COGNITIVE THERAPY FOR THE PATIENT WITH CANCER

SCMA Annual MeetingDean Schuyler, M.D.

April 18, 2015Charleston, S.C.

Format

• My Job• My Debt to My Teachers• The Cognitive Therapy Model• Treating the patient at the end of life

Aaron T. Beck, M.D.

Martin E.P. Seligman, Ph.D.

Frank Brescia, M.D.

Treating the Patient with Cancer:General Principles

• Curative Intent vs. Palliative Care (Comfort)• Engagement (Establishing a Relationship)• Communicating Effectively• The Concept of Life Stage: Explained

Some Issues in the Patient with Cancer

. Planning for Death

. Loss of Control/Familiarity• Facing Uncertainty• Identity Issues/The Identity Pie• Need to Grieve Earlier Losses• Demoralization• Making Choices

Applying Cognitive Techniquesin the Patient with Cancer

• Separating Facts From Beliefs• Seeking Alternatives (Options)• Is This a Good Strategy for You?• Problem-Solving• Shift of Set• Identifying Cognitive Errors• Encouraging Patient to be a Self-Observer• Triple Column

Learning From Significant Others

“Live Until You Die”

REFERENCES

. Schuyler, D. “Cognitive Therapy at the End of Life.” J.South Carolina Medical Association. 109:18-19, 2013.. Schuyler, D. “Casebook of a Cancer Therapist.”

Companion. 10(6):477-478, 2008.. Muniz da Costa Vargens, O., Bertero, C. “The

Phantom of Death Improving Quality of Life: You Live Until You Die.” Amer. J. of Hospital and Palliative Medicine. 29(7):555-562, 2012.

REFERENCES (2)

• Schuyler, D. “Casebook of a Cancer therapist II.” Companion. 11(5):263-264, 2009.

• Schuyler, D. “Befriending.” Companion . 13(4):e1-e2, 2011.

• Schuyler, D. “Engagement.” Companion. 15(1):e1-e2, 2013.

• Schuyler, D., Franklin, J. “Dealing with the end of life.” Companion. 15(6):e1-e3, 2013.

REFERENCES (3)

• Schuyler, D., Coker, W. “Hospice.” Companion. 16(4):e1-e2, 2014.

• Schuyler, D. “Live Until You Die.” Companion. 16(6):e1-e2, 2014.

• Schuyler, D. “Teaching our young.” Companion. 15(5):e1-e2, 2013.

• Schuyler, D. “Grieving the loss of a friend.” Companion. 14(6):e1-e3, 2012.