Cognitive Behavioural Therapy For Dummies. Rob Willson
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3 In column E, rate the effects of your alternatives on your feelings.Rate your original feelings 0 to 100 per cent. Also note whether you experience any alternative healthier emotions such as these:ConcernAnnoyanceSadnessRemorseDisappointmentSorrow© John Wiley & Sons, Inc.FIGURE 3-2: An example of a filled-in ABC Form II. You won’t always notice a great deal of change in how you feel at first, so keep persevering! Changes in the way you behave and think tend to precede improved emotional responses. Keep thinking and acting in line with how you want to ultimately feel.
4 Develop a plan to move forward.The final step on the ABC form II is to develop a plan to move forward. Your plan may be to conduct a behavioural experiment to help you gather more information about whether your thoughts are true or realistic, or to behave differently in a specific situation. Go to Chapters 4 and 5 for more ideas.
5 Set yourself some homework.When you’ve completed several ABC forms, you may well begin to notice recurring themes, thoughts, attitudes or beliefs. Such repetitions may suggest that you need to add some other CBT techniques such as the following in order to overcome certain emotions or behaviours:Facing a fear until it reduces (Chapter 9)Conducting a behavioural experiment to test out a thought (Chapter 4)AN ABC A DAY KEEPS THE DOCTOR AT BAY!If you want to develop any skill, remember these three words: Practice, practice, practice! You may not need to fill out an ABC form every day. Other days, you may need to complete more than one form. The point is that practising ABC forms regularly is worthwhile becausePractice helps change disturbing feelings and the thoughts that underpin them.Sinking a new thought into your head and heart takes repetition.By completing forms on paper, you can become increasingly able to challenge unhelpful thoughts in your head – although you may still need to do it on paper sometimes.As you progress in your ability to overcome difficulties and develop your CBT self-help skills, you may still find the ABC form useful when you’re hit with a biggie. And remember: If you can’t work out your unhelpful thinking on the hoof, do sit down and bash it out on paper.Acting repeatedly ‘as if’ you believe an alternative thought, attitude or belief (Chapter 17)Completing a Zig-Zag form to strengthen an alternative thought, attitude or belief (Chapter 17)Read on and set yourself some more therapy assignments using the CBT principles in this book.
Keeping your old ABC forms can be a rewarding record of your progress, and a useful reminder of how to fill them in if you need to use one again in the future. Many of our clients look back over their ABC forms after they feel better and tell us: ‘I can’t believe I used to feel and think like that!’
Chapter 4
Designing and Conducting Behavioural Experiments
IN THIS CHAPTER
Testing out your thoughts and assumptions as predictions
Exploring theories and gathering information
Designing and recording your experiments
Often, CBT can seem like common sense. Behavioural experiments are particularly good examples of the common-sense side of CBT. If you want to know whether your hunch about reality is accurate, or your way of looking at something is helpful, put it to a test in reality.
This chapter is an introduction to behavioural experiments, a key CBT strategy. We include in this chapter an overview of several behavioural experiments that you can try out for yourself. We also give you examples of these experiments in action. As with the other examples we use in this book, try to look for anything useful you can draw from them. Try not to home in too much on how the examples differ from your specific problem. Instead, focus on what you have in common with the examples and work from there to apply the techniques to your own problems.
Even in a ‘talking treatment’ like CBT, actions speak louder than words. Aaron Beck, founder of cognitive therapy, encourages a therapeutic perspective where client and therapist work on ‘being scientific together’. Beck emphasises that testing your thoughts in reality, rather than simply talking about them, underpins effective therapy.Seeing for Yourself: Reasons for Doing Behavioural Experiments
The proof of the pudding’s in the eating. The same can be said of your assumptions, behaviours, beliefs and predictions about yourself and the world around you. Use experiments to test out the truth about your beliefs and to assess the usefulness of your behaviours.
You can use behavioural experiments in the following ways:
To test the validity of a thought or belief that you hold about yourself, other people or the world
To test the validity of an alternative thought or belief
To discover the effects that mental or behavioural activities have on your difficulties
To gather evidence in order to clarify the nature of your problem
Living according to a set of beliefs because you think they’re true and helpful is both easy and common. You can also easily stick to familiar ways of behaving because you think that they keep you safe from feared events, or that they help you to achieve certain goals. An example of this may be holding a belief that other people are out to find fault with you – with this thought in mind, you then work hard to hide your mistakes and shortcomings.
The beauty of a behavioural experiment is that you may well find that your worst imagined scenarios don’t happen, or that you deal with such situations effectively when, or even if, they do occur.
We may be stating the obvious, but change can be less daunting if you keep in mind that you can always return to your old ways of thinking about things if the new ways don’t seem any better. If your old ways seem to be the best option, nothing’s stopping you from going back to them. The trick is to prepare yourself to try out new strategies and to give them a chance before returning to your former ways. Find out what works best for you and your particular situation.
Testing Out Predictions