Cognitive-Behavioral Frame of Reference

The Cognitive-Behavioral Frame of Reference (FoR) looks at different levels of cognition and it has 5 aspects of an individual's life and states that these factors are interrelated. The following include the 5 aspects:
1. Thoughts
2. Behaviors
3. Mood/emotion
4. Physiological responses
5. Environment
Each factor can improve or deteriorate the other. Also, social and physical environments play a role.

The client population for this FoR has a wide range of variety from child, adolescent, adult, all the way to the elderly, and it incorporates all disabilities in a variety of settings. This FoR can be used with the Model of Human Occupation Model of Practice. A case is developed by looking at the client's problems, thinking, behavior, emotions and environements.

An OT might use this FoR with a client with anxiety issues. The therapist might recommend deep breathing exercises or meditation to lower the client's anxiety levels.

Some key terms include:
- automatic thoughts
- core schema
- levels of cognition

There are many types of FoRs to use as well as Models of Occupation to enhance therapists concepts and guide interventions. OTs must keep these in mind in practice.

Sincerely,
The Young OTS

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