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CBT Client Assessment & Case Conceptualization Flashcards

6 cards from real CBT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 6 CBT Client Assessment & Case Conceptualization flashcards as text
  1. Which CBT model uses the concept of 'schemas' as the foundational unit of assessment?

    Answer: Schema Therapy developed by Jeffrey Young

    Schema Therapy, developed by Jeffrey Young, extends standard CBT by focusing on early maladaptive schemas as the primary assessment and treatment targets.

  2. A client reports feeling constantly 'on guard' for criticism. In a CBT assessment, this pattern is most likely linked to which core belief category?

    Answer: Unlovability / defectiveness beliefs

    Hypervigilance to criticism is classically associated with core beliefs of defectiveness or unlovability, where the client fears being exposed as fundamentally flawed.

  3. In CBT, what is the function of a 'behavioral analysis' or functional assessment during case conceptualization?

    Answer: To identify the antecedents, behaviors, and consequences maintaining a problematic pattern

    A functional or behavioral analysis (ABC model) maps what triggers a behavior, the behavior itself, and the reinforcing consequences that maintain it.

  4. A Belief Therapist notices that a client catastrophizes about health symptoms. In the case conceptualization, this cognitive pattern would be classified as a:

    Answer: Automatic thought

    Catastrophizing about specific triggers is an automatic thought — a rapid, situation-specific cognition, not the deeper belief system or a planned intervention.

  5. Which of the following best represents a well-formed problem statement in a CBT initial assessment?

    Answer: 'Client experiences persistent low mood, social withdrawal, and negative automatic thoughts triggered by perceived failure, maintaining a core belief of inadequacy.'

    A well-formed CBT problem statement links the presenting symptoms to specific cognitive patterns and the maintaining belief system, giving direction to treatment.

  6. During assessment, a Belief Therapist asks: 'What is the worst thing that could happen, and what would that mean about you?' This question most directly targets:

    Answer: Catastrophic predictions and their underlying core meaning

    This two-part question first elicits the catastrophic prediction and then uses meaning-making to reveal the core belief that the prediction activates.