Alcohol Behavioral Couple Therapy ( Abct )

Cognitive-behavioral therapy is considered among the most rapid in terms of results obtained. The average number of sessions clients receive is only about 16. CBT is structured, directive, and time-limited in that clients are helped to understand at the very beginning of the therapy process that there will be a point when the formal therapy will end. The ending of the formal therapy is a decision made by the therapist and client. Therefore, CBT is not an open-ended, never-ending process.

My role as the clinician is quite important. The primary task is to engage the client in identifying cognitive errors, refuting them, and replacing them with more adaptive thoughts. A sound therapeutic relationship is necessary for effective therapy, but not the focus of the therapy. Many forms of other counseling believe that the main reason people get better in therapy is because of the positive relationship between the therapist and client. Cognitive-behavioral therapists believe it is important to have a good, trusting relationship, but I know that is not nearly enough. We believe that the clients change because they learn how to think differently and they act on that learning. Therefore, CBT tries and focuses on teaching rational self-counseling skills. CBT is the teamwork that exists between the therapist and the client. This form of therapy is used to seek ways of learning what their clients want out of life and then helping their clients achieve those goals. The therapist's role is to listen, teach, and encourage, while the client's roles is to express concerns, learn, and implement that learning (Pucci1).

The 12-step program used by Alcoholics Anonymous is a well-known treatment method that’s used for many types of addiction, not just alcohol. Alcoholics are encouraged to “work” the 12-steps. The first step involves admitting the powerlessness over alcohol. The second step has the alcoholic believe that there is some type of a greater power working that will help aide the alcoholic to reach sobriety, as well as maintain is once reached. This step is an example of the religious influence on the 12-step recovery process.

Jacobs, E. E., Masson, R. L., Harvill, R. L., & Schimmel, C. J. (2012). Group counseling: Strategies and skills (7th ed.). Belmont, CA: Brooks/Cole.

In 1935, a fellowship by the name of Alcoholics Anonymous (AA) originated as an effort to develop a method for understanding the complexities of and recovering from alcohol abuse and addiction (Clinton & Scalise, 2013; Hester &Miller, 2003). AA is a non-professional spiritual organization of men and women who gather to share their experiences with alcohol abuse/addiction, to convey hope and strength to overcome alcohol dependence, and help others in the recovery process (Clinton & Scalise, 2013).

They both have a “positive view of human nature and view the individual as not necessarily being a product of their past experiences, but acknowledge that they are able to determine their own futures” (Holder, 2013). They both attempt to improve their client’s wellbeing by implementing a two-way therapeutic relationship where both client and therapist collaborate to enable the clients coping mechanisms (Holder, 2013). CBT and PCT both instil the three core conditions of empathy, unconditional positive regard and congruence but in CBT it is used mainly in the establishing of the working alliance (Holder, 2013). In both methods, the relationship between client and therapist is congruent and they both use the skills of reflection, paraphrasing and

There are millions of people who have and who are suffering from alcoholism. For those seeking help with their addiction, Alcoholics Anonymous (AA) may be the right for them. While this program is not promised to be a cure, and the authors of this program does not promise full recovery, it provides an atmosphere where members can be honest about their dependency on alcohol. Furthermore, AA provides support from other alcoholics, and rewards for meeting certain sobriety anniversary dates. This paper explores the history and major developments of AA. Furthermore, this paper explains the structure of meetings, and the roles the leader and members play during meetings. This paper also touches on AA’s definition of success and how it handles members who relapse. Additionally, this paper explains this student’s experiences of two AA meetings she attended, which include what she learned from attending the meetings, and what she learned from the people she met at the meetings.

One of the most effective components of MFT is Cognitive Behavioral Family Therapy (CBFT). CBFT incorporates cognitive processes that affect behavior and applies it to the therapeutic process of clients. The foundational principles of CBFT stem from behavioral concepts that were impacted by issues that affected clients such as phobias, anxiety and parenting deficiencies; studying how clients fortify or maintain certain behavioral symptoms and patterns (Gehart, 2014). CBFT was founded in 2005 when Frank Dattilio (adopting concepts from traditional cognitive therapy) introduced a cognitive-based approach to assist in the therapeutic process when dealing with couples and families (Dattilio, 2005; Epstein & Baucom, 2005).

CBT is defined as a form of mental health based counseling, focusing on errors of cognition and perception. It usually involves a limited number of individual outpatient sessions (Park et al., 2013). This form of therapy, “helps you become aware of inaccurate or negative thinking, so you can view challenging situations more clearly and respond to them in a more effective way,” (“Cognitive behavioral therapy”, 2014, para. 1).

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

In addition, it is impossible to generalize the structure of the therapeutic alliance because it will depend on the goals and tasks of the therapy. All therapists have different methods for achieving different goals, so the course of development of the therapeutic alliance will vary. For example, in classical psychoanalysis, the patient needs to say anything that comes to mind without filtering the undesirable thought. On the other hand, cognitive behavioral therapy (CBT) requires time and effort, so the client can slowly face the problem and replace the dysfunctional behavior or cognition pattern, with a reasonable behavior or cognition pattern. The difference in requirements from the patients will influence the course of development of the therapeutic alliance, but all approaches rely on a reliable therapeutic alliance created from the beginning of the therapeutic process.

The main goal of CBT is to help individuals and families cope with their problems by changing their maladaptive thinking and behavior patterns and improve their moods (Blackburn et al, 1981). Intervention is driven by working hypotheses (formulations) developed jointly by patient, his/her family and therapist from the assessment information. Change is brought about by a variety of possible interventions, including the practice of new behaviors, analysis of faulty thinking patterns, and learning more adaptive and rational self-talk skills. (Hawton, Salkovskis, Kirk, and Clark, 1989).

Physicians have several options for treating alcohol use disorders. Behavioral therapy can help alcoholics recognize and avoid high-risk situations, and referral to programs that provide peer support, such as Alcoholics Anonymous, can increase a person’s chance of recovery. Therapists can also prescribe medications that decrease the appeal of alcohol. Studies show disulfiram, acamprosate and naltrexone help most people abstain from alcohol. Disulfiram causes unpleasant side effects such as sweating, nausea, headache, vomiting and chest pain when patients consume alcohol. The severity of the effects differs among patients, and is correlated with the amount of alcohol consumed. Naltrexone inhibits euphoric effects or feelings of intoxication

CBT is an integrated approach using various combinations of cognitive and behavioral modification interventions and techniques (Myers, 2005). The aim is to change maladaptive patterns of thinking and behaving that impact clients in the present (Weiten et al., 2009). From a cognitive behavioral perspective Jane would be diagnosed as having faulty thinking and dysfunctional behavioral issues suffering from depression, and anxiety in the form of Agoraphobia (Weiten et al., 2009).