Tuesday 25 July 2017

CBT Technique: Using the Triple Column Technique to Change Your Thoughts To Change Your Life! 

One of the cornerstones of Cognitive Behavior Therapy (CBT) is to individuals identify their negative and irrational ways of thinking.  Cognitive Errors, also known as Cognitive Distortions, are unhealthy thinking habits that lead to most common mental health problems such as anxiety, depression and other mood  disorders.  The concept of Cognitive Distortions are integral to a popular CBT technique that my clients have always found very helpful , called the Triple Column Technique. This is a technique developed by  CBT psychologist and best selling author David Burns.

To use this CBT technique, fold a paper width-wise into three columns. In the first column, Burns has us write our negative thoughts, such as “I will never get my life together.”  In the second column is the type of thinking error (see below), which in this case would be all-or-nothing thinking and fortune telling.  In the third column is the more rational alternative thought which is based on fact and not distortion, which would be “I have challenges in getting my life to fall into place, but I will keep working at it until things get better.”

Why is the 2nd column – identifying the cognitive errors – so important to identify?  By recognizing problematic thinking patterns, it is easier for us to identify why our thoughts are irrational. Only by recognizing the type of distortion can we master our thoughts to master our moods. When we detect patterns in our irrational thinking, we are more likely to “catch ourselves” thinking in erroneous ways.

The following are some common types of Cognitive Errors. I ask my clients to circle the errors that underlie their mood and anxiety difficulties.  Giving my clients the tools to help themselves identify the type of distortion has been invaluable for them to gain a healthier perspective so they no longer pay as much attention to their inner critic so uncritically!

The following are a sampling of common cognitive distortions with examples:

• All or Nothing Thinking“He hates me!”

• Blaming“It’s his fault I am so mad!”

• Discounting the Positive  – “I have nothing that works out in my life.” 

• Emotional ReasoningI feel anxious I know something bad will happen to me.” 

• Fallacy of Fairness  –It’s not fair!  She has no right to say that to me”

• Jumping to Conclusions  –  “I bet he’s thinks I am stupid after that.”

• Labeling  – He’s just lazy.” 

• Magnification  – “It’s TERRIBLE that she is mad at me.”

• Minimization  –  “It’s no big deal”

• Fortune Telling   – “I’ll never find someone to love – I’ll always be alone.” 

• Mental Filter  – “My nose is too big and makes me look unattractive.”

• Mind Reading – She’s trying to make me look stupid in our weekly meetings.” 

• Over-Overgeneralizing  – Men can’t be trusted.”

• Personalization   “It’s my fault she had an accident, since we had a fight before she left.”

• Comparisons with others  “He’s so much smarter than me.” 

• Shoulds – “You shouldn’t feel that way.” 

The worksheet on this link will help you identify cognitive distortions.

Notice how many cognitive distortions underlie this one sentence!  

We tend to have our certain pet cognitive errors that defy logic and cause us to think negatively and feel badly.  Which ones do you favor?  By using this triple column technique with the help of  this handout on cognitive errors, you are well on your way of changing your thoughts to change your life!



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