
In the following posts, I’m going to be talking about Cognitive Behavior Intervention (CBI) intervention for younger children, typically 7-12 years old.
How do I know if my learner is ready for CBI?
Assess your learner’s cognitive and communication skills, as you consider the following:
1) The Concrete Operational Stage
From 7-11 years old, a child develops the concrete operational stage of development (Remember Jean Piaget from Child Development 101? That’s the guy). A child develops organized and rational thinking during this stage, and begins forming logical or operational thought, like rules. CBI requires a learner to be able to reason effectively about concrete matters and issues.
Though CBI has been used with children in this age range, there’s more evidence that older children/adults benefit from CBI.
2) Assess if learner has the ability to communicate abstract ideas and make sure teaching materials are appropriate
The process does involve being able to communicate how one thinks, which can be fairly abstract for the younger ones. It’s unclear if cognitive maturity is the issue here or if we just need to make sure that teaching materials are pitched at the right level.
Main point is, when implementing CBI, make sure you individualize. Be familiar with CBI’s basic concepts and incorporate all of that into a unique and creative plan that cater’s to your child’s needs. Yes, it’s easy to directly ask someone, What are you thinking about when (a tough situation) happens? But when working with younger children, we may have to take some indirect routes to figure what the child’s core beliefs are or dysfunctional thoughts. Be weary that some children may give an answer based on what they think you want to hear. Figure out ways on how to avoid this. Ask yourself: How do I translate abstract concepts into simple, understandable examples from the child’s own experiences and/or everyday life?
How do I figure out what my learner is thinking?
Before direct or indirect questioning, take the time to build rapport. Not a lot of people are comfortable opening up to a stranger, to an authority figure, to their parents, etc. Pair yourself with fun things your learner likes, and take the time to play, read, sing, dance, bond with your learner.
Direct approach: Ask, What were you thinking when ______? Like I said above, it’s worth a try if you know your learner responds to interview-type questions well, but if you presume you’re going to get some shrugs and “I don’t know”s or “Nothing”s, then I would ask indirectly.
Examples of direct questioning, answers, and possible cognitive distortions:
- What were your thoughts when you first saw me?
“That you were just gonna be like all my other therapists. You’re gonna ask me boring, stupid questions, like every single one of them.” — Overgeneralization, assuming that taking one example/experience and generalizing it to an overall pattern.
- How did you feel when you saw your teacher mark 2 answers incorrect on your homework?
“I worked really hard to finish that homework, because I wanted a perfect score. Now I feel like a complete failure.” — All-or-nothing thinking, I’m either a complete failure or perfect.
- What were you thinking about when you pushed your friend down the slide?
“I pushed him down the slide first, because when I said ‘Hi’ to him, he laughed, and I knew he was out to get me. He was going to try to push me down the slide first, so I decided to do it before he got the chance to.” — Mind reading or jumping to conclusions.
We’ll talk about cognitive distortions -all different kinds and possible combinations- in the next post.
Indirect approaches: You can start with, Describe a tough situation for you. Write down that situation and pay attention to how the child describes the situation, and how the child perceives others’ perspectives.
Comic strips: If talking it out is tough and hard to follow, use visuals, like a comic strip with characters and blank thought bubbles. You can have your learner fill in (or tell you for you to fill in) what they think each character is thinking in a given situation.
Hypothetical questions: Ask what your learner would do in given situations. You can also try roleplaying the situation if your learner has difficulties explaining it all verbally.
Play: Have your learner set the scene with toys / puppets. This may also be a good way to build rapport, without coming off too formal.
As your learner opens up to you, assess their awareness of their own (and others’) emotions. Does the sequence of their story make sense? If not, there may be some “prerequisite skills” needed to learn to help them become more successful with CBI. For example, if a learner has a hard time understanding others’ emotions based on their facial expressions, you may want to focus on this first by showing different examples of a person that looks happy, sad, angry, bored, tired, etc. You can use 2D pictures, videos, and/or point this out in real life.









