Overview:
Trial-Based Cognitive Therapy (TBCT) is an active therapeutic approach based on Cognitive- Behavior Therapy (CBT) that aims to help clients recognize and modify their situationally based automatic thoughts and unhelpful beliefs, including core beliefs (CBs). TBCT employs a three- level, three-phase case formulation approach with unique conceptualization and techniques to modify clients & cognitions.
In this presentation, attendees will observe Dr. de Oliveira implement TBCT main and innovative techniques, including:
The TBCT Conceptualization Diagram: This provides a framework for understanding and addressing three levels of cognitive processing: automatic thoughts, underlying assumptions, and CBs.
The Intrapersonal Thought Record (Intra-TR): This tool guides patients in identifying and modifying their negative automatic thoughts. By systematically answering specific questions, patients can gain a more balanced and accurate perspective on situations and develop more adaptive and helpful thoughts.
The Participation Grid (PG): A narrative exposure technique that helps patients transform guilt into participation and ultimately responsibility through progressive verbal exposure to the guilt-provoking situation. The therapist then assists patients in transforming guilt into responsibility, now in a different context, related to their desired values and commitment.
The Trial-Based Thought Record (TBTR): This engages individuals in a courtroom metaphor, encouraging them to challenge and modify CBs and reduce emotional distress.
Objectives:
- Describe the CBT model to patients according to the TBCT conceptualization diagram.
- List three core tenets of Intra-TR List the different steps of the Participation Grid.
- Describe the steps for implementing the Trial-Based Thought Record & strategy in clinical practice.
Scope and Limitations Disclosure:
While TBCT incorporates principles of established CBT, it remains an emerging model. Further research is needed to validate its effectiveness across diverse populations and settings. Clinicians should exercise discretion and consult additional evidence when integrating TBCT into treatment.
Commercial Disclosure:
Dr. de Oliveira is the developer of Trial-Based Cognitive Therapy (TBCT) and may reference his published materials. However, there is no requirement to purchase additional resources to participate in this course.
Trademark Notice:
TBCT is a proprietary intervention model developed by Dr. de Oliveira. This course introduces TBCT as one of several CBT-based frameworks. Clinicians are encouraged to evaluate its applicability in light of individual client needs and existing evidence.
Course materials are only available to enrolled students.
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Irismar Reis de Oliveira, MD
Dr. Irismar Reis de Oliveira is a full Professor of Psychiatry in the Postgraduate Program at the Federal University of Bahia, Brazil, where he received his MD in 1978. His educational background includes a residency in Psychiatry at the Cochin Port-Royal Faculty of Medicine, at “Centre Hospitalier Sainte-Anne,” Paris, France (1983-1987), and a PhD in Neuropsychopharmacology at the Post-Graduate Unit of the Department of Medicine, School of Medicine, Federal University of Bahia (1993-1995). His professional background includes activities in the Department of Pharmacology, serving as an Assistant (1981-1991) and Associate Professor of Pharmacology (1992-1996); in the Department of Neurosciences and Mental Health, serving as an Adjunct (1997-1999) and full Professor of Psychiatry (2000-2009); and as Head of the Psychiatry Service at the University Hospital, Federal University of Bahia (2000-2009). He now serves as a full Professor of Psychiatry in the Postgraduate Program. Dr. de Oliveira is a member of the Association for Behavioral and Cognitive Psychotherapy (ABCT); Associação Brasileira de Psiquiatria (Brazilian Association of Psychiatry); a Founding Fellow of the Academy of Cognitive & Behavioral Therapy (ACBT); and an emeritus member of the Anxiety & Depression Association of America (ADAA). He has authored or coauthored more than 130 papers, 20 book chapters, and 6 books. In the past 15 years, Dr. de Oliveira developed Trial-Based Cognitive Therapy (www.trialbasedcognitivetherapy.com) and has trained therapists in Brazil, France, the USA, and other countries in this model.
National Approvals
eCare BHI, as the accredited and approved sponsor, maintains responsibility for all the programs and must abide by each board’s continuing education guidelines.

Professional Counselors — The National Board for Certified Counselors (NBCC)
E Care Behavioral Health Institute has been approved by NBCC as an approved Continuing Education Provider. ACEP No. 6703. Programs that do not qualify for NBCC are clearly identified. E care Behavioral Health Institute is solely responsible for all aspects of the programs.

Addiction Professionals — NAADAC, the Association for Addiction Professionals (NAADAC)
E Care Behavioral Health Institute is officially on file with NAADAC, the Association for Addiction Professionals (NAADAC) as an Approved Education Provider. They are formally known as NAADAC Provider #139138. Please note that E care Behavioral Health Institute is solely responsible for all aspects of the program.

Social Workers — Association of Social Work Boards (ASWB)
E Care Behavioral Health Institute, #1706, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. E Care Behavioral Health Institute maintains responsibility for this course. ACE provider approval period: 06-03-2020 – 06-03-2026.

Psychologists — American Psychological Association (APA)
E Care Behavioral Health Institute is approved by the American Psychological Association to sponsor continuing education for psychologists. E Care Behavioral Health Institute maintains responsibility for this program and its content.

CE Broker
CE Broker is a continuing education tracking system in which licensees track their compliance and report their completed CE hours credit (CE Broker Tracking #50-33336)
State Approvals
States that Accept ASWB-ACE Approved Providers |
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Alabama | Alaska | Arizona | Arkansas | California | Colorado | Connecticut |
Delaware | District Of Columbia | Florida | Georgia | Hawaii | Idaho | Illinois |
Indiana | Iowa | Kansas | Kentucky | Louisiana | Maine | Maryland |
Massachusetts | Michigan | Minnesota | Mississippi | Missouri | Montana | Nebraska |
Nevada | New Hampshire | New Jersey | New Mexico | North Carolina | North Dakota | Ohio |
Oklahoma | Oregon | Pennsylvania | Rhode Island | South Carolina | South Dakota | Tennessee |
Texas | Utah | Vermont | Virginia | Washington | West Virginia | Wisconsin |
Wyoming |
States that Accepts NBCC Approved Courses: |
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Alabama | Alaska | Arizona | Arkansas | California | Colorado | Connecticut |
Delaware | District Of Columbia | Florida | Georgia | Hawaii | Idaho | Indiana |
Iowa | Maine | Maryland | Massachusetts | Missouri | New Hampshire | New Jersey |
New Mexico | Ohio | Oregon | Pennsylvania | Rhode Island | South Carolina | South Dakota |
Tennessee | Texas | Vermont | Virginia | Washington | Wisconsin |
- Nevada CPC’s and MFT’s accept ASWB-approved training
- North Dakota Board Of Counselor Examiners LAPC and LAPCS accept ASWB approved training
- Rhode Island Board of Mental Health Counselors and Marriage & Family Therapists MHC’s accept ASWB approved training
- Texas Behavioral Health Executive Council LPC and LPCS accept ASWB approved training
- Utah Division of Professional Licensing – CMHC’s accept ASWB approved training
- Washington State Department of Mental Health MHC’s accept ASWB approved training
- Wisconsin Council on Mental Health LPCS accepts ASWB-approved training
States that Accept NAADAC Approved Providers |
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Alabama | Alaska | Arizona | Arkansas | Delaware | Hawaii | Indiana |
Kentucky | Maine | Massachusetts | Minnesota | Montana | Nevada | New Jersey |
New Jersey | New Mexico | North Carolina | North Dakota | Oregon | Rhode Island | Tennessee |
Vermont | Virginia | Washington | West Virginia | Wisconsin | Wisconsin | Wyoming |
States that Accept APA Approved Providers |
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Alabama | Alaska | Arizona | Arkansas | California | Delaware | District Of Columbia |
Florida | Georgia | Idaho | Illinois | Indiana | Iowa | Kansas |
Kentucky | Louisiana | Maryland | Massachusetts | Minnesota | Mississippi | Missouri |
Montana | Nebraska | New Jersey | New Mexico | North Dakota | Ohio | Oklahoma |
Pennsylvania | Rhode Island | South Carolina | Tennessee | Utah | Vermont | Virginia |
Washington | West Virginia | Wisconsin | Wyoming |