Cognitive Therapy Techniques A Practitioner's Guide

Author: Robert Leahy
Publisher: Guilford Press
Publication Date: 2017
ISBN 10: 1462528228
ISBN 13: 9781462528226
eISBN: 9781462529339
Edition: 2nd


This indispensable book has given many tens of thousands of practitioners a wealth of evidence-based tools for maximizing the power of cognitive therapy and tailoring it to individual clients. Leading authority Robert L. Leahy describes ways to help clients identify and modify problematic thoughts, core beliefs, and patterns of worry, self-criticism, and approval-seeking; evaluate personal schemas; cope with painful emotions; and take action to achieve their goals. Each technique includes vivid case examples and sample dialogues. Featuring 125 reproducible forms, the print book has a large-size format for easy photocopying; purchasers also get access to a Web page where they can download and print the reproducible materials. New to This Edition * Numerous additional techniques and reproducible tools, including 48 new or revised forms. * Chapters on decision-making problems, intrusive thoughts, and anger management issues. * Incorporates the latest theory and research as well as cutting- edge techniques drawn from acceptance and commitment therapy, behavioral activation, dialectical behavior therapy, emotional schema therapy, and the metacognitive model. * Significantly revised chapters on emotion regulation and worries. * Filled-out examples for many of the forms.

Table of Contents

Front Matter

  • Also from Robert L. Leahy
  • About the Author
  • Preface
  • Acknowledgments

Part I Beginning Cognitive Therapy

    CHAPTER 1: Introduction

    Part II Techniques

      CHAPTER 2: Eliciting Thoughts

      • TECHNIQUE: Distinguishing between Events, Thoughts, and Feelings
      • TECHNIQUE: Explaining How Thoughts Create Feelings
      • TECHNIQUE: Distinguishing Thoughts from Facts
      • TECHNIQUE: Rating the Degree of Emotion and Degree of Belief in the Thought
      • TECHNIQUE: Looking for Variations in a Specific Belief
      • TECHNIQUE: Categorizing the Distortion in Thinking
      • TECHNIQUE: Vertical Descent
      • TECHNIQUE: Assigning Probabilities in the Sequence
      • TECHNIQUE: Guessing the Thought

      CHAPTER 3: Evaluating and Testing Thoughts

      • TECHNIQUE: Defining the Terms
      • TECHNIQUE: Making Definitions Clear and Fair
      • TECHNIQUE: Cost–Benefit Analysis of a Thought
      • TECHNIQUE: Examining the Validity of Short-Term and Long-Term Costs and Benefits
      • TECHNIQUE: Examining the Evidence
      • TECHNIQUE: Examining the Quality of the Evidence
      • TECHNIQUE: Defense Attorney
      • TECHNIQUE: Is the Rational Response Relevant to the Automatic Thought?
      • TECHNIQUE: Role Playing Both Sides of the Thought
      • TECHNIQUE: Distinguishing Behaviors from Persons
      • TECHNIQUE: Examining Variations in Behavior in Different Situations
      • TECHNIQUE: Using Behavior to Address the Negative Thought

      CHAPTER 4: Evaluating Assumptions and Rules

      • TECHNIQUE: Identifying the Underlying Assumption or Rule
      • TECHNIQUE: Challenging the “Should” Statement
      • TECHNIQUE: Identifying Conditional Rules
      • TECHNIQUE: Evaluating Second-Level Assumptions
      • TECHNIQUE: Examining the Value System
      • TECHNIQUE: Distinguishing Progress from Perfection
      • TECHNIQUE: Using Relapse for Relearning
      • TECHNIQUE: Using Case Conceptualization
      • TECHNIQUE: Examining the Implication of Perfectionism
      • TECHNIQUE: Enhancing Curiosity, a Positive Experience of Challenge, and Growth in Patients Rather Than Ideals of Perfection
      • TECHNIQUE: Developing New Adaptive Rules, Standards, and Assumptions
      • TECHNIQUE: Bill of Rights

      CHAPTER 5: Examining Information-Processing and Logical Errors

      • TECHNIQUE: Confirmation Bias
      • TECHNIQUE: Limited Search
      • TECHNIQUE: Ignoring Base Rates
      • TECHNIQUE: Examining the Logic
      • TECHNIQUE: Linking Unrelated Events and Seeing Patterns That Are Not There
      • TECHNIQUE: Creating False Dichotomies
      • TECHNIQUE: Reductio ad Absurdum
      • TECHNIQUE: Emotional Heuristics
      • TECHNIQUE: Recency Effects
      • TECHNIQUE: Arguments Based on Logical Fallacies

      CHAPTER 6: Modifying Decision Making

      • TECHNIQUE: Identifying Short-Term and Long-Term Goals
      • TECHNIQUE: Precommitment Strategies
      • TECHNIQUE: Overcoming Sunk Costs
      • TECHNIQUE: Modifying Emotional Reasoning in Decision Making
      • TECHNIQUE: Reframing Change as Gain Rather Than Loss
      • TECHNIQUE: Overcoming Regret Avoidance
      • TECHNIQUE: Decision for a Future Self
      • TECHNIQUE: Diversifying Sources of Reward
      • TECHNIQUE: Comparing Risk versus Risk

      CHAPTER 7: Responding to and Evaluating Intrusive Thoughts

      • TECHNIQUE: Mindful Detachment
      • TECHNIQUE: Thought Balloon
      • TECHNIQUE: Examining Thought–Action Fusion
      • TECHNIQUE: Asking If the Thought Is Relevant
      • TECHNIQUE: Welcoming the Visitor
      • TECHNIQUE: The Thought Clown
      • TECHNIQUE: Relinquishing Control of Thoughts

      CHAPTER 8: Modifying Worry and Rumination

      • TECHNIQUE: Identifying Worries
      • TECHNIQUE: Examining Costs and Benefits of Worry
      • TECHNIQUE: Turning Worries into Predictions
      • TECHNIQUE: Examining If the Prediction Is Testable
      • TECHNIQUE: Testing Negative Predictions
      • TECHNIQUE: Examining Past Thoughts and Predictions
      • TECHNIQUE: Imagining Better Outcomes
      • TECHNIQUE: Avoiding Rejection of Imperfect Solutions
      • TECHNIQUE: Reviewing How You Coped with Past Negative Events
      • TECHNIQUE: Examining Outcomes and Using Point–Counterpoint
      • TECHNIQUE: Distinguishing between Productive and Unproductive Worry
      • TECHNIQUE: Assigning Worry Time
      • TECHNIQUE: Self-Fulfilling Prophecies
      • TECHNIQUE: Flooding Uncertainty
      • TECHNIQUE: Taking Yourself Out of It/Disappear
      • TECHNIQUE: Becoming a Grain of Sand
      • TECHNIQUE: Looking Down from the Balcony
      • TECHNIQUE: Time Machine (Self)
      • TECHNIQUE: Time Machine (Others)
      • TECHNIQUE: Negation of Problems
      • TECHNIQUE: Feared Fantasy Worry
      • TECHNIQUE: Acceptance of Thought

      CHAPTER 9: Putting Things in Perspective

      • TECHNIQUE: Pie Chart
      • TECHNIQUE: What I Can Still Do
      • TECHNIQUE: Constructing Alternatives
      • TECHNIQUE: Setting a Zero Point for Evaluation
      • TECHNIQUE: Depolarizing Comparisons
      • TECHNIQUE: Looking at How Others Cope
      • TECHNIQUE: Turning the Tables—Affirming the Negative
      • TECHNIQUE: Diversifying Criteria
      • TECHNIQUE: Taking It All Away
      • TECHNIQUE: Examining Opportunities and New Meanings That Come from Loss or Conflict
      • TECHNIQUE: Traveling to the Future

      CHAPTER 10: Identifying and Modifying Schemas

      • TECHNIQUE: Identifying Schemas—Consistent Patterns
      • TECHNIQUE: Identifying Schemas—Vertical Descent
      • TECHNIQUE: Explaining Schematic Processing
      • TECHNIQUE: Identifying Schema Compensation and Avoidance
      • TECHNIQUE: Developing Motivation to Modify the Schema
      • TECHNIQUE: Activating Early Memories Related to Schemas
      • TECHNIQUE: Writing Letters to the Source
      • TECHNIQUE: Challenging the Schema
      • TECHNIQUE: Examining Your Life Using a More Positive Schema
      • TECHNIQUE: Challenging the Source of the Schema through Role Play
      • TECHNIQUE: Developing a More Positive Schema
      • TECHNIQUE: Transcendence: Affirming the Schema

      CHAPTER 11: Emotion Regulation Techniques

      • TECHNIQUE: Accessing the Emotion
      • TECHNIQUE: Expressive Writing
      • TECHNIQUE: Identifying “Hot Spots”
      • TECHNIQUE: Describing Emotional Schemas
      • TECHNIQUE: Modifying Emotional Schemas
      • TECHNIQUE: Challenging Guilt about Emotions
      • TECHNIQUE: Accepting Emotion
      • TECHNIQUE: Imagery Rescripting
      • TECHNIQUE: Doing What You Don’t Want to Do

    Part III Specific Applications

      CHAPTER 12: Examining and Challenging Cognitive Distortions

        CHAPTER 13: Modifying Need for Approval

          CHAPTER 14: Challenging Self-Criticism

            CHAPTER 15: Managing Anger

              CHAPTER 16: Concluding Comments


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