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  • Trial-Based Cognitive Therapy: Tools for collaborative symptom tracking in treatment

Trial-Based Cognitive Therapy: Tools for collaborative symptom tracking in treatment

  • 08/17/2022
  • 12:00 PM - 2:00 PM
  • Virtual


  • Includes 2 CE Credits
  • Includes 2 CE Credits: Consider first becoming PBTA member & then registering in order to access the benefit of FREE REGISTRATION & free CE offered to current members

Registration is closed

Trial-Based Cognitive Therapy (TBCT) includes methods for measuring cognitive and behavioral symptoms during therapy. In this training participants will be introduced to implementation of the following TBCT tools that can be used to track changes collaboratively with clients in therapy:

1) The color-coded problem hierarchy (CCPH) that supports the client in assessing each problem’s impact in their life; in identifying potential solutions to implement; & in tracking outcome of such solutions as therapy progresses.

2) The cognitive distortions questionnaire (CD-Quest), a 15-item scale validated in the USA and several other countries, that supports both therapist and patient in following changes in dysfunctional automatic thoughts, as specific techniques are used to restructure cognition. A short 9-item version and an ultra-short 5-item version will also be described.

3) The Color-Coded Symptom Hierarchy (CCSH), akin to the above mentioned CCPH, designed to assess and track symptoms in different disorders, especially anxiety and related disorders (e.g., OCD and PTSD), and facilitate exposure and behavioral experiments during therapy.

4) The Negative Core Beliefs Inventory (NCBI), a validated measure for uncovering dysfunctional CBs, the most deeply entrenched ideas people hold about themselves and others. The NCBI also supports tracking of change in CBs over time.

Illustrations of how these measures are used with clients will be provided and participants will receive electronic versions of these tools to practice implementing with clients after this training.

CE Learning Objectives

Following this presentation, participants will be able to:

  • Build a problems list with the client and follow such problems & potential solutions by means of the CCPH
  • Implement the CD-Quest with the client to track of change in cognitive distortions over time
  • To assess and track change in symptoms of OCD, PTSD, anxiety, and related disorders with the CCSH
  • To assess and track change in dysfunctional CBs over time with the NCBI

About Presenter

Irismar Reis de Oliveira, MD, PhD, is a full Professor of Psychiatry at the Federal University of Bahia, in Brazil. His background includes activities as an Associate Professor of Pharmacology and Head of the Psychiatry Service at the same university. He is a member of the Association for Behavioral and Cognitive Psychotherapy (ABCT); Brazilian Association of Psychiatry; and a Founding Fellow of the Academy of Cognitive Behavior Therapy (ACT). He has written 130 articles, 25 book chapters and has edited/published six books. He developed Trial-Based Cognitive Therapy (, and has trained therapists in the USA, Brazil and other countries in this model.

Target Audience

This presentation is intended for licensed mental health professionals and advanced graduate student trainees seeking licensure and with some clinical experience. The instructional level of this presentation is intermediate.

Continuing Education

  • Philadelphia Behavior Therapy Association is approved by the American Psychological Association to sponsor continuing education for psychologists*. Philadelphia Behavior Therapy Association maintains responsibility for this program and its content.
  • This program provides two (2) hours of CE credits.
  • PBTA is also an authorized provider of CE credits for Professional Counselors, Marriage and Family Therapists, and Clinical Social Workers licensed in the state of Pennsylvania.
  • Full attendance with video display is required to obtain CE credit for this program. APA guidelines do not permit PBTA to issue partial CE credits. No refunds are provided for CE programs. No exceptions allowed.
  • * PBTA does not currently offer CE to practitioners licensed in the state of New York.
  • All events are Eastern Time Zone 
  • Contact if you need any learning accommodations no later than one week before event.

Recommended Readings:

1.    de-Oliveira IR (2015) Trial-Based Cognitive Therapy: A Manual for Clinicians. Routledge, New York, 208 p.

2.    Morrison AS, Potter CM, Kinner DG, Jensen D, Bruce L, Wong J, de-Oliveira IR, Sudak D, Heimberg R (2015) The cognitive distortions questionnaire (CD-Quest): Psychometric properties and exploratory factor analysis.  International Journal of Cognitive Therapy, 8:287-305.

3.    Cypriano CP, de-Oliveira IR (2021) Construction and validation of social anxiety disorder exposure and evaluation scale - SADEE. Arquivos Brasileiros de Psicologia, 73:112-127.

4.    Osmo F, Duran V, Wenzel A, de-Oliveira IR, Nepomuceno S, Madeira M, Menezes I (2018) The negative core beliefs inventory: Development and psychometric properties. Journal of Cognitive Psychotherapy, 32:67-84.

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