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Theory to Therapy: Rational Emotive Behavior Therapy

December 22, 2023 Eric Twachtman
Theory to Therapy: Rational Emotive Behavior Therapy
Passing your National Licensing Exam
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Passing your National Licensing Exam
Theory to Therapy: Rational Emotive Behavior Therapy
Dec 22, 2023
Eric Twachtman

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What if your emotions and behaviors are not a product of circumstances but of your beliefs? Welcome back to another episode where we journey through the fascinating world of Rational Emotive Behavior Therapy (REBT). Coined by Dr. Albert Ellis, REBT is a cognitive-behavioral therapy that seeks to transform your life by addressing the deep-rooted beliefs that influence your emotions and behaviors. We'll dissect REBT's basic assumptions and walk you through a life-altering five-step process - identifying irrational beliefs, debunking them, fostering rational ones, and reinforcing their impact on your emotional and behavioral wellness. To see how powerful REBT can be, we'll discuss its application in a case study on anxiety and panic attacks.

But we're not stopping there. In the second half, we'll equip you with the tools to overcome irrational beliefs that often hinder self-acceptance and personal growth. You'll learn about techniques like deliberate embarrassment, Socratic questioning, and evidence examination used in REBT. We'll discuss cognitive distortions and the role they play in irrational thinking. You'll also learn how to break free from secondary disturbances that often fuel these irrational thoughts. The beauty of REBT lies in its action-oriented approach to improving psychological functioning, utilizing philosophical persuasion and the practice of rational alternative beliefs. So, get ready for an enlightening discussion packed with insights into the principles and techniques of this impactful therapy that could just be the key to a healthier, happier you.

If you need to study for your national licensing exam, try the free samplers at: LicensureExams


This podcast is not associated with the NBCC, AMFTRB, ASW, ANCC, NASP, NAADAC, CCMC, NCPG, CRCC, or any state or governmental agency responsible for licensure.

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Send us a Text Message.

LicensureExams.com 

What if your emotions and behaviors are not a product of circumstances but of your beliefs? Welcome back to another episode where we journey through the fascinating world of Rational Emotive Behavior Therapy (REBT). Coined by Dr. Albert Ellis, REBT is a cognitive-behavioral therapy that seeks to transform your life by addressing the deep-rooted beliefs that influence your emotions and behaviors. We'll dissect REBT's basic assumptions and walk you through a life-altering five-step process - identifying irrational beliefs, debunking them, fostering rational ones, and reinforcing their impact on your emotional and behavioral wellness. To see how powerful REBT can be, we'll discuss its application in a case study on anxiety and panic attacks.

But we're not stopping there. In the second half, we'll equip you with the tools to overcome irrational beliefs that often hinder self-acceptance and personal growth. You'll learn about techniques like deliberate embarrassment, Socratic questioning, and evidence examination used in REBT. We'll discuss cognitive distortions and the role they play in irrational thinking. You'll also learn how to break free from secondary disturbances that often fuel these irrational thoughts. The beauty of REBT lies in its action-oriented approach to improving psychological functioning, utilizing philosophical persuasion and the practice of rational alternative beliefs. So, get ready for an enlightening discussion packed with insights into the principles and techniques of this impactful therapy that could just be the key to a healthier, happier you.

If you need to study for your national licensing exam, try the free samplers at: LicensureExams


This podcast is not associated with the NBCC, AMFTRB, ASW, ANCC, NASP, NAADAC, CCMC, NCPG, CRCC, or any state or governmental agency responsible for licensure.

Eric:

Hello to all our amazing therapists out there. I'm Eric, and today in our Theory to Therapy series, we are going to explore REBT. Rational Emotive Behavior Therapy is a form of cognitive behavioral therapy first developed by Dr Albert Ellis in 1955. The main premise of REBT is that people's beliefs strongly impact their emotions and behaviors. Many people hold irrational beliefs that lead to negative consequences. Through REBT, people can identify and challenge these irrational beliefs, replace them with more rational ones and ultimately improve their emotions, behaviors and outcomes. The REBT process involves helping clients 1. Identify their self-defeating irrational beliefs. 2. Challenge these beliefs as being unrealistic or illogical. 3. Dispute these beliefs by examining evidence against them. 4. Replace irrational beliefs with more rational, flexible ones. 5. Reinforce the use of rational beliefs to experience healthy negative emotions only when appropriate, as opposed to exaggerated, unhealthy negative emotions. The goal is to help people think in more balanced, logical ways to support emotional and behavioral wellness. Rebt takes an educational approach, teaching clients philosophical principles to apply on their own.

Eric:

Basic Assumptions of REBT. Rebt makes several basic assumptions about human psychological functioning. 1. People's beliefs strongly influence their emotions and behaviors. Unhealthy negative emotions and self-defeating behaviors largely stem from irrational beliefs. 2. Irrational beliefs contain absolutistic, rigid demands about how things must or must absolutely go. Rational beliefs are more flexible preferences rather than absolute rules. 3. People have an inherent capacity for both rational and irrational thinking. They have the ability to dispute irrational beliefs and develop insight into the benefits of rational beliefs. 4. Disturbing and disabling negative emotions stem from irrational beliefs. Healthier negative emotions arise when rational beliefs are challenged. There are no inherently unhealthy emotions, only unhealthy causes. 5. While people have a genetic predisposition for irrational beliefs, these beliefs are learned or conditioned early in childhood. New rational beliefs can therefore be taught and learned through REBT Key Concepts and Principles 1.

Eric:

Humans have a biological tendency towards comfort and pleasure over time, but they disturb themselves with irrational beliefs about discomfort or frustration being horrible when this inevitable discomfort arises. 2. Beliefs contain both rational and irrational assumptions. Irrational beliefs make absolutistic, dogmatic demands about what must, should or ought to happen. Rational beliefs are flexible preferences rather than demands. 3. Irrational beliefs fall into three common categories Offalizing, low frustration, tolerance and depreciation. Offalizing is when discomfort is seen as horrible, terrible or catastrophic. Low frustration tolerance is when a preference is elevated to an absolute necessity. Depreciation involves global negative self-evaluations over specific behaviors. 4. Dysfunctional negative emotions do not arise from adverse events themselves, but rather from irrational beliefs about those events. Healthier, negative emotions arise when rational beliefs are challenged. 5. To dispute irrational beliefs, people must identify them, see the evidence against them and convince themselves to replace them with rational alternatives through logical, philosophical persuasion. 6. Rebt uses an ABC framework activating events. A influences irrational beliefs. B, which leads to unhealthy consequences. C which are negative emotions and behaviors. By changing beliefs, people can change their consequences.

Eric:

The REBT therapy process involves three main stages Stage 1. Assessment and goal setting. The first stage focuses on fully understanding the client's presenting problems, symptoms or diagnoses. An extensive assessment is completed to reveal the client's goals for therapy, as well as any irrational beliefs contributing to their difficulties. An individualized treatment plan is collaboratively developed. Assessments performed may include clinical interview assessing the history of current problems. Assessment of medical, developmental and family history. Standardized questionnaires about symptoms, emotions, thinking patterns and behavior. Review of records from other providers. Clarification of goals, expectations and obstacles key areas to explore with clients in the assessment phase what brings them to therapy and what do they wish to change? When did problems first emerge and what preceded their onset? What irrational beliefs might be contributing to their difficulties? What healthier, more rational beliefs could be adopted? What skills must be built for implementing REBT principles independently, whether successful or normal, without risk.

Eric:

Stage 2. Rebt Education, cognitive Restructuring and Skill Building. The second stage focuses directly on REBT education, cognitive restructuring techniques and skill building. Clients are taught the ABC model and guided through exercises identifying irrational beliefs and disputing them with reason and evidence. They practice newly adopted rational beliefs and work towards applying principles independently to a wide array of triggering situations. Key techniques in this stage may include teaching the ABC model, identifying absolute musts and demands. Examining evidence for and against beliefs. Logical disputation and philosophical persuasion. Teaching emotional disturbance versus unhealthy negative emotion. Modeling self-acceptance versus self-rating. Building resilience through adversity and discomfort. Reinforcing rational coping thoughts and behaviors. Using humor, metaphors and stories for insight. Setting up belief modification experiments and experiences, goal setting, planning and pacing, skill development, learning to generalize principles widely.

Eric:

Stage 3. Consolidation, relaps, prevention AND TERMINATION. The final stage focuses on consolidating gains, planning for post therapy success and termination. When goals are met, the client and therapist collaboratively determine if irrational beliefs and related difficulties have sufficiently improved. Through the use of rational principles, they solidify the client's understanding of REBT and their ability to apply it independently in the future. Finally, they bring closure through reviewing progress and termination, areas that should have been addressed with the client during therapy include have core goals for therapy been met through change beliefs and behaviors? What key lessons were learned from this therapeutic experience? What personal and external resources will support post therapy success? What obstacles could arise post therapy and how can they be addressed? How consistently and independently is the client applying REBT's principles? What gains were made and what principles had the most meaningful impacts? Fostering self-efficacy for continued progress after therapy terminates? Case study and techniques. Here is a case example illustrating key techniques a therapist might employ at different stages of REBT with a client struggling with anxiety and panic attacks.

Eric:

Identifying Irrational Beliefs Bill is a 42-year-old man struggling with intense anxiety centered on his family's safety and finances. When beginning REBT, the therapist helped Bill see that his core irrational belief is my family must be 100% safe and secure at all times. The unrealistic demand that danger or hardship must not happen to his loved ones was feeding his distress. Abc Analysis Through ABC analysis, bill mapped out an activating event related to seeing a dangerous driver weave through traffic. His belief was what if that happens to my family and they get killed? It would be terrible and I couldn't go on. The emotional and behavioral consequence was panic withdrawal and overprotective warnings to family disputation To dispute irrational beliefs.

Eric:

The therapist illustrated how Bill has coped with adversity before, how he was exaggerating dangers, how he cannot control life events and how insecurity is inevitable. By changing his belief to I Want Safety but cannot guarantee it. His panicked overreactions reduced Rational Coping Thought. The therapist helped Bill memorize and apply rational coping statements like I cannot control others, only influence them. Worrying will not create solutions. We can endure and grow through adversity. Such thoughts dampened unhealthy, negative emotions. Shame Attacking Through shame attacking exercises designed to undermine low frustration tolerance. Bill deliberately embarrassed himself publicly until becoming bored rather than mortified by others' reactions. This Built Confidence, reinforcement of Gains. As Bill implemented rational principles more consistently, the therapist positively reinforced small and large victories. Bill felt pride from seeing his emotions and behaviors improve through philosophy centered on living life to the fullest, consistent with ethics.

Eric:

Relapse Prevention For relapse prevention planning. Bill and his therapist discussed what obstacles could emerge post therapy, like major life changes, and how rational principles could address them. Bill prepared an REBT crisis card for his wallet to use as needed. Unconditional Self-Acceptance A core REBT principle is differentiating unconditional self-acceptance from simply rating one's performance and behaviors. To foster this, the therapist asked Bill to wear a sign saying I am fallible for prolonged time periods until internalizing the message at deeper levels to act upon when self-downing this Built Resilience. As you can see from this case example, rebt employs a wide variety of cognitive, emotive and behavioral methods. Through a strong collaborative relationship between therapist and client Over time and through consistency, the principles become integrated at fundamental levels of functioning.

Eric:

Key Terms and Definitions. Here are some key terms and definitions related to the practice of Rational Emotive Behavior Therapy Cognitive Restructuring Process of learning to identify and dispute irrational thoughts and beliefs through reason and evidence. Replacement with rational, alternative Dysfunctional Negative Emotions. Exaggerated unhealthy negative emotions that arise from irrational beliefs, including panic, profound or chronic anxiety and depression. Distinguished from healthy negative emotions.

Eric:

Irrational beliefs Absolutistic, dogmatic demands stated in absolute terms about what must, ought or should happen. Leads to dysfunction when activated. Low frustration tolerance. Irrational belief that certain preferences are necessities that must be fulfilled, with poor tolerance for frustration when they are not. Musturbation Common irrational belief. Habit of insisting one's preferences absolutely must happen. Leads to unhealthy demands. Rational beliefs flexible, focused preferences for specific life enhancements and enjoyments, without dogmatic demands that they must happen.

Eric:

Shame attacking exercises REBT behavioral techniques using deliberate embarrassment to counter low frustration, tolerance to shame and demolish demands for competence, approval forces, courage, unconditional self-acceptance, fully and unconditionally accepting oneself as a person, versus rating one's desirability dependent on specific performances or behaviors. Offalizing irrational belief, habit of perceiving negative events as so extremely bad, awful, that one cannot bear them happening. Greatly exaggerated evaluations, disputation. The process of challenging and debating irrational beliefs through socratic questioning and examining evidence contrary to its validity Ames to persuade client. Belief is illogical.

Eric:

Cognitive distortions, habitual irrational thought patterns such as over generalizing, fortune telling, emotional reasoning, magnification, etc. Secondary disturbance Additional dysfunctional negative emotion about one's initial disturbed reaction rather than just the activating event itself perpetuates irrational thinking. In summary, rebt offers a pragmatic, action-oriented approach to improving client's psychological functioning by identifying and uprooting absolutistic irrational beliefs and demands leading to dysfunctional, negative emotions and behaviors. Through philosophical persuasion and wide practice implementing rational alternative beliefs focused on preference rather than need, clients can gain skills to successfully challenge cognitive, emotional and behavioral habits that they have developed over a lifetime. That's what you need to know about REBT. Good luck on your exam.

Understanding Rational Emotive Behavior Therapy (REBT)
Overcoming Irrational Beliefs With REBT