Atheneum Learning

The Flexible CBT Approach is based on Dr. Neuhaus’ Fixed Values and Flexible
Treatment model which adapts essential aspects of cognitive behavior therapy (CBT) principles and evidence-based literature into a pragmatic, flexible approach. Designed for patients with mood, anxiety, and personality disorders, and for those with severe and complex psychopathology, the treatment mission is to diminish a patient’s suffering, improve functional capacities, and enhance quality of life and interpersonal connections.

Atheneum Learning’s TRi Training System puts this approach into action in a series of dynamic, online training modules.

Module 1 – Fixed Values

Conceptual grounding for the treatment framework providing comprehensive foundational knowledge. There are seven fixed values organized according to two areas:

I. Treatment Framework

• CBT Triangle
• Functional Improvement
• Skill Acquisition
• Collaboration and Connection

II. Background Assumptions

• Evidence-based CBT treatments are the foundation of the approach
• Description of Life Context is a Therapeutic Process
• Treatment is a Learning Process that progresses in stages

In Modules 2 and 3, Fixed Values are operationalized into Principles and Protocols for applying the Flexible CBT Approach. Principles are the anchor points to guide clinical decision-making in assessment and treatment. Protocols are specific methods to apply. Knowledge of principles and protocols facilitates rigorous clinical judgment leading to effective treatment.

Module 2 – Assessment and Beginning the Work of Therapy

Introduction to the Cognitive Behavior Analysis (CBA) for patient assessment, and a framework for establishing an effective therapeutic relationship.

I. Establishing the Relationship

• Therapist perspective: Create structure, instill hope, stay connected
• Patient perspective: Going to therapy is nosmall thing for most people – anxiety, trepidation
• Setting expectations collaboratively

II. Cognitive Behavioral Analysis (CBA)

• Integration of patient and therapist perspectives
• Principles/Protocols: ‘Why now?’ questions; using the triangle; description of life context; racial and cultural factors; diagnosis/mental status
• Case formulation leading to treatment planning

Module 3 – Skills Training & Psychoeducation

From clinical formulation to interventions.

I. Bridge between CBA and Skills Training

• Principles/Protocols for core CBT skills
• Collaborative psychoeducation
• Stages of the therapeutic process

II. Learning to change — accepting changes made

III. Matching Skills to Problem