Cognitive Interventions Essay example

2315 Words Feb 14th, 2013 10 Pages
Cognitive Interventions
Dialectical Behavior Therapy
BSHS/311

Introduction

Cognitive behavior therapy includes many types of therapy and can be applied in a variety of circumstances. Dialectical behavior therapy (DBT) is most commonly known for use on clients with borderline personality disorder (BPD). However, DBT is becoming more popular and often used when working with adolescents. Some adolescents participate in nonsuicidal self-injury (NSSI). Counselors find DBT is an effective therapy to help youth acquire the coping skills needed to stop NSSI. A review of DBT, and adolescents suffering with NSSI will better help one to understand why this technique is beneficial. NonSuicidal Self-Injury

NSSI is defined
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The goal for the counselor is to show an understanding of the self-harming behavior while conveying acceptance and validating the adolescents thoughts and actions (Choate, 2012). The counselor shows acceptance; however, the goal is to create change. Although the counselor balances acceptance and change, the counselor continually challenges the client to alter any negative behavior hindering one's life quality. Ultimately the thought is that acceptance and validation will facilitate self-change while change will facilitate self-acceptance. If the adolescent is reluctant to change the harmful behavior, the counselor may spend more sessions building trust and showing validation before attempting change. Additionally, a client may find it difficult to trust the counselor is the client believes the counselor will report NSSI episodes to the adolescents parents. A balance must be created between client trust, parental rights, and confidentiality. With a proper balance allowing the youth comfort, yet abiding by regulations, an adolescent will be able to build the relationship required to develop change (Choate, 2012). Assessments should be conducted during the initial interviews with the client. These initial evaluations are either conducted informally with an interview or formally with a structured interview and self-report tool. The DBT model allows the counselor to integrate assessment results into four DBT target treatment areas.
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