CBT Concepts
Challenging and changing unhelpful thoughts.
What is cognitive restructuring?
Adults who stutter with social anxiety.
What population is CBTpsych/iGlebe for?
Subjective distress in a given moment.
What does SUDS measure?
When anxiety significantly affects life beyond communication.
When should an SLP refer to a mental health provider?
Supportive counseling is within scope; psychotherapy is not.
What does the ASHA Code say about counseling?
Voluntarily stuttering to reduce fear of negative judgment.
What is an example of a behavioral experiment in CBT for stuttering?
Standalone, online CBT access for 5 months.
What is one iGlebe feature?
Preschool-aged children.
What age group is PAS-R for?
If trained and anxiety is a barrier to treatment.
When can CBT be incorporated into therapy?
When it involves diagnosing or treating mental disorders.
When does anxiety Tx exceed SLP scope?
Assuming others have negative thoughts about you.
What is 'mind reading' in CBT?
Positive results across international populations.
Phase II trials of CBTpsych show what?
FNE measures social approval fear; UTBAS measures stuttering-specific thoughts.
How is FNE different from UTBAS?
Clients may not recognize them or fear exposure.
What is a challenge in addressing avoidance behaviors?
Training, tools used, client consent, and progress.
What should be documented when using CBT-informed methods?
Shifting focus from internal thoughts to external stimuli.
What is attentional training?
It's free, accessible, and evidence-based.
Why is CBTpsych/iGlebe important for underserved clients?
Client bias or under/overreporting.
What is one drawback of subjective assessments?
Use UTBAS or Socratic questioning.
How can SLPs help identify unhelpful thoughts?
Anxiety triggers and coping vary across cultures.
Why is cultural sensitivity vital in CBT?
To maintain gains and prevent regression.
Purpose of relapse prevention in CBT for stuttering?
CBTpsych/iGlebe targets anxiety; traditional targets fluency directly.
What is the main difference between CBTpsych/iGlebe and traditional therapy?
Triangulates data and increases validity.
What is the advantage of multi-method assessment?
The client continues CBT strategies after discharge to reduce anxiety resurgence.
What is a scenario of relapse prevention?
Supportive = listening/supportive strategies; Psychotherapy = in-depth emotional/behavioral work.
What is the difference between supportive counseling and psychotherapy?