Assessment and Setting the Scene for Cognitive Behaviour Therapy

  • Andrew Jahoda
  • Biza Stenfert Kroese
  • Carol Pert
Chapter

Abstract

In this chapter we focus on the early stages of CBT assessment. As clients rarely refer themselves for therapy, their expectations, motivation and possible misconceptions regarding therapy should be addressed at the outset. The usual process of gathering relevant background information will take longer than usual, so the therapist should not set unrealistic expectations of what can be achieved in the first few assessment sessions. Adjustments can be made to the pace of sessions, depth of questioning and the nature of the information conveyed according to the clients’ varying needs. The therapist has to adjust his or her own communication and interaction style rather than trying to ‘improve’ the client. Creative methods such as storyboards are a useful tool to explore emotional understanding and social cognitive skills. This can offer useful information regarding clients’ social understanding and social reasoning abilities. Self-report standardised assessments used to measure change should be chosen to match the person’s difficulties and their level of understanding. Self-monitoring diaries can serve as another important indicator of change. Adaptations should also be made to ensure that the person with intellectual disabilities knows how and when to fill these in. It is important that diaries are fit for purpose and easy to use in order to increase compliance with self-monitoring.

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Copyright information

© The Author(s) 2017

Authors and Affiliations

  • Andrew Jahoda
    • 1
  • Biza Stenfert Kroese
    • 2
  • Carol Pert
    • 3
  1. 1.Institute of Health and WellbeingUniversity of GlasgowGlasgowUK
  2. 2.School of PsychologyUniversity of BirminghamBirminghamUK
  3. 3.Learning Disabilities ServiceNHS Greater Glasgow and ClydeGlasgowUK

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