C.E.B.T.C.E.B.T.

Cognitive Emotive Cognitive Emotive Behavioral Therapy Behavioral Therapy

ByBy

John J. Martens, R.N., M.S.N., John J. Martens, R.N., M.S.N., A.P.N., L.A.D.AC.A.P.N., L.A.D.AC.

HonestySafetyTrust

Respect

ANGERHURTFEARSAD

SHAMEGUILT

LONELYGLAD

If we do not express If we do not express them in a healthy way them in a healthy way they will be expressed they will be expressed in a dysfunctional or in a dysfunctional or

impaired way.impaired way.

Repressed Anger=Rage

&Depression

Shame, Guilt & Toxic Shame

Healthy Healthy ImpairedImpaired

ANGERANGERHURTHURTFEARFEARSADSADSHAMESHAMEGUILTGUILTLONELLONELYYGLADGLAD

Rage & DepressionRage & Depression

ResentmentResentment

AnxietyAnxiety

Self-PitySelf-Pity

Toxic ShameToxic Shame

Toxic ShameToxic Shame

ApathyApathy

SillinessSilliness

Resentment(poisons our hearts)

Anxiety(fear no expressed)

Toxic Shame(the 3 sh’s)

Apathy(the black hole of the soul)

Carefrontation: Caring enough to tell the truth about how we feel,

what we need or want and setting boundaries.

Silliness(laughing instead of crying)

These eight feelings are the key to relationships and windows into our

hearts.

When we are safe enough and willing to respect; and we can trust and be honest

about how we feel we experience

emotional intimacy.

Lying and Hiding (the first signs of relapse)

Wounds and Confrontation(the reason for psychotherapy)

Wants(negotiable)

Needs(gotta have it)

Codependency

Whenever we place another person, place or thing ahead of our needs and give away whatever we need for what place, person, or thing wants or needs

Borderline Personality Disorder

• Self injurious behaviors • Wrist to waist restraints• Intrusive always asking for items

then acting out if she doesn’t get them.

• Countertransference

Narcissistic Personality Disorder

• Victim, blames everyone including God

• External Locus of Control• Will not speak his needs• Sees no benefit from psychotherapy .• Entitlement • Countertransference

Antisocial Personality Disorder

• Charming sociopathy• Blames other – no personal

responsibility• Dishonesty way of like• Personal relationships to meet

needs and no empathy.• Countertransference

Supervision:Who, what and where