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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.

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  1. In CBT case conceptualization, what are 'maintaining factors'?

    Answer: Current thoughts, behaviors, or environmental responses that keep the problem going

    Maintaining factors are the ongoing cognitive and behavioral patterns — such as avoidance or rumination — that perpetuate the client's difficulties in the present.

  2. Which of the following is an example of a 'core belief' in CBT assessment?

    Answer: 'I am fundamentally unlovable'

    Core beliefs are global, rigid, and absolute statements about the self, others, or the world that develop early in life and filter experience.

  3. A CBT therapist uses the PHQ-9 during intake. What does this measure?

    Answer: Depression severity using nine DSM-aligned symptom questions

    The PHQ-9 (Patient Health Questionnaire-9) assesses nine depression criteria aligned with DSM standards and is a widely validated brief screener.

  4. What distinguishes a 'precipitating factor' from a 'predisposing factor' in a CBT conceptualization?

    Answer: Precipitating factors are the recent triggers that activated the problem; predisposing factors are earlier vulnerabilities

    Predisposing factors (e.g., early adverse experiences) create vulnerability, while precipitating factors (e.g., a recent loss) trigger the current episode.

  5. During assessment, a client scores high on the GAD-7. Which condition does this scale specifically screen for?

    Answer: Generalized anxiety disorder

    The GAD-7 is a seven-item self-report scale validated to screen for and measure the severity of generalized anxiety disorder.

  6. When a Certified Belief Therapist shares the case conceptualization with a client, what is the expected therapeutic effect?

    Answer: It helps the client feel understood and provides a rationale that normalizes their struggles and guides change

    Sharing the conceptualization collaboratively fosters the therapeutic alliance, reduces shame, and gives the client a cognitive map for understanding their own patterns.