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Cognitive behavioral therapy example
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Introduction
The aim of this assignment is to analyse and review a video that simulates an assessment interview, in a critique and elaborate way using the items of the CTS-R. The video intends to simulate a first session of cognitive behavioural therapy (CBT).
Cognitive Behavioural Therapy, or CBT, is a structured and short-time psychological intervention that focuses on the clients’ current problems (Kinsella and Garland, 2008). Cognition and behaviour form the focus of CBT assessment and intervention (Williams and Garland, 2002). The treatment is collaborative, structured, and goal-oriented. CBT also employs a strong emphasis on relapse prevention (Primary Psychiatry, 2006), considering that it gives clients self-management skills that they
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The video that this critical analysis refers to represents an assessment interview and is the first contact between client and practitioner (Kinsella and Garland, 2008). In CBT, the assessment intends to obtain specific information on the client’s current problems (Hughes, Herron, and Younge, 2014), including understanding the client’s own characteristics which contribute to their difficulties (Grant et al., 2008). An accurate and complete assessment is crucial to make an effective CBT intervention (Kinsella and Garland, 2008).
As observed on the video, on the first session, after the introductions are completed, the therapist explained the intention of that session to the client (Hughes, Herron, and Younge, 2014). The first purpose of assessment consists in collaboratively creating a detailed formulation of the client’s present problems (Goss, Rossi, and Moretti, 2010). The second purpose of the assessment interview is to allow the therapist to assess whether the client is suitable for the treatment that the therapist offers. If the client is suitable for treatment, the session also intends to explain of what treatment it consists and what it involves, and finally to obtain an informed consent (Whitfield and Davidson,
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As stated previously, the video shows an interview assessment of CBT. The client, Mariam Sunni, was referred via letter by her general practitioner for symptoms of anxiety. Mariam is a woman around 30 years of age, married, with 2 kids, suffering from an anxiety disorder for the last 2 years.
Anxiety is a typical reaction to stress and it develops into a disabling disorder when becomes excessive, irrational, and persistent on every daily life situations (National Institute of Mental Health, 2016). Epidemiological studies indicate that anxiety disorders are the most prevalent class of mental disorders (Hofmann and Smits, 2008). The anxious person frequently produces negative predictions of the future and is certain that something dangerous will happen any time and they will not know how to deal with it. Consequently, when the person experiences anxiety develops a range of unhelpful behaviours to manage the perceptions of danger (Kinsella and Garland,
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
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
Cognitive Behavioral Therapy (CBT) is a hands-on form of psychotherapy that is empirically based, which focuses on the interrelationship between emotions, behaviors, and thoughts. Through CBT, patients are able to identify their distorted thinking and modify their beliefs in order to change their behaviors. Once a patient changes their distorted thinking, they are able to think in a more positive and realistic manner. Overall, CBT focuses on consistent problem solving strategies and changing negative thought distortions and negative behavior. There are different types of CBT, which share common elements. Trauma Focused Cognitive Behavioral Therapy is a kind of CBT, which falls under the umbrella of CBT.
Cognitive behavioral therapy (CBT) is a short-term, goal-oriented therapy treatment that takes a hands-on, approach to problem-solving. The core foundation of this treatment approach, as pioneered by Beck (1970) and Ellis (1962),
Even though conceptualization may develop along the time, the lack of a firm formulation from the first session is often a factor for delayed results (Curwen, Ruddell, and Palmer, 2000). As perceived on the video, using the Five Areas Model the therapist offers a useful way of accounting for the maintenance of the client’s anxiety (Williams and Garland, 2002). A discussion of the formulation with the client should had occurred more elaborately, as this is a very important step to promote the client in engaging in the therapeutic process (Dobson and Dobson, 2009). At the end of the video session, the therapist gives a summary of the problem currently being experienced using the Five Areas Model (Williams and Garland, 2002), however, this could have been done with more detail. As a formulation is hypothetical and based on a theory, the therapist should have asked for the client’s feedback on the formulation (Butler, Fennell, and Hackmann, 2008). In the first session, the therapist should have educated the client about her diagnosis, explaining the cognitive model. As viewed on the assessment session video, the therapist elicits expectation of the treatment and most important, instils hope by setting specific goals with the client on the first session (Primary Psychiatry,
CBT has been known to cure a variety of disorders both in clinical environments and non-clinical environments. This type of therapy technique has been tested for efficacy and has proven to be highly effective. Furthermore, the future for CBT looks very positive as well. Researchers and theorist are now working on making this type of therapy available for suicide prevention, schizophrenia, and other psychopathologies.
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).
...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.
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
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...
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.
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
Moreover, an assessment is a more in-depth line of questioning of the client that goes in to the client’s background such as childhood experiences, social life and psychological health; the assessment can also go into a series of testing. Additionally, the assessment is also used to determine a diagnosis of the client (Substance Abuse Counselor, n.d.). Many times clients with substance abuse problems do have psychological issues.
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...
Cognitive-behavioural therapy, or as it is commonly referred throughout literature CBT is an integration of Ellis’ (1996) Rational Emotive Behaviour Therapy (REBT) and Becks’ Cognitive Therapy (1976). CBT regards a variety of interventions that share the same basic assumption that mental disorders and psychological distress are sustained by cognitive factors. The central idea of this psychotherapy approach is that maladaptive cognitions contribute to the maintenance of emotional distress and consequently behavioural problems (Beck, 1970; Eliis, 1962). We, as humans, gather information in our brain in certain patterns or schemas that contain general knowledge about that world and the person themselves and these schemas are used to interpret, select and reduce