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In This Chapter

Identifying classic pitfalls in human thought ^ Correcting your thinking

^ Getting to know the thinking errors you make most

\M Ou probably don’t spend a lot of time mulling over the pros and cons of the way you think. Most people don’t – but to be frank, most people ideally ought to!

One of the messages of CBT is that the thoughts, attitudes, and beliefs you hold have a big effect on the way you interpret the world around you and on how you feel. So, if you’re feeling excessively bad, chances are that you’re thinking badly – or, at least, in an unhelpful way. Of course, you probably don’t Intend To think in an unhelpful way, and no doubt you’re largely unaware that you do.

Thinking errors Are slips in thinking that everyone makes from time to time. Just as a virus stops your computer from dealing with information effectively, so thinking errors prevent you from making accurate assessments of your experiences. Thinking errors lead you to get the wrong end of the stick, jump to conclusions, and assume the worst. Thinking errors get in the way of, or cause you to distort, the facts. However, you do have the ability to step back and take another look at the way you’re thinking and set yourself straight.

Months or years after the event, you’ve probably recalled a painful or embarrassing experience and been struck by how differently you feel about it at this later stage. Perhaps you can even laugh about the situation now. Why didn’t you laugh back then? Because of the way you were thinking at the time.

To err is most definitely human. Or, as American psychotherapist Albert Ellis is quoted as saying, ‘If the Martians ever find out how human beings think, they’ll kill themselves laughing.’ By understanding the thinking errors we outline in this chapter, you can spot your unhelpful thoughts and put them straight more quickly. Get ready to identify and respond in healthier ways to some of the most common ‘faulty’ and unhelpful ways of thinking identified by researchers and clinicians.

Catastrophising: Turning Mountains Back Into Molehills

Catastrophising Is taking a relatively minor negative event and imagining all sorts of disasters resulting from that one small event, as we sum up in Figure 2-1.

Consider these examples of catastrophising:

You’re at a party and you accidentally stumble headlong into a flower arrangement. After you extract yourself from the foliage, you scurry home and conclude that everyone at the party witnessed your little trip and laughed at you.

You’re waiting for your teenage daughter to return home after an evening at the cinema with friends. The clock strikes 10:00 p. m., and you hear no reassuring rattle of her key in the door. By 10:05 p. m., you start imagining her accepting a lift home from a friend who drives recklessly. At 10:10 p. m., you’re convinced she’s been involved in a head-on collision and paramedics are at the scene. By 10:15 p. m., you’re weeping over her grave.

Your new partner declines an invitation to have dinner with your parents. Before giving him a chance to explain his reasons, you put down the phone and decide that this is his way of telling you the relationship’s over. Furthermore, you imagine that right now he’s ringing friends and telling them what a mistake it was dating you. You decide you’re never going to find another partner and will die old and lonely.

Catastrophising leads many an unfortunate soul to misinterpret a social faux pas as a social disaster, a late arrival as a car accident, or a minor disagreement as total rejection.

Nip catastrophic thinking in the bud by recognising it for what it is – just thoughts. When you find yourself thinking of the worst possible scenario, try the following strategies:

Put your thoughts in perspective. Even if everyone at the party did see your flower-arranging act, are you sure no one was sympathetic? Surely you aren’t the only person in the world to have tripped over in public. Chances are, people are far less interested in your embarrassing moment than you think. Falling over at a party isn’t great, but in the grand scheme of things it’s hardly society-page news.

Consider less terrifying explanations. What other reasons are there for your daughter being late? Isn’t being late for curfew a common feature of adolescence? Perhaps the movie ran over, or she got caught up chatting and forgot the time. Don’t get so absorbed in extreme emotions that you’re startled to find your daughter in the doorway apologising about missing the bus.

Weigh up the evidence. Do you have enough information to conclude that your partner wants to leave you? Has he given you any reason to think this before? Look for evidence that contradicts your catastrophic assumption. For example, have you had more enjoyable times together than not?

Focus on what you can do to cope with the situation, and the people or resources that can come to your aid. Engaging in a few more social encounters can help you put your party faux pas behind you. You can repair a damaged relationship – or find another. Even an injury following an accident can be fixed with medical care.

No matter how great a travesty you create in your mind, the world’s unlikely to end because of it even if the travesty comes to pass. You’re probably far more capable of surviving embarrassing and painful events than you give yourself credit for – human beings can be very resilient.

Aii-or-Nothing Thinking: finding Somewhere in Between

All-or-nothing Or Black-or-white thinking (see Figure 2-2) is extreme thinking that can lead to extreme emotions and behaviours. People either love you or hate you, right? Something’s either perfect or a disaster. You’re either responsibility-free or totally to blame? Sound sensible? We hope not!

Unfortunately, humans fall into the all-or-nothing trap all too easily:

Imagine you’re trying to eat healthily in order to lose weight and you cave in to the temptation of a doughnut. All-or-nothing thinking may lead you to conclude that your plan is in ruins and then to go on to eat the other 11 doughnuts in the pack.

You’re studying a degree course and you fail one module. All-or-nothing thinking makes you decide that the whole endeavour is pointless. Either you get the course totally right or it’s just a write-off.

Consider the humble thermometer as your guide to overcoming the tendency of all-or-nothing thinking. A thermometer reads degrees of temperature, not only ‘hot’ and ‘cold’. Think like a thermometer – in degrees, not extremes. You can use the following pointers to help you change your thinking:

Be realistic. You can’t possibly get through life without making mistakes. One doughnut doesn’t a diet ruin. Remind yourself of your goal, forgive yourself for the minor slip, and resume your diet.

Develop ‘both-and’ reasoning skills. An alternative to all-or-nothing thinking is Both-and reasoning. You need to mentally allow two seeming opposites to exist together. You can Both Succeed in your overall educational goals And Fail a test or two. Life is not a case of being either a success or a failure. You can Both Assume that you’re an OK person as you are And Strive to change in specific ways.

All-or-nothing thinking can sabotage goal-directed behaviour. You’re far more likely to throw in the towel at the first sign of something blocking your goal when you refuse to allow a margin for error. Beware of ‘either/or’ statements and global labels such as ‘good’ and ‘bad’ or ‘success’ and ‘failure’. Neither people nor life situations are often that cut and dry.

Fortune-telling: Stepping AuJay from the Crystal Ball

Often, clients tell us after they’ve done something they were anxious about that the actual event wasn’t half as bad as they’d predicted. Predictions are the problem here. You probably don’t possess extrasensory perceptions that allow you to see into the future. You probably can’t see into the future even with the aid of a crystal ball like the one in Figure 2-3. And yet, you may try to predict future events. Unfortunately, the predictions you make may be negative:

You’ve been feeling a bit depressed lately and you aren’t enjoying yourself like you used to. Someone from work invites you to a party, but you decide that if you go you won’t have a good time. The food will unpalatable, the music will be irksome, and the other guests are sure to find you boring. So, you opt to stay in and bemoan the state of your social life.

You fancy the bloke who sells you coffee every morning on the way to the office, and you’d like to go out with him on a date. You predict that if you ask him, you’ll be so anxious that you’ll say something stupid. Anyway, he’s bound to say no thanks – someone that attractive must surely be in a relationship.

You always thought that hang-gliding would be fun, but you’ve got an anxious disposition. If you try the sport, you’re sure to lose your nerve at the last minute and just end up wasting your time and money.

You’re better off letting the future unfold without trying to guess how it may turn out. Put the dustcover back on the crystal ball and leave the tarot cards alone, and try the following strategies instead:

Test out your predictions. You really never know how much fun you might have at a party until you get there – and the food could be amazing. Maybe the chap at the coffee shop has got a partner, but you won’t be sure until you ask. To find out more about testing out your predictions, have a read through Chapter 4.

Be prepared to take risks. Isn’t it worth possibly losing a bit of cash for the opportunity to try a sport you’ve always been interested in? And can’t you bear the possibility of appearing a trifle nervous for the chance to get to know someone you really like? There’s a saying ‘a ship is safe in a harbour, but that’s not what ships are built for’. Learning to live experimentally and taking calculated risks is a recipe for keeping life interesting.

Understand that your past experiences don’t determine your future experiences. Just because the last party you went to turned out to be a dreary homage to the seventies, the last person you asked out went a bit green, and that scuba-diving venture resulted in a severe case of the bends doesn’t mean that you’ll never have better luck again.

Typically, fortune-telling stops you from taking action. It can also become a bit of a self-fulfilling prophecy. If you keep telling yourself that you won’t enjoy that party, you’re liable to make that prediction come true. Same goes for meeting new people and trying new things. So, put on your party gear, ask him out for dinner, and book yourself in for some hang-gliding.

Mind-Reading: Taking \lour Guesses u/ith a Pinch of Salt

So, you think you know what other people are thinking, do you? With Mind-reading (see Figure 2-4), the tendency is often to assume that others are thinking negative things about you or have negative motives and intentions.

Here are some examples of mind-reading tendencies:

You’re chatting with someone and they look over your shoulder as you’re speaking, break eye contact, and (perish the thought) yawn. You conclude immediately that the other person thinks your conversation is mind-numbing and that he’d rather be talking to someone else.

Your boss advises that you book some time off to use up your annual leave. You decide that he’s saying this because he thinks your work is rubbish and wants the opportunity to interview for your replacement while you’re on leave.

You pass a neighbour on the street. He says a quick hello but doesn’t look very friendly or pleased to see you. You think that he must be annoyed with you about your dog howling at the last full moon and is making plans to report you to environmental health.

You can never know for certain what another person is thinking, so you’re wise to pour salt on your negative assumptions. Stand back and take a look at all the evidence to hand. Take control of your tendency to mind-read by trying the following:

Generate some alternative reasons for what you see. The person you’re chatting with may be tired, be preoccupied with his own thoughts, or just have spotted someone he knows.

Consider that your guesses may be wrong. Are your fears really about your boss’s motives, or do they concern your own insecurity about your abilities at work? Do you have enough information or hard evidence to conclude that your boss thinks your work is substandard? Does it follow logically that ‘consider booking time off means ‘you’re getting the sack’?

I Get more information (if appropriate). Ask your neighbour whether your dog kept him up all night, and think of some ways to muffle your pet next time the moon waxes.

You tend to mind-read what you fear most. Mind-reading is a bit like putting a slide in a slide projector. What you Project Or imagine is going on in other people’s minds is very much based on what’s already in yours.

Emotional Reasoning: Reminding \loursel( That Feelings Aren’t Facts

Surely we’re wrong about this one. Surely your feelings are real hard evidence of the way things are? Actually, no! Often, relying too heavily on your feelings as a guide leads you off the reality path. Here are some examples of emotional reasoning:

Your partner has been spending long nights at the office with a coworker for the past month. You feel jealous and suspicious of your partner. Based on these feelings, you conclude that your partner’s having an affair with his co-worker.

You feel guilty out of the blue. You conclude that you must have done something wrong otherwise you wouldn’t be feeling guilty.

When you feel emotional reasoning taking over your thoughts, take a step back and try the following:

1. Take notice of your thoughts. Note thoughts such as ‘I‘m feeling nervous, something must be wrong’ and ‘I‘m so angry, and that really shows how badly you’ve behaved’, and recognise that feelings are not always the best measure of reality, especially if you’re not in the best emotional shape at the moment.

2. Ask yourself how you’d view the situation if you were feeling calmer.

Look to see if there is any concrete evidence to support your interpretation of your feelings. For example, is there really any hard evidence that something bad is going to happen?

3. Give yourself time to allow your feelings to subside. When you’re feeling calmer, review your conclusions and remember that it is quite possible that your feelings are the consequence of your present emotional state (or even just fatigue) rather than indicators of the state of reality.

The problem with viewing your feelings as factual is that you stop looking for contradictory information – or for any additional information at all. Balance your emotional reasoning with a little more looking at the facts that support and contradict your views, as we show in Figure 2-5.

Overqeneraiisinq: Avoiding the Part/Whole Error

Overgeneralising Is the error of drawing global conclusions from one or more events. When you find yourself thinking ‘always’, ‘never’, ‘people are. . .’, or ‘the world’s.. .’, you may well be overgeneralising. Take a look at Figure 2-6. Here, our stick man sees one black sheep in a flock and instantly assumes the whole flock of sheep is black. However, his overgeneralisation is inaccurate because the rest of the flock are white sheep.

You might recognise overgeneralising in the following examples:

You feel down. When you get into your car to go to work, it doesn’t start. You think to yourself, ‘Things like this are always happening to me. Nothing ever goes right’, which makes you feel even more gloomy.

You become angry easily. Travelling to see a friend, you’re delayed by a fellow passenger who cannot find the money to pay her train fare. You think, ‘This is typical! Other people are just so stupid’, and you become tense and angry.

You tend to feel guilty easily. You yell at your child for not understanding his homework and then decide that you’re a thoroughly rotten parent.

Situations are rarely so stark or extreme that they merit terms like ‘always’ and ‘never’. Rather than overgeneralising, consider the following:

Get a little perspective. How true is the thought that nothing Ever Goes right for you? How many other people in the world may be having car trouble at this precise moment?

Suspend judgement. When you judge all people as stupid, including the poor creature waiting in line for the train, you make yourself more outraged and are less able to deal effectively with a relatively minor hiccup.

Be specific. Would you be a Totally Rotten parent for losing patience with your child? Can you legitimately conclude that one incident of poor parenting cancels out all the good things you do for your little one? Perhaps your impatience is simply an area you need to target for improvement.

Shouting at your child in a moment of stress no more makes you a rotten parent than singing him a great lullaby makes you a perfect parent. Condemning yourself on the basis of making a mistake does nothing to solve the problem, so be specific and steer clear of global conclusions.

Labelling: GiVinq Up the Ratinq Game

Labels, and the process of labelling people and events, are everywhere. For example, people who have low self-esteem may label themselves as ‘worthless’, ‘inferior’, or ‘inadequate’ (see Figure 2-7).

If you label other people as ‘no good’ or ‘useless’, you’re likely to become angry with them. Or perhaps you label the world as ‘unsafe’ or ‘totally unfair’? The error here is that you’re globally rating things that are too complex for a definitive label. The following are examples of labelling:

You read a distressing article in the newspaper about a rise in crime in your city. The article activates your belief that you live in a thoroughly dangerous place, which contributes to you feeling anxious about going out.

You receive a poor mark for an essay. You start to feel low and label yourself as a failure.

You become angry when someone cuts in front of you in a traffic queue. You label the other driver as a total loser for his bad driving.

Strive to avoid labelling yourself, other people, and the world around you. Accept that they’re complex and ever-changing (see Chapter 12 for more on this). Recognise evidence that doesn’t fit your labels, in order to help you weaken your conviction in your global rating. For example:

Allow for varying degrees. Think about it: The world isn’t a dangerous place but rather a place that has many different aspects with varying degrees of safety.

Celebrate complexities. All human beings – yourself included – are unique, multifaceted, and ever-changing. To label yourself as a failure on the strength of one failing is an extreme form of overgeneralising. Likewise, other people are just as complex and unique as you. One bad action doesn’t equal a bad person.

When you label a person or aspect of the world in a global way, you exclude potential for change and improvement. Accepting yourself as you are is a powerful first step towards self-improvement.

Making demands: Thinking Flexibly

Albert Ellis, founder of rational emotive behaviour therapy, one of the first cognitive-behavioural therapies, places demands at the very heart of emotional problems. Thoughts and beliefs that contain words like ‘must’, ‘should’, ‘need’, ‘ought’, ‘got to’, and ‘have to’ are often problematic because they’re extreme and rigid (see Figure 2-8).

In This Chapter

^ Defining CBT

^ Exploring the power of meanings

Understanding how your thoughts lead to emotions and behaviours Getting acquainted with the ABC formula

Cognitive behavioural therapy - more commonly referred to as CBT -Focuses on the way people think and act in order to help them overcome their emotional and behavioural problems.

Many of the effective CBT practices we discuss in this book should seem like everyday good sense. In our opinion, CBT does have some very straightforward and clear principles and is a largely sensible and practical approach to helping people overcome problems. However, human beings don’t always act according to sensible principles, and most people find that simple solutions can be very difficult to put into practice sometimes. CBT can maximise on your common sense and help you to do the healthy things that you may sometimes do naturally and unthinkingly in a deliberate and self-enhancing way on a regular basis.

In this chapter we take you through the basic principles of CBT and show you how to use these principles to better understand yourself and your problems.

Using Scientifically Tested Methods

The effectiveness of CBT for various psychological problems has been researched more extensively than any other psychotherapeutic approach. CBT’s reputation as a highly effective treatment is growing. Several studies reveal that CBT is more effective than medication alone for the treatment of anxiety and depression. As a result of this research, briefer and more intense treatment methods have been developed for particular anxiety disorders such as panic, anxiety in social settings, or feeling worried all the time.

Scientific research of CBT continues. As a result, more is being discovered about which aspects of the treatment are most useful for different types of people and which therapeutic interventions work best with different types of problems.

Research shows that people who have CBT for various types of problems – in particular, for anxiety and depression – stay well for longer. This means that people who have CBT relapse less often than those who have other forms of psychotherapy or take medication only. This positive result is likely due in part to the Educational aspects Of CBT – people who have CBT receive a lot of information that they can use to become their own therapists.

CBT is growing in popularity. More and more physicians and psychiatrists refer their patients for CBT to help them overcome a wide range of problems with good results. These problems include:

Addiction Anger problems Anxiety

Body dysmorphic disorder Chronic fatigue syndrome Chronic pain Depression Eating disorders Obsessive-compulsive disorder Panic disorder Personality disorders Phobias

Post-traumatic stress disorder Psychotic disorders Relationship problems Social phobia

We discuss many of the disorders in the preceding list in more depth throughout this book but it is very difficult to cover them all. Fortunately, the CBT skills and techniques in this book can be applied to most types of psychological difficulties, so give them a try whether or not your particular problem is specifically discussed.

Understanding CBT

Cognitive behavioural therapy is a school of Psychotherapy That aims to help people overcome their emotional problems.

Cognitive Means mental processes like thinking. The word ‘cognitive’ refers to everything that goes on in your mind including dreams, memories, images, thoughts, and attention.

Behaviour Refers to everything that you do. This includes what you say, how you try to solve problems, how you act, and avoidance. Behaviour refers to both action and inaction, for example biting your tongue instead of speaking your mind is still a behaviour even though you are trying Not To do something.

Therapy Is a word used to describe a systematic approach to combating a problem, illness, or irregular condition.

A central concept in CBT is that You feel the way you think. Therefore, CBT works on the principle that you can live more happily and productively if you’re thinking in healthy ways. This principle is a very simple way of summing up CBT, and we have many more details to share with you later in the book.

Combining science, philosophy, and behaviour

CBT is a powerful treatment because it combines scientific, philosophical, and behavioural aspects into one comprehensive approach to understanding and overcoming common psychological problems.

Getting scientific. CBT is scientific not only in the sense that it has been tested and developed through numerous scientific studies, but also in the sense that it encourages clients to become more like scientists. For example, during CBT, you may develop the ability to treat your thoughts as theories and hunches about reality to be tested (what scientists call Hypotheses), Rather than as facts.

Getting philosophical. CBT recognises that people hold values and beliefs about themselves, the world, and other people. One of the aims of CBT is to help people develop flexible, non-extreme, and self-helping beliefs that help them adapt to reality and pursue their goals.

Your problems are not all just in your mind. Although CBT places great emphasis on thoughts and behaviour as powerful areas to target for change and development, it also places your thoughts and behaviours

Within a Context. CBT recognises that you’re influenced by what’s going on around you and that your Environment Makes a contribution towards the way you think, feel, and act. However, CBT maintains that you can make a difference to the way you feel by changing unhelpful ways of thinking and behaving – even if you can’t change your environment. Incidentally, your environment in the context of CBT includes other people and the way they behave towards you.

Getting active. As the name suggests, CBT also strongly emphasises behaviour. Many CBT techniques involve changing the way you think and feel by modifying the way you behave. Examples include gradually becoming more active if you’re depressed and lethargic, or facing your fears step by step if you’re anxious. CBT also places emphasis on Mental behaviours, Such as worrying and where you focus your attention.

Progressing from problems to goals

A defining characteristic of CBT is that it gives you the tools to develop a Focused Approach. CBT aims to help you move from defined emotional and behavioural problems towards your goals of how you’d like to feel and behave. Thus, CBT is a goal-directed, systematic, problem-solving approach to emotional problems.

Making the Thought-Feeling Link

Like many people, you may assume that if something happens to you, the event Makes You feel a certain way. For example, if your partner treats you inconsiderately, you may conclude that she Makes You angry. You may further deduce that her inconsiderate behaviour Makes You behave in a particular manner, such as sulking or refusing to speak to her for hours (possibly even days; people can sulk for a very long time!).

CBT encourages you to understand that your thinking or Beliefs Lie between the event and your ultimate feelings and actions. Your thoughts, beliefs, and the meanings that you give to an event, produce your emotional and behavioural responses.

So in CBT terms, your partner does not Make You angry and sulky. Rather, your partner behaves inconsiderately, and you assign a meaning to her behaviour such as ‘she’s doing this deliberately to upset me!’ thus Making yourself Angry and sulky.

Emphasising the meanings you attach to events

The Meaning You attach to any sort of event influences the emotional responses you have to that event. Positive events normally lead to positive feelings of happiness or excitement, whereas negative events typically lead to negative feelings like sadness or anxiety.

However, the meanings you attach to certain types of negative events may not be wholly accurate, realistic, or helpful. Sometimes, your thinking may lead you to assign extreme meanings to events, leaving you feeling disturbed.

Psychologists use the word ‘disturbed’ to describe emotional responses that are unhelpful and cause significant discomfort to you. In CBT terminology, ‘disturbed’ means that an emotional or behavioural response is hindering rather than helping you to adapt and cope with a negative event.

For example, if a potential girlfriend rejects you after the first date (event), you may think ‘This proves I’m unlikeable and undesirable’ (meaning), and feel depressed (emotion).

CBT involves identifying thoughts, beliefs, and meanings that are activated when you’re feeling emotionally disturbed. If you assign less extreme, more helpful, more Accurate Meanings to negative events, you are likely to experience less extreme, less disturbing emotional and behavioural responses.

Thus, on being rejected after the first date (event), you could think ‘I guess that person didn’t like me that much; oh well – they’re not the one for me’ (meaning), and feel disappointment (emotion).

Acting out

The ways you think and feel also largely determine the way you Act. If you feel depressed, you’re likely to withdraw and isolate yourself. If you’re anxious, you may avoid situations that you find threatening or dangerous. Your behaviours can be problematic for you in many ways, such as the following:

Self-destructive behaviours, Such as excessive drinking or using drugs to quell anxiety, can cause direct physical harm.

Isolating and mood-depressing behaviours, Such as staying in bed all day or not seeing your friends, increase your sense of isolation and maintain your low mood.

Avoidance behaviours, Such as avoiding situations you perceive as threatening (attending a social outing, using a lift, speaking in public), deprive you of the opportunity to confront and overcome your fears.

Consider the reactions often people

Different people can attach different meanings to a specific situation, resulting in the potential for a vast array of emotional reactions to one situation. For example, consider ten basically similar people who experience the same event, which is having their partner treat them inconsiderately. Potentially, they can have ten (or maybe more) different emotional responses to precisely the same event, depending on how they Think About the event:

Person 1 Attaches the meaning, ‘That idiot has no right to treat me badly-who the hell do they think they are?’ and feels angry.

Person 2 Thinks, ‘This lack of consideration means that my partner doesn’t love me’ and feels depressed.

Person 3 Believes that ‘This inconsideration must mean that my partner is aboutto leave me for someone else’ and feels jealous.

Person 4 Thinks, ‘I don’t deserve to be treated poorly because I always do my best to be considerate to my partner’ and feels hurt.

Person 5 Reckons the event means that ‘I must have done something seriousto upset my partner for them to treat me like this’ and feels guilty.

Person 6 Believes that ‘This inconsideration is a sign that my partner is losing interest in me’ and feels anxious.

Person 7 Thinks, ‘Aha! Now I have a good enough reason to break up with my partner, which I’ve been wanting to do for ages!’ and feels happy.

Person 8 Decides the event means that’My partner has done a bad thing by treating me in this way, and I’m not prepared to put up with it’ and feels annoyed.

Person 9 Thinks, ‘I really wish my partner had been more considerate because we’re usually highly considerate of each other’ and feels disappointed.

Person 10 Believes that ‘My partner must have found out something despicable about me to treat me in this way’ and feels ashamed.

You can see from this example that very different meanings can be assigned to the same event and in turn produce very different emotional responses. Some emotional responses are healthier than others; we discuss this matter in depth in Chapter 6.

Learning \lour ABCs

When you start to get an understanding of your emotional difficulties, CBT encourages you to break down a specific problem you have using the ABC format, In which:

A Is the Activating event. An activating event means a real External Event that has occurred, a future event that you anticipate occurring, or an Internal Event in your mind, such as an image, memory, or dream.

The ‘A is often referred to as your ‘trigger’.

B Is your Beliefs. Your beliefs include your thoughts, your personal rules, the demands you make (on yourself, the world, and other people), and the meanings that you attach to external and internal events.

C Is the Consequences. Consequences include your emotions, behaviours, and physical sensations that accompany different emotions.

Figure 1-1 shows the ABC parts of a problem in picture form.

Figure 1-1:

A Is the activating event, B Is your beliefs and thoughts, and C is the consequences, such asthe emotions you feel after the event, and your subsequent behaviour.

Thoughts

Attitudes Rules Demands Beliefs Images Meanings

Emotions

Healthy feelings Unhealthy feelings Physical sensations

Constructive action Destructive action

Writing down your problem in ABC form - a central CBT technique – helps you differentiate between your thoughts, feelings, and behaviours, and the Trigger Event. We give more information about the ABC form in Chapter 3, and you can find a blank ABC form at the back of the book.

Consider the ABC formulations of two common emotional problems, anxiety and depression. The ABC of anxiety may look like this:

A: You imagine failing a job interview.

B: You believe: ‘I’ve got to make sure that I don’t mess up this interview, otherwise I’ll prove that I’m a failure.’

C: You experience anxiety (emotion), butterflies in your stomach (physical sensation), and drink alcohol to calm your nerves (behaviour).

The ABC of depression may look like this: A: You fail a job interview.

B: You believe: ‘I should’ve done better. This means that I’m a failure!’

C: You experience depression (emotion), loss of appetite (physical sensation), and stay in bed avoiding the outside world (behaviour).

You can use these examples to guide you when you are filling in an ABC form on your own problems. Doing so will help ensure that you record the actual facts of the event under ‘A, your thoughts about the event under ‘B’, and how you feel and act under ‘C. Developing a really clear ABC of your problem can make it much easier for you to realise how your thoughts at ‘B’ lead to your emotional/behavioural responses at ‘C. (Chapter 3 describes the ABC form more fully.)

We give a much fuller description of the principles and practical applications of CBT in the rest of this book. However, here’s a quick reference list of key characteristics of CBT. CBT:

Emphasises the role of the personal meanings that you give to events in determining your emotional responses.

Was developed through extensive scientific evaluation.

Focuses more on how your problems are being Maintained Rather than on searching for a single root cause of the problem.

Offers practical advice and tools for overcoming common emotional problems (see Chapters 9, 10, and 11).

Holds the view that you can change and develop by thinking things through and by trying out new ideas and strategies (head to Chapter 4).

Can address material from your past if doing so can help you to understand and change the way you’re thinking and acting now (Chapter 14 covers this in depth).

Shows you that some of the strategies you’re using to cope with your emotional problems are actually maintaining those problems (Chapter 7 is all about this).

Strives to normalise your emotions, physical sensations, and thoughts rather than to persuade you that they’re clues to ‘hidden’ problems.

CBT

Recognises that you may develop emotional problems About Your emotional problems, for example feeling ashamed about being depressed. (See Chapter 6 for more on this concept.)

Highlights learning techniques and maximises self-help so that ultimately you can become your own therapist. (Head to Chapter 18.)

Getting complicated

Sticking to the simple ABC formulation in which little simplistic, you can consider the more com-A+B=C can serve you well. But if that seems a plicated formulations shown here:

Thoughts

Attitudes Rules Demands Beliefs Images Meanings,

Emotions

Healthy feelings Unhealthy feelings Physical sensations

E. g., shaking, palpitations, dizziness^

Behaviours

Constructive action Self-defeating action^

Effect on your personal world

This diagram shows the complex interaction between your thoughts, feelings, and behaviours. Although your thoughts affect how you feel, your feelings also affect your thinking. So, if you’re having depressed thoughts, your mood is likely to be low. The lower your mood, the more likely you are to act in a depressed manner and to think pessimistically. The combination of feeling depressed, thinking pessimistically, and acting in a depressed manner can.

Ultimately, influence the way you see your personal world. You may focus on negative events in your life and the world in general and therefore accumulate more negative As. This interaction between A, B, and C can become a vicious circle.

CBT pays a lot of attention to changing both unhealthy thinking patterns and unhealthy patterns of behaviour.

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The 5th Wave By Rich Tennant

" Lei’s see if – we can identify some of the stress triggers in your life. You mentioned something aloout a large – wolf that periodically shovrs up and attempts to blow your house dovm…1′

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In this part…

■# ou’ll get to grips with what CBT stand for and why it’s W~ Such a hot topic among mental health professionals. You’ll get a good idea of how your thinking about events leads to how you feel. We’ll get you started on recognising and tackling your negative thought patterns, and give you some tips about exerting control over your attention.