This therapy tape assignment proved to be distinctly more difficult to execute and capture in video form than the one I did last semester. While, I do feel confident in my ability to conduct a successful CBT session, I am also aware that we will not be observing this in my submitted therapy tape. There are several editing issues that take away from the natural flow of the mock session. I tried to offer empathetic and understanding responses to the material that Susan was bringing to the session. I tried to demonstrate a collaborative style of session and time management through asking for permission to interrupt her and getting feedback on the proposed intervention exercise. There is a lack of displayed confidence and professionalism in the …show more content…
Arguably the content and conceptualization was effectively addressed in my client profile and the script that I designed with my tape partner. However, I am aware that many of the required elements of CBT structure and interventions were done poorly or in an incomplete fashion. Through my attempts to address the homework, I accidental ended up working on two issues at once, thus mixing up the core beliefs we were supposed to be working on. Additionally, my use rating scales were disastrous. I tried to allude to a constant, overall rating of anxiety that we had used each session to monitor movement in her anxiety ratings. I believe this worked adequately and gave me the ability to address the subjectivity of experienced levels of anxiety. No other rating scale worked well; primarily because I never got follow-up ratings. The only report that I would have in that session to suggest it was helpful in anyway is Susan’s feedback at the end that the imagery technique worked. There was abysmal follow through on automatic thoughts and I became preoccupied with identifying the core belief addressed in the session which is something I know full well would be inappropriate in a real CBT session. There was also no writing are tangible evidence of what we did in the session, which entirely uncharacteristic of CBT. There are coping cards alluded to in the tape but, in hindsight, they should have been displayed in the
One of the primary reasons I prefer to utilize CBT is due to its compatibility with my personality. I am an organized, logical, and direct individual, all of which CBT encompasses well. CBT is a highly structured therapy. Even though there isn’t a particular order to procedures while utilizing CBT, there does tend to be a natural progression of certain steps. This aspect allows me to feel as though I am leading client’s to their goals in a logical manner. Not only that, CBT has a great deal of research backing that has proven it to be effective in treating several diagnoses such as depression and anxiety (Corey, 2013). Perhaps the best quality of CBT is the fact that it is known for having an openness to incorporating techniques from other approaches. According to Corey (2013), most forms of CBT can be integrated into other mainstream therapies (p.
First, the therapist attempts to investigate the behaviours that the client presented on the first time that she experiences the problem. Second, the therapist tries to understand the way the client is managing her symptoms and problems (Dobson and Dobson, 2009) by identifying the safety behaviours that the client is adopting to reduce the level of anxiety (Papworth, Marrinan, and Martin, 2013). On the video session, the therapist showed concern about the behaviours that the client was engaging on (Marshall and Turnbull, 1996), however, she should have asked her more about specific behaviours that the client was probably engaging on, based on the information that the client provided (Kinsella and Garland, 2008). The therapist tries to detect behaviours such as avoiding specific situations, like for example leaving the house alone (Papworth, Marrinan, and Martin, 2013), yet she did not explore this enough. The therapist should have also inquired the client about reassurance seeking and safety seeking behaviours, as the client stated that she calls her husband when she is feeling anxious. The therapist should have discussed this in more detail, specifically emphasising the conection between these behaviours and the vicious circle (Kinsella and Garland,
Cognitive Behavioral Therapy provides a collaborative relationship between the client and the therapist with the ultimate goal of identifying irrational beliefs and disputing those beliefs in an effort to change or adapt behavior (Corey, 2013). The developers of Cognitive Behavioral Therapy saw humans as capable of both rational and irrational thoughts and able to change the processes that contribute to irrational thinking (Corey, 2013). CBT is a more direct approach than some other therapy theories practiced today in that it challenges the client to identify aspects about their self through cognitions. This therapy, as discussed in Corey (2013) also provides an educational component such that therapist teach clients tools to effectively change the way they think to a healthier way. There are a multitude of techniques associated with CBT such as shame attacking exercises, changing ones language...
I had completed my role observation at Parkland Rehabilitation located in Spruce Grove at the Tri-Leisure centre. Parkland Rehabilitation have been providing services in the area since 1990 and have been located at the Tri-Leisure centre since 2002. They offer a wide variety of rehabilitation services to the community and surrounding areas. The woman I had observed had the title of therapy assistant. I had observed a woman with the title of therapy assistant.
In it's simplest form, Cognitive Behavioral Therapy, (or CBT as it will be referred to from here on out), refers to the approach of changing dysfunctional behaviors and thoughts to realistic and healthy ones. CBT encompasses several types of therapy focusing on the impact of an individual's thinking as it relates to expressed behaviors. Such models include rational emotive therapy (RET), rational emotive behavioral therapy (REBT), behavior therapy (BT), Rational Behavior Therapy (RBT), Schema Focused Therapy, Cognitive therapy (CT). Most recently a few other variations have been linked to CBT such as acceptance and commitment therapy (ACT), dialectic behavioral therapy (DBT), and Mindfulness-Based Cognitive Therapy (MBCT) (Harrington and Pickles, 2009). The main aspect that all of these branches of therapy share, is that our thoughts relate to our external behaviors. External events and individuals do not cause the negative thoughts or feelings, but, instead the perception of events and situations is the root cause (National Association of Cognitive Behavioral Therapists, 2010).
In B. L. Duncan, S. D. Miller, B.E. Wampold, & M.A. Hubble (Eds.), The heart and soul of change: Delivering what works in therapy (2nd ed., pp. 143-166). Washington, DC: American Psychological Association.
Cognitive behavioral therapy commonly known as CBT is a systematic process by which we learn to change our negative thoughts into more positive ones. CBT is a combination of two types of therapy, Cognitive Therapy and Behavioral Therapy. Cognition is our thoughts, so cognitive behavioral therapy combines working with our thought process and changing our behavior at the same time. Cognitive behavioral therapists believe that our behavior and our feelings are influenced by the way we think; also our mood is affected by our behavior and thought process. So CBT tries to tackle our thoughts, feelings and behavior. Scientific research has shown that cognitive behavioral therapy is affective for a wide range of mental health problems. The purpose is to bring positive change by alleviating emotional distress such as depression. CBT starts by breaking down your problems into smaller components, often trying to identify particular problematic thoughts or behavior. Once these problems are broken down it is then suggested a straightforward plan in which the patient and therapist can intervene to promote recovery.
For Pat’s service plan, I will be using CBT to meet the desired outcomes. I will have Pat record his thoughts, emotions, and behaviors in a daily log at least 5 times per week after completing psychoeducation. This will encourage Pat to be mindful and reflective about his how his moods influence his behavior in an effort to reduce the negative relationship between them. To improve Pat’s coping strategies with stress and anger, Pat will report his practice of mindfulness and relaxation techniques at least 5 times per week. To measure Pat’s medication adherence, Pat and I will design a schedule that he feels he follow and record when he goes to sleep, how long he sleeps, his diet, and when he takes his medication.
Lappalainen, R., Lehtonen, T., Skarp, E., Taubert, E., Ojanen, M., & Hayes, S. C. (2007). The impact of CBT and ACT models using psychology trainee therapists: A preliminary controlled effectiveness trial. Behavior Modification, 31, pp. 488-511.
The cognitive processes that serve as the focus of treatment in CBT include perceptions, self-statements, attributions, expectations, beliefs, and images (Kazdin, 1994). Most cognitive-behavioral based techniques are applied in the context of psychotherapy sessions in which the clients are seen individually, or in a group, by professional therapists. Intervention programs are designed to help clients become aware of their maladaptive cognitive processes and teach them how to notice, catch, monitor, and interrupt the cognitive-affective-behavioral chains to produce more adaptive coping responses (Mah...
Although, this session ended with amazing results, I feel as though I need more practice with this type of therapy. I have to continue to practice on allowing the patient to come up with their own solutions. I found it hard not giving advice to my client, because I already knew the situation. However, in the end I found myself very proud, because even though this was not a real therapy session, but the client was able to find a real solution to her problem. This experience is one that teaches the therapist restraint, it allows one to step back and listen. It also gives the client the opportunity to reach a solution themselves without someone giving them the answer to their
Cognitive behavioural therapy (CBT) is a counselling model based greatly on talking therapy. It focuses on peoples underlying thoughts and past experiences, and how they influence current habits and behaviours. CBT tries to correct these and learn alternative ways of processing information to alter the undesired behaviour and/or habits. This is done through a combination of cognitive therapy (looking at the ways and things you think) and behavioural therapy (looking at the things you do).
Shafran, R., Clark, D. M., Fairburn, C. G., Arntz, A., Barlow, D. H., Ehlers, A., . . . Wilson, G. T. (2009). Mind the gap: Improving the dissemination of CBT. Behaviour Research and Therapy, 47(11), 902-909. doi:http://dx.doi.org/10.1016/j.brat.2009.07.003
...ential impediment to postmodern and CBT interventions is practitioner incompetence. Psychological harm to clients is a potential danger of interventions implemented by untrained or inexperienced therapists. Likewise, the attitude and professional maturity of the practitioner are crucial to the value of the therapeutic process. In both approaches, whether taking on the role of teacher or collaborator, the therapist’s stance is one of positive regard, caring, and being with the client. While techniques and therapeutic styles may vary between and within the postmodern and CBT counseling approaches, they both enlist the client’s diligent participation and collaboration throughout the stages of therapy to accomplish positive therapeutic outcomes.
According to Graham (2005), CBT aims to change a patient’s unhealthy behaviour through examining assumptions behind the thought patterns (cognitive restruction) and also through using behaviour therapy techniques. In CBT, therapist and patient work with each other to identify the thoughts that may cause distress, and the therapist employs behavioural therapy techniques to modify the resulting behaviour. It aims to address patients’ certain fundamental core beliefs (schemas) that lead to negative influences on their behaviour and functioning (Rufer et al, 2000).