Name that Skill
At the beginning of session, the therapist says, “We have a few things we could work on today. What feels most important to you? I was also thinking we could follow up on last week’s panic episode. How should we prioritize our time?”
Agenda Setting
The therapist spends the first 30 minutes collecting background information that isn't directly related to today's treatment target.
Issues with Pacing and Key Cognitions
After explaining a CBT concept, the therapist asks, “How does that explanation fit with what you've been experiencing? Did I explain that clearly?”
Feedback
The therapist introduces cognitive restructuring, a thought record, mindfulness, behavioral activation, exposure, and problem solving—all during one session.
Poor pacing and inefficient use of strategies - Competent CBT generally emphasizes selecting an intervention that fits the current treatment target rather than overwhelming the client with techniques.
A therapist has decided that a behavioral experiment would be useful. Instead of immediately assigning it, the therapist says, “I have an idea that might help us test this belief. Would you be willing to hear it and see whether it makes sense to you?”
Collaboration
The therapist says, “Your thought is a cognitive distortion. You need to stop thinking that way.”
**Name TWO possible CTRS problems.
Collaboration and Guided Discovery
A client says, “Everyone at work thinks I'm incompetent.” The therapist responds, “What makes you think everyone sees you that way? Is there anything that might suggest a different interpretation?”
Guided Discovery
The therapist spends most of the session discussing the client's childhood even though the treatment target is current avoidance of social situations.
What competency concern is most obvious?
Focusing on Key Cognitions/Behaviors
A client spends several minutes describing everything that happened during a difficult week. The therapist asks, “Of everything that happened, which moment best captures the anxiety we're trying to change?”
Key Cognitions and Behaviors
The therapist gives the client a worksheet at the end of session and says, “Complete this before next week.” The therapist never asks whether the assignment seems manageable, doesn't explain why it is relevant, and doesn't plan to review it next session.
**Name at least THREE CTRS concerns.
Homework, Collaboration, and Feedback/Understanding