Advanced CBT Class Notes
1. Introduction to CBT
Cognitive Behavioral Therapy (CBT) focuses on identifying and modifying
unhelpful thoughts and behaviors.
• History and development: Beck (1960s), Ellis (REBT).
• Structure: time-limited, goal-oriented.
2. Core Concepts
• Automatic thoughts: immediate, reflexive responses.
• Cognitive distortions: common patterns (e.g., all-or-nothing,
overgeneralization).
• Behavioral activation: scheduling activities to improve mood.
3. Session Structure
• Agenda setting: reviewing homework, setting goals.
• Thought monitoring: using thought records.
• Homework: practice between sessions.
4. Key Worksheets
Thought Record Worksheet: record situation, emotion, automatic thought,
evidence, alternative thought, outcome.
• Behavioral Activation Log: date, activity, mood rating (1-10), notes.
• Exposure Hierarchy: list anxiety-provoking situations ranked by distress.
5. Case Example
Client: 30-year-old with social anxiety. Used thought record to challenge
beliefs about judgment.
• Outcome: reduction in anxiety from 8 to 4 on SUDS scale over 4 sessions.
6. Review Questions
• List three cognitive distortions and give examples.
• Describe steps in behavioral activation.
• Explain how to complete an exposure hierarchy.