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June 20 – 22, 2011, Cognitive Behavior Therapy Workshop Level ll: Personality Disorders and Challenging Problems

Last week Beck Institute held its second Cognitive Behavior Therapy Workshop Level II: Personality Disorders and Challenging Problems. Psychologists, psychiatrists, social workers, councilors, and other professionals traveled from all over the world, including Brazil, Romania, Singapore, Switzerland, Turkey, Uzbekistan, Zimbabwe and seven U.S. states, to receive training in Cognitive Behavior Therapy. Participants received professional training from Aaron T. Beck, M.D., Judith S. Beck, Ph.D., Leslie Sokol, Ph.D., and Norman Cotterell, Ph.D.  Lectures and role-plays emphasized the need for the therapeutic alliance in order to differentiate the therapist from everyone else.  The need to identify core beliefs and automatic thoughts as soon as possible was also stressed.  Dr. Sokol discussed patient collaboration and made it clear that a therapist should always be there for the client.  The use of mood checks was discussed and participants were told that a patient will start with negative emotions and it is critical to probe them for positives to counter the negatives.

CBT Worksheet Demonstration

Dr. Judith Beck (right) demonstrated how to use a variety of CBT worksheets for therapists to use, such as the Cognitive Conceptualization Diagram. Dr. Beck encouraged workshop participants to roleplay with one another to practice CBT techniques. One of the highlights of the workshop was watching Dr. Aaron Beck (above-left) conduct a live patient session.  Dr. Beck started the session with a mood check and followed with setting the agenda.   Following the patient interview, Dr. Beck led a case discussion with workshop participants. All participants are pictured (below) with both Drs. Beck.

May 23 – 25, 2011, Cognitive Behavior Therapy Workshop Level I: Depression and Anxiety

May 2011: Psychologists, psychiatrists, physicians, social workers, professors, counselors, nurses and other professionals from mental health, medical, and related fields traveled from 16 states and 8 countries (including Brazil, Cayman  Islands, Denmark, Peru, Romania, Sweden, Switzerland, and Turkey) to attend this month’s Cognitive Behavior Therapy Workshop Level I on Depression and Anxiety at Beck Institute.

Participants had the opportunity to gain professional training from Aaron T. Beck, M.D., Judith S. Beck, Ph.D., Leslie Sokol, Ph.D., and Norman Cotterell, Ph.D. Trainees participated in seminars and case discussions, reviewed videos of therapy sessions, observed and engaged in demonstration role-plays among other activities.

Cognitive Therapy Demonstration

Participants had the benefit of watching Dr. Aaron Beck conduct a live patient session, which was viewed via closed-circuit television. Following the patient interview Dr. Beck answered questions from participants in a case discussion (pictured above left), during which he explained what the next session should include. Dr. Beck explained agenda setting, beginning with a review of homework and went on to explain that he asks patients, “What problems do you want my help in solving today?” to guide them into naming the problems (as opposed to giving a full description at that moment), then prioritize the problems and let him know roughly about how much of the session they’d like to devote to each one. Participants noted some key techniques that Dr. Beck used which they found to be quite useful:

  • Normalizing patient’s emotions and beliefs
  • Providing patient with language with which they can describe and validate their thoughts
  • Instilling hope and reassuring successful treatment
  • Trying a variety of methods including imagery
  • Collaboration with the patient in terms of treatment model to prevent the patient from seeing the therapist as an authority figure
  • Finding some light anecdotes, humor can be a nice touch in sessions

Following the questions regarding the patient session, Dr. Beck answered participants’ questions on other subjects, such as Positive Psychology and CBT, and CBT with depressed patients in chronic pain. Dr. Judith Beck (pictured right) spoke about cognitive behavior therapy with depressed patients and their automatic thoughts.  She emphasized psychoeducation, treatment planning, goal setting, and activity scheduling with patients.  Dr. Leslie Sokol (pictured below) spoke about the need for anxiety and the need to learn how to control it, rather than mask it with medication.  She emphasized the use of Socratic questioning and interoseptive exposure experiments in treatment.  Dr. Norman Cotterell (pictured below) spoke about suicidality.

We are so pleased that so many professionals from all over the world were able to come to the Beck Institute for such an exciting workshop!

More event highlights:

May 2 – 4, 2011, Cognitive Behavior Therapy Workshop Level II: Personality Disorders and Challenging Problems

Earlier this month, Beck Institute held the first Cognitive Behavior Therapy Workshop Level II: Personality Disorders and Challenging Problems.  In attendance were psychologists, psychiatrists, social workers, councilors, and other professionals from Brazil, Canada, Hong Kong, Sweden, Thailand, and nine U.S. states.  This higher level workshop provided extra training and guidance to professionals that wished to improve their abilities for the benefit of their clients.

Demonstration of Cognitive Behavioral Therapy Techniques

The workshop focused on the use of CBT for challenging problems, anger management, substance abuse, and Axis II disorders.  The Beck Institute faculty used role-plays and discussions to demonstrate the CBT techniques that would be useful with various patients. On day two, Dr. Aaron Beck spoke about research being done currently on the use of CBT with Schizophrenic patients.  Treatments are looking into the negative symptoms of patients and working with them to change their emotions regarding the hallucinations.  Random assignment of medication in Britain has shown that patients, who discontinue use of medication, still improve with CBT.  The workshop attendees were then able to see Dr. Aaron Beck use the techniques he pioneered in two role-plays.  Attendees brought real patient scenarios in front of the group in order to gain insight into treatment. The first role-play was about a lawyer in her late 30’s who went through a recent divorce.  She now has signs of depression, social anxiety, and OCD.  After the role-play, participants noted the following:

  • Dr. Beck followed a pattern of asking questions to elaborate on emotions and beliefs and then providing capsule summaries of the patient’s beliefs in an attempt to narrow in the focus of the problem.
  • Using mental rehearsal as an intervention, the patient would be able to see the rationality, or lack thereof, of her beliefs.
  • After focusing in on the problem, Dr. Beck analyzed the situation and assigned the patient homework (attending a party) that would push her anxieties.

The second role-play was about an unemployed man in his 40’s who has an unstable relationship, little friends, and constantly complains about the way he is treated.  This patient has a history of abuse and shows signs of social anxiety.  Attendees noted the following in Dr. Beck’s approach:

  • Dr. Beck focused on trying to conceptualize the patient’s views.
  • Using gentle interruptions and positive feedback, Dr. Beck was able to give the patient advice without looking like an authority figure.
  • The conversation was always pulled back into that which the patient had control over.

Participants received professional training from Aaron T. Beck, M.D., Judith S. Beck, Ph.D., Leslie Sokol, Ph.D., and Norman Cotterell, Ph.D.

April 4 – 6, 2011, Cognitive Behavior Therapy Workshop Level I

April 2011: Psychologists, psychiatrists, physicians, social workers, professors, counselors, and other professionals from mental health, medical, and related fields traveled from 18 states and 8 countries, including Australia, Brazil, Canada, France, Ireland, New Zealand, Peru, and United Arab Emirates. Pictured above-left, Dr. Aaron T. Beck conducts a roleplay with Ricardo Luiz Malina Losso, a psychiatrist from Brazil, to demonstrate useful techniques to use for challenging problems when working with patients. Dr. Beck also conducted a live patient session that was viewed (via closed-circuit television) by participants in the April 4 – 6, 2011, Cognitive Behavior Therapy Workshop Level I at Beck Institute.

Cognitive Behavioral Therapy Treatment Plan

Following the patient interview Dr. Beck answered questions from participants in a case discussion (pictured below), during which he explained what the next session should include (see video clip here). Dr. Beck explained agenda setting, beginning with a review of homework and went on to explain that he asks patients, “What problems do you want my help in solving today?” to guide them into naming the problems (as opposed to giving a full description at that moment), then prioritize the problems and let him know roughly about how much of the session they’d like to devote to each one.

(Right) Dr. Judith Beck conducts a roleplay with David Black, a psychologist from Missouri.  Dr. Beck discussed how to differentiate between practical and psychological problems, and how to use a cognitive framework to understand why psychological problems arise. Participants received professional training in Cognitive Behavior Therapy from Aaron T. Beck, M.D., Judith S. Beck, Ph.D., Leslie Sokol, Ph.D., and Norman Cotterell, Ph.D. Trainees participated in seminars and case discussions, reviewed videos of therapy sessions, observed

and engaged in demonstration roleplays among other activities. More event highlights:

Level I Cognitive Behavior Therapy Workshop for Professionals at Beck Institute: February 7 – 9, 2011

February 2011: Psychologists, psychiatrists, physicians, social workers, professors, counselors, nurse practitioners, and other professionals from mental health, medical, and related fields traveled from 15 states and 4 countries, including Brazil, Canada, Japan, and Turkey. Pictured above-left, Aaron T. Beck, M.D. answers questions after conducting a live patient session that was viewed (via closed-circuit television) by participants in the Cognitive Behavior Therapy workshop at Beck Institute. (Below/right) Judith S. Beck, Ph.D. and Julie Hergenrather, Ph.D., announce upcoming Level II Cognitive Behavior Therapy Workshops at Beck Institute and answer questions on our Beck Supervision Program – a distance learning program that provides intensive, one-on-one supervision from your home state or country.  Level II CBT Workshops are designed for experienced professionals who have already received at least some basic training in CBT and seek to enhance their ability to deliver CBT efficiently and effectively to clients who pose a challenge in treatment. Participants received professional training in Cognitive Behavior Therapy from Aaron T. Beck, M.D., Judith S. Beck, Ph.D., Leslie Sokol, Ph.D., and Norman Cotterell, Ph.D. Trainees participated in seminars and case discussions, reviewed videos of therapy sessions, and observed demonstration roleplays among other activities. More event highlights:

Special Cognitive Behavior Therapy Workshop for Students and Post-Doctoral Fellows: August 9 – 11, 2010

Aaron T. Beck, M.D. AUGUST 2010: Post-doctoral fellows, psychiatry residents, social work interns, nurses, and other graduate students from mental health, medical, and related fields traveled from 20 states and 8 countries, including Brazil, Canada, Denmark, Hong Kong, Ireland, Lebanon, Mexico, Turkey, and United Kingdom. Pictured above-left, Aaron T. Beck, M.D. answers questions from students in the Cognitive Behavior Therapy workshop hosted by Beck Institute. (Below/Right) Torrey Creed, Ph.D., conducts a roleplay demonstrating techniques in Cognitive Behavior Therapy for children and adolescents. Participants received professional training in Cognitive Behavior Therapy from Aaron T. Beck, M.D., Judith S. Beck, Ph.D., Leslie Sokol, Ph.D., and Torrey Creed, Ph.D. Trainees participated in seminars and case discussions, reviewed videos of therapy sessions, and observed demonstration roleplays among other activities. More event highlights: Aaron T. Beck, M.D. and Judith S. Beck, Ph.D.Judith S. Beck, PhDLeslie Sokol, Ph.D.Leslie Sokol, Ph.D. (lecture)Judith S. Beck, Ph.D.

Dr. Aaron Beck with his Great-Grandson, Robin – July 2010

 Aaron T. Beck is pictured below with his great-grandson, Robin. Dr. Beck also has a great-granddaughter, Alma.

 ATB with Robin 2

Roleplaying with Aaron Beck

At our Extramural Workshop last week, we had about 40 trainees from around the world participate in a two-day Cognitive Therapy training focused on Anxiety and Panic Disorders (the trainees are mental health professionals enrolled in the Beck Institute’s Cognitive Therapy supervision program – they send tapes/CDs or transcripts of therapy sessions to their Beck Institute supervisor for review and feedback, and also participate in our on-site training workshops).

 

 

 

 

 

 

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