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Case study example of trauma focused cognitive behavioral therapy
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Based on Rachael’s symptoms one type of treatment she should engage herself in is Trauma Focused Cognitive Behavioral Therapy (TFCBT). TFCBT focuses on reducing symptoms of children who have significant emotional. (Dahl, 2015). This type of treatment would be helpful for Rachael because she can learn cognitive coping skills to deal with her traumatic past, such as she can also have someone to express her feelings to because holding them is not good for her.
Cognitive-Behavioral Family Therapy (CBT) emphasizes on modifying parent’s behavior and improving communication skills. According to Nichols (2013), “Consequences that accelerate behavior are reinforcers; those that decelerate behavior are punishers” (p. 186). For example, Gladys’ behavior will be regulated by using reinforcements or punishment.
... J. (2011) “Cognitive behavior therapy enables client and therapist to work on cycles of thought and behavior that perpetuate low mood” (Pp. 1). Finally, the Trauma Focused Cognitive Behavior Therapy will aid the family to understand the traumatizing stress they have endured. According to Cohen & Mannarino (2008) “Children may develop different problems in response to traumatic exposure” (Pp. 1).
The present session depicted in the video is Kelly’s third CPT session, where the goal is to identify thoughts and feelings through the use of an A-B-C worksheet while discussing “stuck points” and addressing self-blame issues (Resick, Monson, & Chard, 2014). The clinician notices Kelly expressing slight anxiety and engages her in a deep breathing exercise to help her relax. In the first session, the clinician educated Kelly on PTSD and her presenting symptoms; this was then revisited again in the present session (08:16). An “impact statement” was also assigned in the previous session, and Kelly was asked to present this aloud (10:49). The verbalization of the statement in a safe environment helps the client process their thoughts differently
There can be some potential barriers when using TF-CBT. Therapists have to take into consideration that when having the session with the child and the parent, the parent may have experienced sexual abuse as well as a child, and this may open up some past wounds that have not been resolved (Foster, 2014). Foster (2014) also states there is a risk that a child and/or family may want to drop out due to the dynamics of the family, the severity of the symptoms of the child, the stress of the parent, whether or not if the parent believes in counseling, or if the child’s symptoms get worse before they get better and the parent takes them out of therapy.
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
Goldfried, M.R., Burckell, L.A., & Eubanks-Carter, C. (2003). Therapist self-disclosure in cognitive-behavior therapy. Journal of Clinical Psychology, Special Issue: In Session, 59(5), 555-568.
Family-focused therapy will be necessary to address the environmental influences that shaped her while she was a child, particularly the rules imposed on her by her parents. It will improve her relationship and communication with her parents. However, it would be a better option to start with interpersonal and social rhythm first. That way, she would establish a schedule that could improve her sleep, cognition, and social relationships. Since this is not the first time this kind of behavior has occurred in her life, she needs to sort it out before starting family-focused therapy.
Initially, TFCBT was developed to treat sexually abused children, where parents play a key role in the treatment process (How to Implement Trauma-Focused Cognitive Behavioral Therapy, 2004). This form of psychotherapy focuses on a patient’s emotional and psychological difficulties due to trauma. Specifically, TFCBT is used ...
But most of the time, counseling and therapy are the primary methods of healing since RAD is a disorder regarding relationships. By consulting a counselor or therapist, the child is being opened up to the possibility of trusting and forming a relationship with another being. Human interaction is seen as one of the best possible treatments. Medications are only used in extreme cases to help with things such as anger management or sleeping issues (Bhandari, 2016). Overall, with enough relationship development and therapy, it is possible for a person to be cured, just like Helen Keller was, once she developed trust in a relationship with Anne.
The Clinical Application of Cognitive-Behavioral Therapy. 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).
Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is one of the most commonly utilized interventions for children (Cary & McMillen, 2011). TF-CBT is a highly structured intervention consisting of 90-minute weekly sessions. The clinician works with the client through eight competencies, including psychoeducation, relaxation, affective expression and regulation, cognitive coping, trauma narrative development and processing, gradual exposure, joint parent/child sessions, and enhancing future development (Cary & McMillen, 2011). TF-CBT has an extensive history and many variations. Clinicians utilize a number of other cognitive behavior treatments that have been adapted to meet the needs of traumatized children (Cary, & McMillen, 2012; Smith et al., 2007). While there are a number of cognitive behavior treatments, TF-CBT has received the highest classification rating for supported and effective treatment from many studies (Cary, & McMillen, 2012; Kauffman Best Practices Project, 2004).
There are several domains that must be considered when treating a survivor of child abuse: the need for safety and trust, sense of belonging, protection from perceived or actual threats, facing the defendant in court, prevention of revictimization, and empowerment (Sawyer & Judd, 2012). Davis, 2005, states that “children terrorized through sexual abuse, neglect, physical abuse, or wartime atrocities may suffer from lasting wounds, nightmares, depression, and troubled adolescence involving substance abuse, binge eating, or aggression.” Victims of child abuse need to regain their sense of control over their lives. Experiencing healthy relationships, being nurtured by adults and helping them to learn resilience are all interventions that have been well-documented (Sawyer & Judd, 2...
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-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.
This essay aims to critically evaluate one therapeutic intervention in psychology, named, Cognitive Behavioural Therapy (CBT). It begins with defining CBT and discussing the underlying principles and concepts of this approach. Some examples of treating psychological disorders by employing a CBT approach in children and adolescents will be made and then, It will move on to discuss the advantages and disadvantages of this therapeutic intervention. The review will be finished by a conclusion regarding employing such approach.