Compare And Contrast Reality Therapy And Cognitive Therapy

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The purpose of this paper is to summarize the main assumptions as well as techniques of Cognitive-Behavioral Therapy (CBT), Reality Therapy, and Solution Focused Therapy; and to compare, contrast, and state the strengths and limitations/weakness of each therapy. In addition, expand on why Solution Based Therapy and Cognitive-Behavioral Therapy may work best out of all three therapy methods, with adolescents who have substance abuse problems. The first therapy to discuss is Cognitive-Behavioral Therapy, otherwise know as CBT. The main focus of CBT therapy is a “functional analysis of the thinking and behavioral process” (Content Guide 4, n.d.). This being said, CBT has been effective in the treatment of those struggling with substance …show more content…

According to Glasser (1965), “reality therapy is a treatment based on changing negative behavior, habits and relationships by focusing on the present or current situations.” An essential aspect of Reality Therapy focuses on the five needs of survival, love and belonging, achievement and power, independence and freedom, and fun, being essential for individuals to ascend through life and establish relationships (Content Guide 5, n.d.). The various techniques utilized during Reality Therapy include: exploring behavior as a focus of change, focusing on the present situation, the adolescent assumes responsibility, a friendly relationship exists between the therapist and patient, the therapist is patient with the individual, the individual considers their ability to change, and lastly the therapist takes into consideration specific factors that are in control of the individual (Content Guide 5, n.d.). In the video, we see the Dr. McFarland create a both friendly and comfortable environment where Adrianne is able to express her opinions and thoughts of her present situation with her parents. Dr. McFarland is also patient with Adrianne, and this is one of the strengths of Reality Therapy, since the way the questions are presented to Adrianne, for example “what are the things your parents need to see from you”, this allows Adrianne to take responsibility and focus on the present situation. One limitation/weakness …show more content…

The Solution Focused Therapy approach concentrates on working with the individual to determine a problem and then determine solutions to the problem (Content Guide 3, n.d.). Essential aspects of Solution Based Therapy include: introducing new perspectives, grasping the adolescents point of view, identifying one’s strengths, and holding the adolescent accountable by having them explain their exceptions and feelings (Content Guide 3, n.d.). The various techniques utilized in Solution Based Therapy consist of: clearly defining the problem and stating measurable solutions, asking open-ended questions, exploring actions that “make a difference”, addressing the importance of change, giving feedback, complimenting, giving the adolescent “homework” exercises, and lastly tactfully using supportive and respectful language towards the individual (Content Guide 3, n.d.). The strengths of Solution Based Therapy include working with the adolescent to recognize smaller problems that lead up to their overall problem of substance abuse (Content Guide 3, n.d.). This is because many adolescents do not think nor view their substance use as an actual issue (Content Guide 3, n.d.). Limitations/ weakness of Solution Based Therapy include an individual being reluctant to define any problems that they think are contributing to their substance abuse, therefore potential solutions can not be identified, and this is the

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