Rebt Therapy And Acceptance And Commitment Therapy (Act)

Case Conceptualization

From a theoretical standpoint, I would prefer to structure my effort with Ms. Farber based on REBT Therapy and Acceptance and Commitment Therapy (ACT). The emphasis in REBT is on the acquisition and employment of functional core beliefs that the sessions can be thought of as “training sessions.” It is imperative to change the frame of reference in the Ms. Farber’s perspective. Moreover, this change can create dramatic shifts in her thinking. I hope to highlight the ways that an irrational thought represents a dispute that serves as an opportunity for the client to establish effective coping strategies. Ms. Farber is careless with her financial resources, the poor choices she made, and the consequences of those actions

and choices. The emphasis in ACT is the six core psychological process of change to help clients attain psychological flexibility. This theory utilizes mindfulness and acceptance processes, and commitment and behavior change processes, for the creation of psychological flexibility.

Goals

My goals during our sessions include: 1) developing healthy cognitive patterns and beliefs about self and increase self-esteem; 2) address issues of dependence, helplessness, and hopelessness; 3) decreasing extreme symptoms of depression through improved coping; 4) discuss impulse-control and confront the client for the her decisions to steal money from her employer for personal gain.

I believe it is important to identify specific areas of cognitive distortion and challenge irrational thoughts with reality. Furthermore, I believe Ms. Farber needs to develop appropriate substitute self-statements for irrational ones.

The primary goal of ACT is to help the client find valued-direction in her life by encouraging her to live with fully experiencing her own experiences. Additional goals include creating an acceptance context for depression and to identifying the client’s life goals. Additionally, goals include teaching the client skills designed to build more flexible patterns of behavior when depression arises for her. Finally, goals consist of helping the client connect to value-guided actions in her natural environment and to continue moving in those guidelines notwithstanding the unavoidable depression related

barriers.

Finally, the client ultimately determines the goals. However, I will use my counseling skills to help guide the client toward goals that are achievable and pertinent to the problem and the particular stage of change. The goals are individualized, specific and applicable to the client’s needs and abilities. The client should be able to see how working towards the goal will help to resolve the stated problem. This gives the client a sense of self-esteem and helps them feel they have accomplished something worthwhile toward their treatment. Furthermore, the goals are related to but opposite of the identified problem and are logical outcomes of the interventions. The goals are current, informative, and relevant to addressing the problem. Finally, the goals are stated in measurable terms using action-oriented language to illustrate the direction of change.

Treatment Plan

• After identifying the presenting problems, I would identify goals for treatment. This involves selecting goals related to the Major Depressive Disorder, Binge-Eating Disorder, as time permits, the Impulse-Control and Conduct Disorder that are realistic, specific, and measurable. The goals also need to be appropriate to the client and optimistic to help keep the client motivated. Next, I would identify and develop strategies that will assist in the change process. Furthermore, I will teach new skills, provide relevant information and implement cognitive, emotive, behavioral strategies to help the client to change. Behaviors should be small, discrete, and selected centered on severity, immediacy, centrality and potential for success. As well as a plan for change, a plan for how success will be observed with a behavioral contract with goals and rewards. The implementation stage involves the execution of the plan for the process of change to occur. Another important element of treatment periodically reevaluating the progress of the plan. I will revise the plan for any possible obstacles. It is important to reinforce success to keep the client encouraged with the intent to secure additional success. Finally, the continuation of the treatment process is sustained by ensuring the plan includes prevention for the relapse of the problem.

Treatment Plan Review

• An interdisciplinary team will review the treatment plan at regular intervals throughout the treatment process. The treatment plan is reviewed at all decision points. It is at these meetings that the treatment plan will be adapted to the current needs of the client. Problems, goals, and objectives will change as the client’s condition changes. Finally, this team is where the staff discerns how the client is doing in treatment and what changes need to be made to the plan.