Reflective Video Journal #8 – Script/Outline

Introduction

“Hi, this is my Week 8 reflective journal. In this entry, I’ll be discussing CBT techniques used to change thought patterns, how I could apply CBT in my practice, the role of DBT, and my own experience with CBT sessions during clinicals.”

1. Specific CBT techniques used to change thought patterns/behaviors

“In the case study, several techniques stood out. One was cognitive restructuring, where the patient was guided to identify automatic negative thoughts and replace them with more balanced, realistic ones.
Another was behavioral activation, encouraging the patient to engage in meaningful activities to counter low mood.
The therapist also used Socratic questioning, asking open-ended questions to help the patient challenge distorted beliefs.

2. How I could implement CBT in my future practice

“I see CBT as a structured, evidence-based tool I can integrate into sessions with patients who struggle with mood, anxiety, or distorted thinking patterns.
For example, I would use worksheets or thought journals to help patients recognize triggers and reframe thinking.

3. Diagnoses where DBT can be used

“DBT, which is an offshoot of CBT, is especially effective for patients with Borderline Personality Disorder, where emotion regulation and interpersonal conflict are central issues.
It is also helpful for individuals with chronic suicidal ideation, self-harming behaviors, PTSD, substance use disorders, and eating disorders, since DBT emphasizes mindfulness, distress tolerance, and emotional regulation.”

4. Have my clinical encounters included CBT?

“Yes, some of my encounters have included CBT elements. For example, I observed a patient with generalized anxiety disorder being guided to track their worry triggers and challenge catastrophic thinking.
In another case, a provider worked with a patient who had depression to use behavioral activation — scheduling enjoyable activities to lift mood.”

5. My personal experience with CBT sessions

“In my own sessions, I found CBT to be very practical and collaborative. Patients often feel empowered because they can clearly see the connection between thoughts and behaviors.
One challenge I noticed is that some patients initially resist doing homework, like thought logs. However, when they do engage, the progress is often measurable and motivating. APA

Conclusion

“To conclude, CBT is a powerful modality that I plan to use frequently in my future practice. It aligns well with patient-centered care because it gives individuals tools to manage their own thought patterns and behaviors. DBT expands this further for more complex cases like borderline personality disorder. My clinical experiences so far have shown me the real-world effectiveness of CBT, and I’m looking forward to integrating it more as I develop my role as a psychiatric mental health provider.”