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Analysis of a case study cbt
Clinical applications of cognitive behavioral therapy
Analysis of a case study cbt
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When the therapist met the client at home for individual therapy, the client greeted the therapist and she was feeling happy as evidence by reporting that she did all of her weekly plan that she plan it last week such as; visiting her biological parents, playing sports, finishing her homework, and get the dancing party arrangement done by the end of the week. Client reported that her mood did not change during the week as she reported that she was happy all the week. Client reported that the low moment for this week was getting her homework done by the end of Sunday at night as she was happy and enjoyed her time during the weekend, but she felt overwhelmed at the end as she did not finish her homework. Client reported that she was the student …show more content…
Client reported that she is not thinking any more about what happened last week when her biological mother got drunk and started to shout as she was drinking and not aware of what she was doing and cried a lot. Client reported that she was able to use the self distraction and the mindful thoughts to stop the negative thoughts. Client was able to use the here and now concept. When therapist started to facilitate the CBT board game, the client's first answer for the question of "I bothered someone..." was "I laid down in the bed silently, act out this behavior to cover myself and act as if nothing happened and sleep." For the second sentence completion, "In just a matter of luck, this thought is fitting too..." client responded that this sentence reminded her of her friend who is always saying, "I'm going to take it as it is, it takes what it takes." For the third sentence completion, "It was restless..." client reported that this sentence reminds them of school because school work is tiring. For the last sentence completion, "I had a fight with my brother and mom..." client reported that "If it happens to me, I will tell myself that I will learn from the
I personally do not really like this aspect of CBT for few reasons. One of the reasons is that the client may purposely try to fake good or bad. Other times while describing the problem, it could the combination of good and bad. I also believe that even though focusing on both the content and process is not always doable, a balance of both the content and the process is required. For instance, in of the class exercises, Professor Sugar took a role of the client whereas one of the students in the class took a role of the therapist. During this exercise, the student seemed stuck when he paid all the attention to the problem the way that client was describing. I think it is significant because focusing on the content can help give an idea to the therapist of his/her current situation however focusing on the process can give a sense how the problem is internalized in client’s
Jennifer Barr is a female, Caucasian, twenty-year-old college student living in Tallahassee, Florida. Currently, she resides on her own in an apartment, although her mother, father, and brother live locally in their home. Jennifer works as a waitress in a restaurant and is actively enrolled in courses at the college; however, due to recent circumstances, her attendance has declined. Jennifer describes herself as typically having the ability to manage her school responsibilities and as having relatively positive relationships with her professors, co-workers and restaurant manager. She maintains an ongoing relationship with her father, mother, and brother. She describes her relationship with her brother as the closest, her relationship with her mother as intermittently close, although hindered by her father, whom Jennifer has not maintained a close relationship with due to what she perceives as pressure and unrealistic expectations that her father consistently has placed upon her.
Suzie, a new clinician, really wants her clients to know that she cares about them. During therapy, she empathizes with her patients by telling them detailed stories about her personal life. Further, she gave each of them her cell phone number so they could contact her whenever they needed.
While CBT has many advantages, it alone does not encompass all of the concepts I believe are necessary to tackle a client’s needs. Therefore, I draw upon concepts from various theories to assist clients in achieving their goals. Pulling from Reality therapy, a key concept I utilize is focusing on what the client is doing and how to get them to evaluate whether they’re present actions are working for them. CBT does use some form of this in the sense that one must examine and establish their cognitive misconceptions; however, I prefer to extract this concept from Reality therapy because CBT tends to do so by focusing on the past. I am a firm believer that while the past can shape who you are, it does little good to remain focused on it. Focusing on overt behavior, precision in specifying the goals of treatment, development of specific treatment plans, and objective evaluation of therapy outcomes all come from Behavior therapy (Corey, 2013, p. 474). Behavior therapy is highly structured much like that of CBT. By utilizing this aspect of Behavior therapy, I am better able to closely observe where a client is currently and where they are headed. Lastly, I pull from Person-Centered therapy as the final key concept of my counseling approach. PCT focuses on the fact that client’s have the potential to become aware of their problems and resolve them (Corey, 2013). This Person-Centered therapy concept has overlap with CBT as
The client stated that she came to therapy because she has been feeling really lonely and feeling as though that she is not enough since the death of her father. After the death of her father, her mother did not pay her any attention; she understood that her mother was grieving, especially when her grandfather passed a year later. I stated that the frequent death that surrounded her mother, seem to have caused her mother to distance herself from her. She responded “yes, and it even gotten worse when my mom started to date and eventually marry my stepfather”. She mentioned that once her little sister was born, she became jealous and envious. I emphasized with her by stating that she must have felt as though her little sister was going to take the attention that she sought from her mother. After confirming that her mother paid more attention to her sister and stepfather, she mentioned that during this time she began to cut herself in places that no one would notice. The pain did not take the feeling away, but she wanted to know that if she could still feel pain after the thought of losing everything. However, the only person who paid her any attention during this time, was her grandmother. Her grandmother showed her the love that her mother nor “father figure” never showed her. I stated, “the love that your grandmother showed was not the love you were
The therapist must be aware of individual values and beliefs in order to develop an understanding of why the client responds to certain life-stressors. For e...
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 (CBT) can be used to treat people with a wide range of mental health problems. CBT is based on the idea that how we think (cognition), how we feel (emotion) and how we act (behavior) all interact together. Specifically, our thoughts determine our feelings and our behavior. Therefore, negative and unrealistic thoughts can cause us distress and result in problems. When a person suffers with psychological distress, the way in which they interpret situations becomes skewed, which in turn has a negative impact on the actions they take. CBT aims to help people become aware of when they make negative interpretations, and of behavioral patterns which
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).
Furthermore, my goal is to let client fix their problems on their own through insight and guidance from the therapist. I envision a successful therapeutic process being when a client follows their goals and achieves positive outcomes in their lives. I seek to gain a therapeutic process with my clients by building rapport, trust, and helping them gain insight. When my clients are stuck and need motivation, I plan to remind them about their goals and the positive things that will come with change. If family is important to a client, informing the client about their family and their happiness may help motivate them to continue to
I read the client file before I went to meet her. According to her file, she is a singer mother and has a family history of severe depression and she has a 3 year old boy live with her. She asked us to help her to apply a public house. Due to her case that my supervisor and I went to home visit her to get more details about her needs. I thought that would be an easy case to handle it because I have previous knowledge about psychology and mental health. Unfortunately, during the home visit time, she was under depression mood and pushing me to answer her questions rather than answer my prepared questions. My mind was blank and I have no idea how to response and answer her questions at that moment when I realized that situation already off track. Then I have no choice to ask help from my supervisor and let she deal with it. Thus, I failed my first mission in my placement. It is a pity that she is the only one client who has mental illness but I could not help her until I finished my placement in last month. I was thinking why that happened and why I could not use my knowledge to help her. Through my failure case study that I strongly realized that theory is not same as practical experience, and what I learned mental health knowledge is based on the general psychological perspective. I think it will be totally different as what I am studying now.
When asking the clients what happened in the previous week, they may providing too little or too detailed information. If the clients provide too much data, some of the information may not be necessary. In this way, I will interrupt in a proper way and bring the client back on the track. Especially in the cognitive and behavioral therapy which is problem-focused and well structured, too much irrelevant data may interfere with the implantation of
3.) confrontation of a discrepancy between how the counselor experiences the client and how the client experiences self.
Client presents to therapy with depression, frustration and anxiety. Client reports that she feels stuck in her current relationship and that she would like to leave her partner but feels that she can’t because she does not want to lose custody of her daughter. Client reports that recently she has no desire to do anything around the house during the day and doesn’t want to spend time with her partner when he gets home from work. Client reports that she adores her child and feels her child is the “only reason she gets up in the morning”. The client reports that her inability to keep the house
During this time, I gave the client enough time to talk about the problem without interrupting. This time gave me an opportunity to undertake reflective listening through active listening which ac...