4/2/2023 0 Comments Video diary therapy![]() Self-monitoring is ubiquitous across CBT, with “self-monitoring procedures… described and recommended within most empirically supported treatments” (Korotitsch & Nelson-Gray, 1999). Clients are likely to need support and training to complete self-monitoring records accurately. Discrimination and recording are skills that need to be learned and honed. It also means that – through documentation of specific events – additional detail or context can be included and analyzed, improving the client’s understanding of their symptoms, as well as the sequence and process by which they occur. Creating a record makes discrimination an explicit and conscious process that can be reviewed and analyzed. Recording consists of documenting occurrences (usually through a written record). ![]() For many clients, bringing attention and awareness to specific thoughts, feelings or emotions will be novel and difficult, but improving clients’ awareness of their symptoms and behavior is a critical component of CBT. Self-monitoring is comprised of two parts – discrimination and recording (Korotitsch & Nelson-Gray, 1999).ĭuring discrimination, the client is trained to bring their awareness to target phenomena by identifying and noticing when they occur. It is part of a wider practice of empiricism and measurement that is integral to CBT (Persons, 2008), and it functions as both an assessment method and an intervention (Korotitsch & Nelson-Gray, 1999 Proudfoot & Nicholas, 2010). Self-monitoring is a practice in which clients are asked to systematically observe and record specific targets such as thoughts, body feelings, emotions, and behaviors. To support clients with self-monitoring, we have outlined below a number of best practices that can be followed. the introduction of cognitive restructuring or behavioral experiments).Īlthough self-monitoring is conceptually fairly simple, it is often challenging for clients to conduct effectively (Korotitsch & Nelson-Gray, 1999). measuring the frequency and intensity of intrusive thoughts over the course of therapy) as well as readiness for different stages of a treatment intervention (e.g. Self-monitoring can provide a simple means to track client progress (e.g. The process of self-monitoring can help clients better appreciate the links between situations, thoughts, emotions, body sensations, and their responses. One aim of CBT is to help people to understand how what they think and do affects the way they feel. For example, a depressed client might be asked to record information about situations where their mood felt particularly low, a client recovering from an addiction problem might record what they were doing and thinking just prior to using substances, or a client suffering from post-traumatic stress disorder might complete a diary to record details of their trauma flashbacks. It is a form of data-gathering in which clients are asked to systematically observe and record specific targets such as their own thoughts, emotions, body feelings, and behaviors. Self-monitoring is a technique which cognitive behavioral therapists almost always teach their clients.
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