Working from the Cognitive Model Core Beliefs Rules & Assumptions Automatic Thoughts • Situation: • Thoughts: • Feelings: • Behaviors: Activity One: Use the cognitive framework above as a template and place the following bulleted statements where you think they belong in the model. Arnold’s foster parents left him with a babysitter while they went out on a date. “Maybe they got hurt while they were driving to the restaurant. Or maybe they just decided they don’t want me anymore. It’s probably because I forgot to take out the trash like they asked. I’ll bet they’re not gonna come back, just like my mom.” “Everyone I love leaves me in the end.” Arnold experiences anxiety and panic. “If I make a mistake, the adults in my life won’t love me anymore and will leave.” Arnold bites his nails and withdraws when the babysitter tries to engage with him. Activity Two: Create your own case scenario and fill out each portion of the cognitive model! Core Beliefs Rules & Assumptions Automatic Thoughts • Situation: • Thoughts: • Feelings: • Behaviors: Developing Your Thinking Trap Lingo 1. All or Nothing Thinking: thinking in terms of false dichotomies; absolute, black/white categorization. Youth-Friendly Name and Definition: ________________________________________________________________ 2. Overgeneralization: viewing a negative event as a never-ending pattern of defeat. Youth-Friendly Name and Definition: ________________________________________________________________ 3. Filtering: dwelling on the negatives and ignoring the positives. Youth-Friendly Name and Definition: ________________________________________________________________ 4. Jumping to Conclusions: assuming negative reactions from others or engaging in fortunetelling. Youth-Friendly Name and Definition: ________________________________________________________________ 5. Magnification or Minimization: blowing things way out of proportion or shrinking their importance inappropriately. Youth-Friendly Name and Definition: ________________________________________________________________ 6. Emotional reasoning: making decisions based exclusively on one’s emotional state. Youth-Friendly Name and Definition: ________________________________________________________________ 7. “Should” statements: criticizing oneself or others with “shoulds/shouldn’ts” or “musts/oughts” Youth-Friendly Name and Definition: ________________________________________________________________ 8. Labeling: identifying oneself as one’s shortcomings. Youth-Friendly Name and Definition: ________________________________________________________________ 9. Personalization or Blame: taking sole responsibility for a negative outcome or blaming others and overlooking one’s role in contributing to problems. Youth-Friendly Name and Definition: ________________________________________________________________ Anxiety Case Studies The Case of Eleanor 8-year-old Caucasian girl Living in a single-parent, multigenerational household with father and paternal grandparents; mother died during childbirth Experiencing anxiety about her grandparents’ health after learning a classmate’s grandmother passed away o Often worries about her grandparents falling, injuring themselves, or contracting an incurable disease o Engages in checking behaviors and experiences heightened emotionality when away from grandparents, has difficulty leaving them to go to school in the morning The Case of Darius 16-year-old African American boy Living in a middle-class, nuclear family with two younger siblings Experiencing anxiety related to his future in regards to college choice, performance on examinations, etc. o Ruminates about school assignments, constantly believes he is failing, and experiences significant test anxiety o Struggling with insomnia, has an elevated heart rate when thinking about or attending school, sometimes vomits before major assignments Please create a FEAR Plan for one of the individuals described above. Feeling anxious? Client’s experience of somatic symptoms. ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ Expecting bad things to happen? Client’s experience of anxious cognitions. ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ Attitudes and actions that can help? Anxiety-reducing cognitions & behaviors. ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ Rewards that make sense? Strategies for reinforcing appropriate coping. ________________________________________________________________ ________________________________________________________________ ________________________________________________________________
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