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Case study of ocd patient
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Cognitive Behavioral Therapy
Alleviation of behavioral and cognitive problems has been a focus of professionals for centuries. Today many of these problems have been dealt with by psychotropic medications, however the lengthy trial and error method and undesirable side effects of medications has encouraged many patients to seek psychotherapy. The most frequently recommended form of psychotherapy today is cognitive-behavioral therapy. To develop a deeper understanding of cognitive behavioral therapy we shall examine behavioral therapy, cognitive therapy, and how these are combined during treatment to give effective and lasting results.
Behavioral Therapy
Behavioral theorists believe that almost all of human behavior is learned and thus can
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Relaxation therapy is a method used by many psychologists to help patients relax during periods of high anxiety such as a panic attack or even during periods of stress or pain. Relaxation exercises help keep the physical symptoms of anxiety under control and in turn help the individual feel more in control, and think more clearly.
Moreover behavioral therapy is used to help patients break out of the cycle of avoidance, as negative reinforcement is key the maintenance of anxiety disorders. Exposure therapy involves exposing a client to an anxiety provoking stimuli enough times to cause desensitization. Usually the therapist will recommend starting off with the lowest anxiety provoking stimuli and work the patient’s way up to the most anxiety provoking stimuli until desensitization is achieved.
There are many types of behavioral therapies including Response Shaping to shape new behaviors, Behavioral Activation to increase overall activity in patients with depression, and many more. Each behavioral therapy is tailored with a specific behavioral goal in mind. Now that we have a clear understanding of behavioral therapy, and a few of the different types of behavioral intervention, we shall examine the cognitive component of Cognitive Behavioral Therapy.
Cognitive
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To illustrate, a case study of a patient with OCD (obsessive compulsive disorder) will be used from the textbook Case Studies in Abnormal Psychology second edition (16-30, Gorenstein & Comer). Obsessive-compulsive disorder is made up of two parts: obsessions and compulsions. Obsessions are unwanted and repetitive thoughts, urges, or images that don’t go away and cause excessive anxiety. Compulsions are meant to reduce the anxiety caused by obsessions. Compulsions may be behaviors like washing, cleaning, or checking. Some compulsions are more cognitive in nature such as counting things or repeating phrases in their mind. Like most psychological disorders there is both a behavioral and cognitive component to
Psychotherapy integration is best explained as an attempt to look beyond and across the dimensions of a single therapy approach, to examine what one can learn from other perspectives, and how one’s client’s can benefit from various ways of administering therapy (Corey, 2013). Research has shown that a variety of treatments are equally effective when administered by therapist who believe in them and client’s that accept them (Corey, 2013). Therefore, one of the best aspects of utilizing an integrative approach is that, in most cases, if a therapist understands how and when to incorporate therapeutic interventions, they usually can’t go wrong. While integrating different approaches can be beneficial for the client, it is also important for the
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),
Shaw, B. F. (1977). Comparison of Cognitive Therapy and Behavior Therapy in the Treatment of Depression. Journal of Consulting and Clinical Psychology, 45(4), 543-551. doi:10.1037/0022-006X.45.4.543
Beck, J. S. (2005). Cognitive therapy for challenging problems: What to do when the basics don't work. New York: Guilford Press
Hollon, S. D. & Beck, A. T. (2004). Cognitive and cognitive behavioral therapies. Bergin And Garfield’S Handbook Of Psychotherapy And Behavior Change, 5 pp. 447--492.
“Cognitive-behavior therapy refers to those approaches inspired by the work of Albert Ellis (1962) and Aaron Beck (1976) that emphasize the need for attitude change to promote and maintain behavior modification” (Nichols, 2013, p.185). A fictitious case study will next be presented in order to describe ways in which cognitive behavioral therapy can be used to treat the family members given their presenting problems.
Cognitive behavioral therapy is an approach used by psychotherapists to deal with emotional and behavioral behaviors. One of the issues associated with this type of therapy is the approach can be used in the treatment of other diseases related to emotional and physical stress. According to...
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).
...t to find a therapist who knows how to do Exposure and Response Prevention therapy. A therapist should be open and friendly towards a patient’s decision about finding help. A patient’s relationship with their therapist is important because they will be disclosing a lot of information to their therapist, some of which may be embarrassing or uncomfortable. (Ocfoundation, 9)
Cognitive behavioral therapy earliest inventors were behaviorist, such as Skinner, Watson, and Pavlov. They’re the ones who led to the advancement for behavioral treatment of mental disorders. Behavioral modification is a technique that uses positive and negative reinforcements to change a particular behavior and reaction to a stimulus. Behavioral therapist only focused on an individual’s behavior not their thoughts. During this era, psychologists applied B.F. Skinner’s radical behaviorism to clinical work. Much of these studies focused on chronic psychiatric disorders, such as autism and psychotic behavior. His methods also focus...
Cognitive Behavioral Therapy appears to be a new treatment, although its roots can be traced to Albert Ellis’s Reason and Emotion in Psychotherapy, published in 1962. Cognitive therapy assumes that thoughts precede actions and false self-beliefs cause negative emotions. It is now known that most depression treatments have cognitive components to them, whether they are recognized or not. In the 1970’s many psychologists began using cognitive components to describe depression. From there, they developed cognitive forms to treat depression with impressive results (Franklin, 2003).
Cognitive behavioral therapy (CBT) is among the most extensively tested psychotherapies for depression. Many studies have confirmed the efficacy of cognitive behavioral therapy (CBT) as a treatment for depression. This paper will provide background information about the intervention, address the target population, and describe program structure and key components. It will also provide examples of program implementation, challenges/barriers to implementing the practice, address how the practice supports recovery from a serious mental illness standpoint and provide a summary. Although there are several types of therapy available to treat depression and other mood disorders, CBT (cognitive behavioral therapy) has been one of the most widely used. It is thought to be very effective in treating depression in adolescents and adults. CBT is targeted to quickly resolve maladaptive thoughts and behaviors without inquiring greatly into why those thoughts and behaviors occur as opposed to other forms of psychotherapy.
Cognitive-behavioral therapy (CBT) is based on the concept that behavior change may be achieved through altering cognitive processes. The assumption underlying the cognitively based therapeutic techniques is that maladaptive cognitive processes lead to maladaptive behaviors and changing these processes can lead to behavior modification. According to Mahoney (1995), an individual's cognitions are viewed as covert behaviors, subject to the same laws of learning as overt behaviors. Since its inception, cognitive-behavior modification has attempted to integrate the clinical concerns of psychodynamic psychotherapists with the technology of behavior therapists (Mahoney, 1995). Cognitive-behaviorists have demonstrated an interrelationship among cognitive processes, environmental events, and behavior, which is conveyed in the context of one's social behavior. Psychotherapists in North America endorse cognitive-behavioral interventions as the second most widely used treatment approach (i.e., with an eclectic approach being endorsed as first) (Bongar & Buetler, 1995).
For example, during relaxation training, the client could be instructed to practice relaxing all the body parts she has learned so far, once a day. The client could also be assigned to use progressive relaxation while feeling anxious at least once before the next session. This continued practice will help reinforce the client’s ability to replace anxiety with relaxation. Overall, the primary focus, or essential component, of systematic desensitization is having the client experience repeated, safe exposure to anxiety-evoking situations that does not result in any negative consequences. However, the facilitative components, gradual exposure and competing responses, are beneficial due to the severity of the client’s phobia (O'Donohue & Fisher, 2009; Spiegler, 2015).
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