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Dedication To my father, Aaron T. Beck, and the wonderful staff of the Beck Institute for Cognitive Behavior Therapy

About the Author vii Judith S. Beck, PhD, is President of the Beck Institute for Cognitive Behavior Therapy (www.beckinstitute.org), a nonprofit organization that provides state-of-the-art training and certification in CBT to individuals and organizations, off...

Foreword ix I am delighted that this third edition of Cognitive Behavior Therapy: Basics and Beyond is being published. The field of cognitive behavior therapy (CBT) has grown by leaps and bounds in the past decade alone. One factor that makes this new edition...

Preface xiii I ’m excited to introduce this third edition of Cognitive Behavior Therapy: Basics and Beyond to you. Before beginning this revision, I asked for feedback on the second edition from health and mental health practitioners all over the world. What w...

Acknowledgments xv A t the age of 98, Aaron Beck, my father, is still teaching me about cognitive behavior therapy (CBT). Most recently, he and our colleagues at the Beck Institute for Cognitive Behavior Therapy, in suburban Philadelphia, have developed, and a...

Contents xvii   1. Introduction to Cognitive Behavior Therapy   2. Overview of Treatment   3. Cognitive Conceptualization   4. The Therapeutic Relationship   5. The Evaluation Session   6. The First Therapy Session   7. Activity Scheduling   8. Action Plans   ...

1. Introduction to Cognitive Behavior Therapy A be1 is a 55-year-old divorced man of European heritage who became severely depressed over 2 years ago, following very significant difficulties at work and in his marriage. By the time I started treating him, he w...

2. Overview of Treatment I n this chapter, you’ll read about CBT principles of treatment. While CBT is individualized for each person, there are certain commonalities that apply to most clients. But don’t worry about remembering everything in this chapter beca...

3. Cognitive Conceptualization A cognitive conceptualization is the cornerstone of CBT. You’ll be learning more about the various elements and the process of conceptualization throughout this book. In this chapter, you’ll find the answers to the following ques...

4. The Therapeutic Relationship I think it’s an act of courage for most clients to enter treatment. Many have automatic thoughts such as “What is therapy going to be like?”; “Is it really going to work?”; “Could it make me feel even worse?”; “What am I going t...

5. The Evaluation Session E ffective CBT requires you to evaluate clients thoroughly, so you can accurately formulate the case, conceptualize the individual client, and plan treatment. While there is overlap among treatments for various disorders, there are im...

6. The First Therapy Session T he most important objective in the first session is to inspire hope. You do this by providing psychoeducation (e.g., research shows that CBT is effective for the client’s condition), reiterating the general treatment plan, direct...

7. Activity Scheduling O ne of the most important initial steps for depressed clients is scheduling activities (Cuijpers et al., 2007). Most have withdrawn from and are actively avoiding at least some activities that had previously given them a sense of achiev...

8. Action Plans A ction Plans (traditionally labeled as “homework”) should be considered an integral, not optional, part of CBT (Beck et al., 1979; Kazantzis et al., 2018; Tompkins, 2004). Remember what we tell clients in the evaluation or first session: The w...

9. Treatment Planning I t’s helpful to view therapy as a journey, and the conceptualization as the road map. You discuss the client’s aspirations and goals, the destination. There are a number of ways to reach that destination: for example, by main highways or...

10. Structuring Sessions B ecause you have so much to cover in Session 1, it has a different format from the rest of the sessions. We find the format described in this chapter to be the most efficient and effective way to conduct treatment. Having said that, i...

11. Problems in Structuring Sessions M any clients become easily socialized to the usual structure of sessions. Educating clients about the structure and providing a rationale may be enough. But there are certainly times when you shouldn’t follow the usual str...

12. Identifying Automatic Thoughts T o review, the cognitive model suggests that the interpretation of a situation (rather than the situation itself), expressed in automatic thoughts or images, influences one’s emotion, behavior, and physiological response. It...