I don't think you're missing anything. It is quite possible for several cognitive distortions to be apparent in one automatic thought. It is probably most useful to think of cognitive distortions as errors in information processing. As we all know from personal experience, humans are sometimes capable of making several errors at once. Usually there is no particular need to decide which cognitive distortions are represented in a particular dysfunctional thought. If therapist and client can develop adaptive responses that are effective, that is all that is needed. I don't know that much work has been done looking at whether certain interventions are more effective with certain cognitive distortions. The only time I advocate choosing an intervention techniques because of the type of cognitive distortion that is occurring is when I recommend using the continuum technique with dichotomous thinking.
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