Compare two psychological approaches to Health and Social care provision. Case Study. Demi Lovato is a well-known actress and singer from the USA. Demi Lovato was diagnosed with bulimia, bipolar and self-harm in 2010. She had struggled with a “really unhealthy relationship with food" since age 8 after suffering bullying, and her self-mutilating behaviour started at age 11 as a means to “cope with her emotions and depression”. Demi attended rehab for these mental health illnesses, and from this is now back on track and has had a very successful career. Approach 1: To help treat Demi’s bipolar and self-harm, the cognitive approach would use talking therapy, where a therapist/counsellor sits with the individual and allows the …show more content…
Therapists use cognitive behaviour therapy to help manage the way you think about yourself or about a certain object, in this case Demi’s bulimia, which in turn will change the way you think and behave. Behavioural therapy looks at the way people act and respond when they are distressed or under pressure. It helps to modify unhelpful behaviours such as avoidance, which may exacerbate the problems or the way the client feels. This usually means gradually facing up to feared and avoided situations e.g. Demi’s self-harm and bulimia. As a consequence, new behaviours to deal with problems and situations are learned. Behavioural approach treats bipolar, self-harm and bulimia by using a therapy called systematic desensitisation, where the client would create a hierarchy where they rank the conditioned stimulus (e.g. food) from least fearful to most fearful. The behavioural approach only focuses on the behaviour of the client rather than the thought or reason why the client has the disorder/illness. The Behaviourist Approach assumes that behaviour is decided for us rather than our free will in terms of the social learning theory, operant conditioning and classical conditioning whereas the cognitive approach assumes that behaviour is determined for us by cognitive/mental processes of which we cannot control including memory. (Dr Laurence Knott. (2014)) Similarities between the two approaches. The similarities between
Demi Lovato is one of the most vocal celebrities about mental illness and awareness. She was diagnosed with bipolar disorder in 2010 after a fight with a band member got physical. Lovato has since been to a treatment center for her illness and has started holding “wellness workshops”, gatherings with the the rehabilitation
Within this model the counselor can employ a wide range of techniques to achieve the behavioural objectives agreed, these include - challenging irrational beliefs, rehearsing different self statements, experimentation of self statements in real situations and systematic desensitization (Mcleod 2008). Behavioural therapist work on changing behaviour and it’s assumed that changes in feeling and thinking will follow.
Labelle, R., Pouliot, L., & Janelle, A. (2015). A systematic review and meta-analysis of cognitive behavioral treatments for suicidal and self-harm behaviors in adolescents. Canadian Psychology/Psychologie Canadienne, 56(4), 368-378.
Behavioural model understands mental dysfunction. Its understood that most behavioural happenings are picked up on by watching others. Therapy aims to reverse this, it is best used on phobias
The goal of therapy is to reduce and control deviant behaviours that cause suicidal thoughts and self-destruction, as well as to focus on the unconscious and underlying meaning behind the disorder. The symptoms that she is experiencing, including, extreme emotions, continuous suicidal thoughts, negative eating habits, and depression can be lessened by professional counselling as it will teach her how to focus on managing emotions by controlling feelings of extreme anger or happiness. The types of therapy that I feel would benefit Diana Miller the most are cognitive-behavioural therapy and dialectical
This case study focuses on Demi Lovato’s eating disorder. Here we study the presenting problem to her disorder, the history, the diagnostic, per DSM-5 and the interventions of the problem.
One type of therapy used is psychotherapy, which “should focus on helping the individual understand the nature and consequences of his disorder so he can be helped to control his behavior” (Black, 2000). Another type of therapy used is cognitive therapy,
(P2) – This approach can be applied in health practice such as a health clinic. For example, if a service user is unsure of how to use a form of contraception, they can seek assistance in a health clinic. A nurse can demonstrate how to use different contraception, so that the service user is able to imitate and learn.
Partnership is when two or more organisations work together, showing cooperation and collaboration. This can provide better care and support for service users. For example, different funds working together, instead of working individually and stressing. Another example, a social worker and the health visitor will need to work together, share ideas and use different skills to develop a support plan that will benefit children and families. This also promotes multi-disciplinary working. Partnership thus can reduce conflicts and enhance team working skills as professionals can work together, sharing responsibilities and ensuring need led approaches are met and set. This can be done by reviewing care plans and offering support.
According to Waltz (2003), Dialectical Behavior Therapy (DBT) focused is on recognizing accepting and moderating emotional responses in clients. Its main goal is to teach the patient skills to cope with stress, regulate emotions and improve relationships with others. DBT is designed for use by people who have urges to harm themselves, such as those who self-injure or who have suicidal thoughts and
There were many factors that led to Demi’s bulimia, the first being her classmates bullying. Lovato recalls classmates calling her “fat.” Hurt by their words Demi wished they would have just physically abused her. Yet, she has memories from as early as being 4 years old where she question her weight. More of them being from age seven where she understood more, and seriously questioned
It can be broken down into its component parts. Cognitive therapy deals with the thoughts behind behaviour, whilst behavioural therapy deals with managing or changing the behaviour itself. The two are most often used as a single therapy but are strategies in their own right. CBT deals with the here and now. (Cherry K 2012). The idea is to get to the point identifying the thought process behind behaviour, rationalising the thoughts and feelings behind the behaviour looking at the realistic outcomes of making changes and practicing the change for instance using role play which then enables the client to change a behaviour the client may be given homework to do keeping a journal to enable the client to look back and see progress. This can be very successful in dealing with phobias for instance if a client is unable to enter a room where there is a picture of a snake. CBT can be used by initially reasoning and rationalising the fear. Then having the client rationalise with them self-i.e. have a conversation similar to the one we all at times have in our head. The client comes to a conclusion realising that being afraid of a picture is totally
Behavioral therapy (BT) is similar to CBT but concentrates on behavioral procedures used to normalize eating habits. The major features are regaining control over eating, establishing a regular pattern of eating, and cessation of
It is important when working with clients that consideration is given to the methods and approaches used with regards to specific client’s needs and personality as well as consideration regarding presenting issues. Here a case study of Jane is used to argue /evaluate and assess how both a psychodynamic counselor and cognitive behavioral therapist (CBT) would view the case study of Jane from their perspectives. Consideration will be given from both a psychodynamic approach and CBT approach of how a therapist might work with Jane. The main similarities and differences of both the psychodynamic and CBT approaches will be analyzed. This will lead into an evaluation of which is the most appropriate approach in working with Jane by
Brandy is a 21-year-old from Oklahoma City, Oklahoma. She is the oldest of four children and her parents have been married for the past twenty-two years. After suffering for the past seven years in silence, Brandy has finally sought out treatment for bulimia nervosa. Brandy is a textbook case of a patient suffering from bulimia. The Diagnostic and Statistical Manual of Mental Disorders (5th ed., DSM-5; American Psychiatric Association, 2013) diagnostic criteria includes: Persisting binge eating episodes, reoccurring behaviors to prevent weight gain, both harmful purging behaviors and binge eating episodes occurring at least once a week for a minimum for three months, evaluating oneself solely or predominantly influenced by one’s body shape and weight, and finally the patient must not exhibit the aforementioned symptoms during an episode of anorexia nervosa. Her difficulty with her weight started in high school with binge eating. Soon after starting to binge eat, she starting purging by forcing herself to puke. The roots of her disorder is in her persistent stress and anxiety as a result of her trying to strive to success.