{"id":43834,"date":"2021-07-23T18:02:00","date_gmt":"2021-07-23T22:02:00","guid":{"rendered":"https:\/\/www.shortform.com\/blog\/?p=43834"},"modified":"2021-08-02T16:22:28","modified_gmt":"2021-08-02T20:22:28","slug":"cbt-homework","status":"publish","type":"post","link":"https:\/\/www.shortform.com\/blog\/cbt-homework\/","title":{"rendered":"Assigning CBT Homework: Tips for Therapists"},"content":{"rendered":"\n<p>What tips can help you assign CBT homework to your patients? What are some examples of cbt homework tasks? How can you improve the completion rate?<\/p>\n\n\n\n<p>Assigning homework during a CBT session can improve patient progress dramatically. It gives the patient a chance to practice what they have learned during the therapy session. Learning how to assign CBT homework successfully and improve completion rate will help your patient achieve their goals.&nbsp;&nbsp;<\/p>\n\n\n\n<p>Keep reading for tips about assigning CBT homework.&nbsp;<\/p>\n\n\n\n<!--more-->\n\n\n\n<h2 class=\"wp-block-heading\"><strong>CBT Homework Assignments<\/strong><\/h2>\n\n\n\n<p>CBT homework gives the patient opportunities to practice new behaviors and thinking. Patients who regularly complete homework show better progress.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Principles of Homework<\/strong><\/h3>\n\n\n\n<p>Explain the rationale of CBT homework, often in terms of improving patient affect or in proven efficacy.<\/p>\n\n\n\n<p>Sessions should typically begin with review of homework completion, outcomes from doing homework, and appropriateness of tasks for future homework in CBT sessions.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>If the patient didn\u2019t complete the homework, you should take blame for assigning too difficult an assignment or not explaining it well enough.<\/li><\/ul>\n\n\n\n<p>Set CBT homework collaboratively. Get patient buy-in for homework assignment.<\/p>\n\n\n\n<p>Lean toward making homework assignments easy and able to be completed than too hard. <strong>Aim for 90-100% likelihood of completion.<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Ask the patient for their own estimation of how likely they are to complete, from 0-100%.<\/li><li>It\u2019s better to remove an assignment than to set the habit of not completing an assignment.<\/li><\/ul>\n\n\n\n<p>Make CBT homework no-lose\u2014even if the patient doesn\u2019t complete homework, she\u2019ll discover thoughts that prevent her from making progress.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Homework Assignment Tasks<\/strong><\/h3>\n\n\n\n<p>CBT homework assignments can take a variety of forms. Here are common tasks for patients:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Behavior activation\u2014the patient just does activities, such as doing light exercise or making a phone call to a friend. For newer patients, this is often more useful to improve affect than more intellectual tasks.<\/li><li>Notice <a href=\"https:\/\/www.shortform.com\/blog\/negative-automatic-thoughts\/\">automatic thoughts<\/a>.<\/li><li>Evaluate automatic thoughts.<\/li><li>Review therapy notes and read coping cards<ul><li>Example of a coping card: \u201cIf I start to think that I can\u2019t apply for a job, remind myself that I\u2019m only going to do it for 10 minutes, that it may be difficult but probably won\u2019t be impossible, and that the first minute will be hardest and then it\u2019ll get easier.\u201d<\/li><\/ul><\/li><li>Problem solving\u2014implement the solutions devised during sessions.<\/li><li>Conduct behavior experiments. Record data as evidence for or against negative thoughts.<\/li><li>Read other source material.<\/li><li>Prepare for the next therapy session.<\/li><li>Set reminders to read over homework multiple times per day.<\/li><\/ul>\n\n\n\n<p>As therapy progresses, the nature of homework may change:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>The patient may start proposing homework in CBT sessions and giving the rationale for the tasks.<\/li><li>The tasks can become more complex, diving deeper into <a href=\"https:\/\/www.shortform.com\/blog\/cognitive-conceptualization\/\">the cognitive model<\/a>.<\/li><li>Some regular tasks will still remain, like reviewing therapy notes daily.<\/li><\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Improving Homework Completion Rate<\/strong><\/h3>\n\n\n\n<p>Here are techniques to increase CBT homework completion rate:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Commitment devices<ul><li>Daily checklists of tasks<\/li><li>Scheduling tasks in the patient\u2019s calendar<\/li><li>Ask the patient to leave a voicemail with you whenever <a href=\"https:\/\/www.shortform.com\/blog\/how-to-complete-a-task-successfully\/\">finishing a task<\/a><\/li><\/ul><\/li><li>Find barriers for doing homework, and problem solve those barriers.<ul><li>Rehearse the situation leading up to doing homework to find issues.<\/li><li>These may be practical barriers, such as lacking time in schedule or forgetting.<\/li><li>They may also be mental barriers, such as overestimating time or effort, overcoming the activation energy to get started, or believing it won\u2019t work.<ul><li>Ask the patient what the worst that can happen is, and the best.<\/li><li>Remind the patient that they\u2019re not aiming for perfection.<\/li><\/ul><\/li><\/ul><\/li><li>Anticipate negative results of homework and address subsequent automatic thoughts<\/li><li>Start homework in session, so that offline homework is merely continuation of the task rather than completion.<\/li><\/ul>\n\n\n\n<p>From this article, you\u2019ll see that homework in CBT can be made more efficient and successful. Follow the above advice to improve the progress of your patient.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>What tips can help you assign CBT homework to your patients? What are some examples of cbt homework tasks? How can you improve the completion rate? Assigning homework during a CBT session can improve patient progress dramatically. It gives the patient a chance to practice what they have learned during the therapy session. Learning how to assign CBT homework successfully and improve completion rate will help your patient achieve their goals.&nbsp;&nbsp; Keep reading for tips about assigning CBT homework.&nbsp;<\/p>\n","protected":false},"author":12,"featured_media":13068,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[15,9],"tags":[443],"class_list":["post-43834","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-education","category-psychology","tag-cognitive-behavior-therapy-basics-and-beyond","","tg-column-two"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.3 (Yoast SEO v24.3) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Assigning CBT Homework: Tips for Therapists - Shortform Books<\/title>\n<meta name=\"description\" content=\"CBT homework helps your patient apply what they have learned. 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