Cognitive Restructuring

By D. Hope, R. Heimberg, Cynthia L. Turk. Managing Social Anxiety, Therapist Guide, 2019

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This chapter builds on the first two steps of cognitive restructuring that were developed in chapter 5: (a) the identification of automatic thoughts (ATs) and the emotions they cause and (b) the identification of thinking errors. This chapter presents the remaining steps in cognitive restructuring: (c) challenging ATs by using disputing questions and (d) generating rational responses. The session opens with a review of the Social Anxiety Session Change Index and homework, and then each concept is covered. There is also a brief discussion in anticipation of the first exposure in the next session. The first in-session exposure is a key moment in treatment.

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