Cognitive behavioural therapy has been proven to be effective in the treatment of child and adolescent depression (Lewinsohn & Clarke, 1999; Harrington et al, 1998, March et al, 2004). There is general agreement in the clinical literature that the techniques of cognitive behavioural approaches to therapy are likely to be effective in treating depression (Brewin, 1996; Beech, 2000). In the American Psychiatric Association’s Diagnostic & Statistical Manual (APA, 2000) the symptoms of depression are: loss of interest or enjoyment in activities; changing in weight and appetite; changes to sleep pattern; loss of energy; feeling worthless or guilty; suicidal thoughts; poor concentration and being either agitated or slowed up. The …show more content…
Two of these will be described in detail. Behavioural strategy consists of two parts: activity scheduling and graded task assignment. Activity scheduling in CBT for depression is one of the core therapeutic methods. (Beck et al., 1979). The Weekly Activity Schedule (WAS) is an essential tool for activity scheduling. Basically it is a simple timetable with the slot for every hour of every day. The first step in activity scheduling is as a self-monitoring tool starting to use WAS, then the therapist can gather the information about the patient’s activity. The next step would be according to a completed WAS making a plan for the future activity of patient. On the other hand, there is a Graded task assignment as well, which is the best general principle in planning activity. It aims to build up an activity step by step rather than jumping from no activity to being busy all the day at once. Because of depressed patient oversensitivity the therapist have to make sure to make a target which is not going to be a failure for the patient as it may cause a hopelessness again. The common problems in activity scheduling are: lake of pleasure, excessive standards and vague planning. Which the therapist should pay attention to avoid them. Early cognitive strategies: The goals of these strategies are trying to change the patient’s attitude and behaviour toward Negative
In Maslow’s hierarchy of needs there are five levels of desires or basic needs that motivate people described (Fiest & Fiest, 2009, pg. 280). Starting with the most basic needs for survival the levels are physiological, safety, love and belongingness, esteem, and self-actualization (Fiest & Fiest, pg. 280). As one need is met an attempt is made to achieve the next level. If one is able to reach what is known as self-actualization, the highest level, values such as truth, justice, beauty simplicity, individuality, balance, and harmony are usually greatly respected (Fiest & Fiest, pg. 283 and McMinn, 1996). As McMinn points out that these values are extraordinarily like the fruit of the Spirit as described by Paul in Galatians 5:22-23, love, joy, peace, patience, kindness, goodness, gentleness, and self-control. If one has attained
Cognitive behavioral therapy differs in several respects from more traditional forms of therapy. It focuses on two specific elements: cognitive restructuring and behavioral activation. The client and therapist work together in cognitive restructuring with the goal to restructure thinking patterns. In behavioral activation, the client overcomes barriers to participating in activities. The main focus is on the present and on specific problems. cognitive behavioral therapy is a goal oriented and educational therapy, because goals for both the short and longer term are identified and it teaches the client to modify mood en behavior. The client has therefore an active role in learning e.g. coping skills. Multiple strategies are used in cognitive behavioral therapy, like imagenary, role
Cognitive therapy is one of the few theories that have been extensively scientifically tested and found to be highly effective in over 300 clinical trials. It focuses on the immediate or automatic thoughts the client has and how these thoughts affect their feelings and behaviors. The goal of cognitive therapy is to identify these thoughts that are poorly affecting the client. Then teach the client how to identify these automatic thoughts and how they can effectively change them. Through the very structured sessions of cognitive therapy, a client should essentially learn the tools to be their own cognitive therapist for future problems they may encounter. The therapy session will not make them an expert but they will be better prepared to
My personal theoretical orientation to counseling is Cognitive-Behavioral therapy. Cognitive-Behavioral therapy helps the client to uncover and alter distortions of thought or perceptions which may be causing or prolonging psychological distress. The theoretical foundations of CBT are essentially those of the behavioral and cognitive approaches. CBT leads to a clear, persuasive, and evidence-based description of how normal and abnormal behavior develops and changes (Kramer 293). The term “cognitive-behavioral therapy” or CBT is a term for therapies with many similarities. CBT is not used as a cure and often times used to help with anxiety or depression the most, and may be single or in group settings. There are several approaches to this
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
It has gone further to give detailed information on how the theory was developed. It is from its foundation that a therapist is able to design intervention measures using the CBT procedure in helping clients suffering from depression.
Cognitive behavior therapy has become quite popular in use due to the short duration of time that counselors see a positive affect in their patients. This type of therapy doesn’t require as much time; therefore it is more affordable than some of the other types of therapeutics options. “Cognitive behavioral therapy is affective with a wide variety of maladaptive behaviors. There are several forms of cognitive behavioral therapy such as: rational emotive therapy, cognitive therapy, and multimodal therapy” (Dobson and Dozois - Paraphrase).
My preferred theoretical orientation is Cognitive Behavioral Therapy (CBT). The main assumption of CBT is that events and situations in life do not cause emotional problems (e.g., guilt or depression); rather problems are due to irrational beliefs and perceptions about the situations (Corey, 2009). The goals of CBT focus on correcting the client’s automatic and self-defeating thoughts, which should ultimately help them to develop a more adaptive philosophy of life (Corey, 2009). I like that this approach focuses on challenging and changing the client’s cognitive distortions, core beliefs, automatic thoughts, and schemas. Another positive aspect is that this approach focuses on the cognitive triad,
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
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).
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.
The Cognitive Behavior therapy goals for the client will address her negative thinking patterns and core beliefs, and coping skills. The client will become aware how the these patterns contribute to her depression. The first step is to psychoeducation the client about the depression. The client will identity her maldaptive thoughts and beliefs. The client will become aware of her thinking patterns and how to challenge those thoughts. The client will track her ABCs and discuss in session. The client will have to track many moods, abc and changes. The client will become aware of her triggers by keeping track of what her ABC's. The client will report her mood and activity every week during session. The client will changeling her core beliefs
When using Cognitive Therapy all session must be carefully planned and structured to have an impact and efficiency for the client (Seligman & Reichenberg, 2010). During the session the clinician should have formed a positive therapeutic alliance with trust, rapport, and build hope and optimism with the client. Each session of Cognitive Therapy has clear goals with an agenda and should follow a 10 procedure for a session. The 10 procedure for an initial session according to Seligman and Reichenberg (2010) is the
I would choose cognitive therapy. I tend to focus on my thoughts and ideas in my daily life so directing the therapy there I believe would allow for the effect to be long lasting. My only fear is if it gets worse there might not be a way for me to come back. I have also used similar methods on a smaller scale to help myself. Psychoanalysis would have been my second choice, just as a backup.