Statement of the Presenting Concern: Participant is a 49 year old black male who is currently receiving treatment at Healthcare Alternative Systems Residential Program. Participant was referred to the program through TASC as an alternative to going to prison for theft. Participant was divorced six months ago and has no children from this marriage. He has two adult children from a previous marriage. Participant is currently on parole and probation. Participant will return to Kankakee to live with his daughter after his discharge from the program. Participant has an extensive substance abuse background which began at the age of 13. Participant has received services for his addictions in the past; however the programs were within the Illinois …show more content…
CBT is a time- sensitive, structured, present oriented psychotherapy (Beck Institute, 2016). CBT is directed at helping clients change their unhelpful thinking and behavior through various techniques. The participant has failed to recognize that his irrational thoughts, (feeling singled out because of his race and health issues) are preventing him from fully functioning causing him to become depressed. He is also struggling to shift his focus from his negative interactions with the staff and residents in treatment and this leads to feelings of anger. The benefits of Cognitive Behavior Therapy include learning coping skills to relieve depression by producing changes in cognition, reducing anxiety, improving self-esteem and confidence, and reducing addictive behaviors and substance abuse (Keller, M.B., 2001). CBT involves techniques such as completing homework assignments between sessions, daily mood logs and journaling. The daily logs helped him monitor his triggers, negative thoughts and emotions. The goal was for him to be mindful of his feelings as he experienced them, write them down and process his thoughts at a later …show more content…
During our session, I asked the participant a series of questions that focused on his goals and how he planned to obtain them. Some of the questions included “what do you want”, “what are you doing to get it”, “is it working”, and “what are your plans”. The participant appeared more enthused when discussing his goals and planning for the future. He was able to refrain from complaining and blaming and come to the realization that he would reach his goal by making the effort to evaluate his goals and create a plan that can be adjusted when
Regarding Cognitive Behavior Therapy x 50 sessions, CA MTUS Chronic Pain Medical Treatment Guidelines state that behavioral modifications are recommended for appropriately identified patients during treatment for chronic pain, to address psychological and cognitive function, and address co-morbid mood disorders (such as depression, anxiety, panic disorder, and posttraumatic stress disorder). In addition, CA MTUS Chronic Pain Medical Treatment Guidelines state that with evidence of objective functional improvement, a total of up to 6-10 visits. In addition, ODG states that Up to 13-20 visits over 7-20 weeks (individual sessions), if progress is being made and in cases of severe Major Depression or PTSD up to 50 sessions if progress is being made. In this case, the patient has received psychological treatment and psychotherapy since 2000. There is no documentation of the number sessions of psychotherapy completed to date. It is noted that the patient received 8 sessions of psychotherapy in 2015. The guidelines state that the provider
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).
Cognitive Behavioural Therapy (CBT) is recommended by the NICE guidelines as an effective treatment for many mental health problems, specifically depression and all of the anxiety disorders.
Cognitive Behavioural Therapy (CBT) is a combination of two kinds of therapy; cognitive therapy and behavioural therapy (Bush, 2005). It has been shown to have a positive impact on a wide range of mood and anxiety disorders, such as depression, insomnia and panic attacks as well as more recently psychosis (schizophrenia).
Cognitive behavior therapy also referred to as CBT is one of the most practiced forums of evidence-based therapy used today. CBT approaches in therapy have demonstrated a high degree of success rates in treatment. CBT is known for treating anxiety, alcohol and substance abuse, and depression among many other difficulties one might experience (Padesky, 2012). Cognitive behavioral therapy maintains the belief that what people believe holds significant value. A person’s belief has a strong influence on how the person feels and acts upon those feelings (Corey, 2017). Around the mid-1970’s therapists started emphasizing the interaction between behavioral, affective, and cognitive dimensions which led to the
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
151). Along with this I began working with a counselor practicing cognitive behavioral therapy, or CBT. Empirical data has shown that cognitive-behavioral therapy interventions are the psychosocial treatments of choice for people of all ages (Beidel, Bulik, & Stanley, 2012, p. 153). CBT has been perhaps the most influential part of my new outlook on life. These methods are what taught me that although I am not personally responsible for these mental health issues I am responsible for the ways I react to them. CBT has presented me with many valuable coping skills in the face of difficulty or distressing
The main theory that has largely influenced my clinical work at my current practicum site is cognitive behavior therapy (CBT). CBT asserts it is an individual’s thoughts and behaviors that directs the individual, so in this case my job would be to help the my client (individual) to find his or her thought that is driving his or her action(s). CBT is a fine dance; it may seem simple, identify the thought and replace the thought with a healthier thought. CBT is quite contrary to being simple, the techniques and timing is a fine juggling and balance act. To elaborate further, after a client has identified his or her thought that has been driving his or her action, they would need to restructure certain things in the their life that will
During the assessment, Monica reported anxiety regarding not being able to manage interpersonal conflict, possibly being dismissed from school and displaying inappropriate anger toward others. Monica recognizes there are some things she must work on, but is unable to make the connection as to how her cultural beliefs have impacted how she responds to others. In her earlier years of high school, she presented signs of inappropriate anger and frantic fears of abandonment, but she was encouraged to internalize her feelings and not to discuss them with anyone. Also, she learned early on in life that strong women handle their emotions and do not display outward signs of weakness. The previous trauma of being in a household that dismissed her feelings losing her mother to cancer and dealing with an absent father reinforced her feelings of abandonment, fear and inadequacy. Observational learning consists of learning and reproducing the behavior in the expectation that the person will receive
Cognitive Behavioral Therapy is a unique therapy in the sense that its brief therapy and the progress can be monitored and statistically shown. CBT is widely implemented because of effectiveness and ability to work in partnership with other programs and practices such as Dialectical Behavioral Therapy, Health Realization, and Mindfulness. CBT identifies core beliefs and challenges its validity allowing the client a new perspective that results in a new way of thinking. The main tool is the objective observation of thoughts. Realistic perception of thoughts encourage clients to move from resentment to acceptance. This skill allows for clients to manage their thinking, become more aware and in charge of their behaviors with more of an understanding
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).
CBT helps the individual suffering from depression learn how to change their negative thinking and behavioral patterns and teaches the individual how to change
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).
The event does not cause the disturbance, the disturbance is caused by how one views the event. One will think that if they could change the event, their feelings will change and they will feel better. They believe this and only this could solve their problems (Corey G, 2005). They feel removing the negative event will help them achieve pleasurable stimulation. CBT has six phases: Assessment or psychological assessment; Reconceptualization; Skills acquisition; Skills consolidation and application training; Generalization and maintenance; Post-treatment assessment follow-up (Gatchel & Rollings, 2008). According to a 2004 review by INSERM, cognitive behavioral therapy proved or presumed to be an effective treatment of many mental disorders. According to the study, those mental disorders included but were not limited to; anorexia, schizophrenia, personality disorders depression, panic disorder, alcohol dependency, anxiety disorders, bulimia, bipolar disorder and post-traumatic stress (Centre, 2000). CBT notes that changing the way of thinking will result in a change in behavior. Nowadays more emphasis has been put on changing the thinking to maladaptive thinking instead of changing the thinking by itself. Therapists use CBT techniques to make individuals become self-aware and to challenge their way of thinking. They challenge them to be more open and aware