GETTING INTIMATE WITH YOUR THINKING

Tackling Toxic Thoughts

Catching NATs

Making the thought–feeling link

Becoming more objective about your thoughts

Stepping Through the ABC Form I

Creating Constructive Alternatives: Completing the ABC Form II

Designing and Conducting Behavioural Experiments

Seeing for Yourself: Reasons for Doing Behavioural Experiments

Testing Out Predictions

Seeking Evidence to See Which Theory Best Fits the Facts

Conducting Surveys

Making Observations

Ensuring Successful Behavioural Experiments

Keeping Records of Your Experiments

DON’T TAKE OUR WORD FOR IT …

Pay Attention! Refocusing and Retraining Your Awareness

Training in Task Concentration

Choosing to concentrate

Concentration exercise: Listening

Concentration exercise: Speaking

Concentration exercise: Graded practice

Concentration exercise: Taking a walk

Tuning in to tasks and the world around you

Tackling the task concentration record sheet

Becoming More Mindful

Being present in the moment

Letting your thoughts pass by

Watching the train pass by

Standing by the side of the road

Discerning when not to listen to yourself

Incorporating mindful daily tasks

Tolerating upsetting images and unpleasant ideas

Knowing a thought is just a thought

Letting unwelcome thoughts extinguish by themselves

Charting the Course: Defining Problems and Setting Goals

Exploring Emotions

Naming Your Feelings

Thinking What to Feel

Understanding the Anatomy of Emotions

Comparing Healthy and Unhealthy Emotions

Spotting the difference in thinking

Spotting the difference in behaving, and ways you want to behave

Spotting the difference in what you focus on

Seeing Similarities in Your Physical Sensations

Identifying Feelings about Feelings

HANDY EMOTIONAL HEALTH CHECKLIST

Defining Your Emotional Problems

Making a statement

Rating your emotional problem

WHEN POSITIVES ARE NEGATIVES

Identifying Solutions That Cause You Problems

When Feeling Better Can Make Your Problems Worse

Getting Over Depression without Getting Yourself Down

Loosening Your Grip on Control

Feeling Secure in an Uncertain World

Surmounting the Side Effects of Excessive Safety-Seeking

Wending Your Way Out of Worry

Preventing the Perpetuation of Your Problems

Helping Yourself: Putting the Petals on Your Vicious Flower

PUT DOWN THAT SHOVEL AND EMPTY YOUR POCKETS!

Setting Your Sights on Goals

Putting SPORT into Your Goals

Homing In on How You Want to Be Different

Setting goals in relation to your current problems

Defining how you want to feel as an alternative

Defining how you want to act

Making a statement

Maximising Your Motivation

Identifying inspiration for change

Focusing on the benefits of change

Completing a cost–benefit analysis

Recording your progress

MERCURIAL DESIRES

Putting CBT Into Action

Standing Up to Anxiety and Facing Fear

Acquiring Anti-Anxiety Attitudes

Thinking realistically about the probability of bad events

Avoiding extreme thinking

Taking the fear out of fear

Attacking Anxiety

Winning by not fighting

Defeating fear with FEAR

Repeatedly confronting your fears

Keeping your exposure challenging but not overwhelming

Taking it step by step

Jumping in at the deep end

Shedding safety behaviours

Recording your fear-fighting

Overriding Common Anxieties

Socking it to social anxiety

Waging war on worry

Pounding on panic

Assaulting agoraphobia

Dealing with post-traumatic stress disorder

Hitting back at fear of heights

FASCINATING PHOBIAS

Abolishing Addictions

Putting a Name to Your Problem

Familiarising Yourself with the Many Faces of Addiction

Accepting Yourself and Your Addiction

Securing Suitable Support

Deciding to Desist

Counting the costs

Being honest about the benefits

HIGHLIGHTING HEALTH

Transforming Intention into Action

Making a date

Cruising through cravings

Extending the time between urge and action

Dealing with deprivation

Putting positive obstacles in place

Leaving nothing to chance

Creating constructive conditions for continued recovery

Cleaning house

Taking up supportive socialising

Planning to Prevent Relapse

Building a Better Body Image and Beating BDD

Making Friends with the Mirror

Do I have BDD?

Do I have an eating disorder?

Considering hypothetical cases

Taking Advertising and Media Messages with a Pinch of Salt

Recognising your own body image issues

Unhealthy appearance-related thinking

Unhealthy behaviours

Accepting yourself

Seeing yourself as a whole person

Saluting Your Body for Services Rendered

Enjoying scintillating sensations

Doing your daily duties

Valuing your vehicle for experience

Choosing to Change for All the Right Reasons

Maximising enjoyment

Bringing out your best

Being daring

CHANGING WITH TIME

Deconstructing and Demolishing Depression

Understanding the Nature of Depression

Looking at What Fuels Depression

Going Round and Round in Your Head: Ruminative Thinking

Catching yourself in the act

Arresting ruminations before they arrest you

Activating Yourself as an Antidepressant

Tackling inactivity

Dealing with the here and now: Solving problems

Taking care of yourself and your environment

ACTing against Depression

Practising acceptance

Considering compassion

Obtaining a new outlook

Managing Suicidal Thoughts

Contemplating Complex Forms of Depression

Bipolar disorder

Cyclothymic disorder

Dysthymic disorder

FAMOUS AND DEPRESSED

Sleeping Soundly

Assessing Your Sleep Situation

Eliminating Unhelpful Sleep Expectations

Getting Into a Clean Sleep Routine

Tiring yourself out

Establishing a sleep window

Nixing napping

Tossing out tossing and turning

Slowing down on stimulation

Building a better bedtime routine

Relaxing your muscles

Limiting the (blue) light

Making your bedroom oh-so-cosy

A MENTION ABOUT MEDICATION

Overcoming Obsessions

Identifying and Understanding Obsessional Problems

Understanding obsessive-compulsive disorder (OCD)

Identifying Unhelpful Behaviours

Acquiring Anti-Obsessional Attitudes

Tolerating doubt and uncertainty

Trusting your judgement

Treating your thoughts as nothing more than thoughts

Being flexible and not trying too hard

Using external and practical criteria

Allowing your mind and body to do their own things

Normalising physical sensations, emotions and unpleasant thoughts

Facing Your Fears: Reducing (and Stopping) Rituals

Putting up firm resistance

Delaying and modifying rituals

Being Realistic about Responsibility

Dividing up your responsibility pie

Retraining your attention

SEEKING PROFESSIONAL HELP

Overcoming Low Self-Esteem and Accepting Yourself

Identifying Issues of Self-Esteem

Developing Self-Acceptance

Understanding that you have worth because you’re human

Appreciating that you’re too complex to globally measure or rate

Letting go of labelling

Believing you’re more than the sum of your parts

Acknowledging your ever-changing nature

Accepting your fallible nature

Valuing your uniqueness

FORGIVING FLAWS IN YOURSELF AND OTHERS

WHY SELF-ACCEPTANCE BELIEFS WORK

Using self-acceptance to aid self-improvement

Understanding that acceptance doesn’t mean giving up

Being Inspired to Change

Actioning Self-Acceptance

Self-talking your way to self-acceptance

Following the best-friend argument

Dealing with doubts and reservations

Selecting the Self-Help Journey to Self-Acceptance

IMPERFECT SELF-ACCEPTANCE

Cooling Down Your Anger

Discerning the Difference between Healthy and Unhealthy Anger

Key characteristics of unhealthy anger

Hallmarks of healthy anger

Assembling Attitudes That Underpin Healthy Anger

Putting up with other people

Forming flexible preferences

Accepting other people as fallible human beings

Accepting yourself

Developing high frustration tolerance

DOING YOUR ABCs

Pondering the pros and cons of your temper

Imparting Your Indignation in a Healthy Way

Asserting yourself effectively

Coping with criticism

Using the disarming technique

Acting Assertively in the Workplace

Putting your point across positively

Assessing what you aim to achieve

Taking time to think

Leaving well enough alone

Promoting a professional image

Remaining professional

Dealing with Difficulties in Overcoming Anger

BODY BENEFITS FOR BRIDLING YOUR ANGER

Healing Illness Anxiety

Analysing the Anatomy of Illness Anxiety

Getting to know Medically Unexplained Physical Sensations

Minimising Your Fear of Missing an Important Symptom

Feeling Secure in an Uncertain Body

Looking Backwards and Moving Forwards

Taking a Fresh Look at Your Past

Exploring How Your Past Can Influence Your Present

Identifying What Core Beliefs Are

Introducing the three camps of core beliefs

Beliefs about yourself

Beliefs about other people

Beliefs about the world

Seeing how your core beliefs interact

Detecting Your Core Beliefs

Following a downward arrow

Picking up clues from your dreaming and screaming

Tracking themes

Filling in the blanks

Understanding the Impact of Core Beliefs

Spotting when you are acting according to old rules and beliefs

Understanding that unhealthy core beliefs make you prejudiced

Making a Formulation of Your Beliefs

Limiting the Damage: Being Aware of Core Beliefs

Developing Alternatives to Your Core Beliefs

Revisiting history

Replacing old meanings with new meanings

Incorporating new beliefs into your life

Starting from scratch

Thinking about what you’d teach a child

Considering what you’d want a friend to believe

SHAPING YOUR WORLD

Moving New Beliefs from Your Head to Your Heart

Defining the Beliefs You Want to Strengthen

Acting As If You Already Believe

Building a Portfolio of Arguments

Generating arguments against an unhelpful belief

Generating arguments to support your helpful alternative belief

Understanding That Practice Makes Imperfect

Dealing with your doubts and reservations

Zigging and zagging through the zigzag technique

Putting your new beliefs to the test

Nurturing Your New Beliefs

Heading for a Healthier and Happier Life

Planning to Prevent Relapse

Filling In the Gaps

Choosing absorbing activities

Matchmaking your pursuits

Putting personal pampering into practice

Overhauling Your Lifestyle

Walking the walk

Keeping your body moving

Using your head

Getting involved

Becoming spiritual

Talking the talk

Getting intimate

SIX STEPS FOR TALKING AND LISTENING

Sex and other animals

Talking about sex

Living in Line with Your Values

Reflecting your values through action

Staying focused on what’s most important

Reshuffling priorities

Overcoming Obstacles to Progress

Tackling Emotions That Get in the Way of Change

Shifting shame

Getting rid of guilt

Putting aside pride

Seeking support

BOOK NOW TO AVOID DISAPPOINTMENT

Trying a little tenderness

Adopting Positive Principles That Promote Progress

Understanding that simple doesn’t mean easy

Being optimistic about getting better

Staying focused on your goals

Persevering and repeating

Tackling Task-Interfering Thoughts

SIDESTEPPING SAND TRAPS

Psychological Gardening: Maintaining Your CBT Gains

Knowing Your Weeds from Your Flowers

Working on Weeds

Nipping weeds in the bud

Spotting where weeds may grow

Dealing with recurrent weeds

Tending Your Flowers

Planting new varieties

A HAPPY GARDENER’S CHECKLIST

Being a compassionate gardener

HOW DOES YOUR GARDEN GROW?

Working with the Professionals

Procuring Professional Help

Thinking about the right therapy for you

Meeting the experts

Tracking Down the Right CBT Therapist for You

Asking yourself the right questions

Speaking to the specialists

FIGHTING YOUR FEARS ABOUT SEEKING SPECIALIST HELP

Making the Most of CBT

Discussing issues during sessions

Being active between sessions

HALLMARKS OF A GOOD CBT THERAPIST

The Part of Tens

Ten Philosophies for Living That Work

Assuming Emotional Responsibility: Owning the Way You Feel

Thinking Flexibly

Valuing Your Individuality

Accepting That Life Can Be Unfair

Understanding That Approval from Others Isn’t Necessary

Realising Love Is Desirable, Not Essential

Tolerating Short-Term Discomfort

Enacting Enlightened Self-Interest

Pursuing Interests and Acting Consistently with Your Values

Tolerating Uncertainty

Ten Self-Esteem Boosters That Don’t Work

Putting Others Down

Thinking You’re Special

Trying to Get Everyone to Like You

Placing Yourself above Criticism

Avoiding Failure, Disapproval, Rejection and Other Animals

Avoiding Your Emotions

Attempting to Feel More Significant by Controlling Others

Over-Defending Your Self-Worth

Feeling Superior

Blaming Nature or Nurture for Your Problems

Ten Mythical Monsters of Mental Health

Psychological Problems Mean You’re Weak

I Should Be Able to Get Better on My Own

Mental Health Is an Either/Or Issue

You Get Better All at Once

The Drugs Don’t Work; They Just Make You Worse

Certain Types of Psychological Disorders Are Glamorous

Mental Illness Is Unpreventable; It’s Just Bad Luck

Everyone Can Tell when a Person Has a Mental Illness

Having a Mental Illness Means You’re Dangerous

Seeking Help Will Go on My Medical Record and Hurt My Future Prospects

Appendixes

Recommended Resources

Books

Websites

Films and Videos

Forms

The ‘Old Meaning–New Meaning’ Sheet

The Cost–Benefit Analysis Form

The ‘Tic-Toc’ Sheet

The Zigzag Form

The Vicious Flower

The Task Concentration Sheet

The ABC Form I

The ABC Form II

The Pricing-up Addiction Form

The ‘What does my addiction do for me?’ Analysis Form

Index. A

B

C

D

E

F

G

H

I

J

K

L

M

N

O

P

Q

R

S

T

U

V

W

Z

About the Authors

Dedication

Authors’ Acknowledgments

WILEY END USER LICENSE AGREEMENT

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Cognitive behavioural therapy, or CBT, continues to grow in popularity as an efficient and long lasting treatment for many different types of psychological problems. Increasingly, CBT is the treatment your doctor is most likely to offer you if you consult him with concerns about your mood. If the word psychological sends you running from the room screaming, try to consider the term referring to problems that affect your emotional rather than your physical sense of well-being. At some point in your life, something’s going to go a bit wrong with your body. So why on earth do humans assume that their minds and emotions should be above the odd hiccup, upset, or even more serious difficulty? Happily, fewer stigmas about mental health difficulties like anxiety and depression exist now than when this book first published in 2005).

This book gives you a comprehensive introduction to the theory and application of CBT techniques. Although we don’t have the space to go into nitty-gritty specifics about how to use CBT to overcome every type of emotional or psychological problem, we do try to lead you in a helpful direction by giving an overview of some of the most common problems people encounter. You may not have realized just how common mental health problems can be. We aim to help you see that you aren’t alone, that there is help and that you certainly have no need to be embarrassed about seeking support! We believe all the CBT principles and strategies outlined in this book can improve your life and help you to stay healthy, regardless of whether you’ve worked with or are currently working with a psychiatrist or other psychological professional.

.....

Harold then used the same techniques in more-threatening situations. In the grocery store, Harold found that the more he focused on his blushing and sweating, the more anxious he felt and the less able he was to pack up his shopping. When he paid attention to the task of packing his groceries, made eye contact with the cashier and even made a bit of small talk, Harold’s anxiety symptoms reduced, and he became more aware of what he was doing and what was going on around him.

Harold worked diligently through his hierarchy of feared situations and now feels much more confident and relaxed in social situations.

.....

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