Describe what comprises a comprehensive CBT case study – Evaluate the use of case studies in therapy. Cognitive Behavioural therapy is a based on the fundamental idea that emotions are experienced as a result of our interpretation and appraisals of events (Dryden 2004). Case studies are a method of inquiry used in theory development, education as well as client evaluation. Case studies in CBT therapy help document the therapeutic process for both the client and therapist, as well measures, tests interventions, and evaluates practice for the therapist, and for the client in terms of measuring success or not (McLeod 2010). This essay will describe what comprises a comprehensive CBT case study and concludes by evaluating their use in …show more content…
Common strategies are designed to enhance self-esteem and confidence and build therapeutic momentum as patients gain energy, feel better, and disconfirm negative beliefs. ABC technique help highlight situations that evoke evaluations which in turn provoke emotional and behavioural reactions. Behavioural experiments can be used to check out the validity of predictions and beliefs. Questionnaires, thought records (NAT’s) and mood diaries help increase self awareness and give concrete evidence of improvement, or if there are no changes, treatment can be adapted. Goal setting or activity scheduling all aid practical problem solving and physical interventions can include relaxation techniques, physical exercise and or appraisal of sleeping problems and In vivo exposure entails confronting the patient with the avoided object or situation. The Socratic questioning contains elements of the learning cycle and alerts clients to observe their experiences (observation); develop new understandings of their problems (reflection); synthesise new possibilities and ways forward (planning new experiences). In other words cognitive techniques help the client create insights and possibilities (observation-reflection-planning) which are tested in the field (experience). By linking experience and cognition a more affective behavioural
Cognitive Behavior Therapy (CBT) addresses dysfunctional emotions, maladaptive behaviors, and cognitive processes. This is an effective treatment for patients who are dealing with anxiety and depression. CBT refers to a group of psychotherapies that incorporate techniques from cognitive therapy and behavior therapy. Albert Ellis and Aaron Beck are the two psychologists who came up with therapies. Beck developed the cognitive therapy (CT) that focuses on changing the client’s unrealistic maladaptive beliefs and thoughts in order to change the individual’s behavior and emotional state. To help CT is directive collaboration by help teach the client correct their distorted thinking and perception of self,
CBT also fails to recognise the impact of situations or experiences that are out of the control of the individual and places total responsibility on the individual. Further, research has shown that although CBT is superior in treating anxiety and depression it does so only by reducing/eliminating symptoms and does little to increase well-being, however with a renewed emphasis incorporating symptom reduction and increased quality of life this appears to be changing (Oei & McAlinden,
Cognitive Behavioral Therapy in contrast to many other therapeutic frameworks has both an explicit rationale and an empirically demonstrable success rate. In addition to the wealth of published case histories there are a plethora of controlled studies attesting to the efficacy of CBT interventions with an equally diverse range of psychological and behavioral conditions. (Emmelkamp et al 1992).
Cognitive Behavioral Therapy is the inspired work of Albert Ellis and Aaron Beck which emphasizes the need for attitudinal change to promote and maintain a behavior modification (Nichols, 2010 p. 167). Ellis believed, people contribute to their own psychological problems, as well as specific symptoms, by the rigid and extreme beliefs they hold about events and situations (Cory 2012, p. 291). CBT is based on an educational model with a scientifically supported assumption that most emotional and behavioral responses are learned. Therefore, the goal of therapy is to assist clients unlearn their unwanted behaviors and to learn new ways of behaving and thinking when he/she is faced with an
In this session, Dr. Meichenbaum uses cognitive behavior therapy in a way that integrates the key concepts of cognitive behavior therapy tasks. These key concepts of cognitive behavior therapy include the general quality and nature of the relationship between the therapist and the client, therapeutic alliance, generating empathy and genuineness, a non judgmental approach, an outline that aligns with the cognitive behavior therapy framework, a guided discovery, and the take away piece for the client from the corresponding session. Dr. Meichenbaum emphasizes that cognitive behavior therapy is a sensitive approach and has an intersection between one’s thoughts, feelings,
The dynamics of the client-therapist relationship in cognitive therapy is a collaborative effort. Cognitive therapists elicit patient’s goals at the beginning of treatment. They explain their treatment plan and interventions to help patients understand how they will be able to reach their goals and feel better. At every session, they elicit and help patients solve problems that are of greatest distress. They do so through a structure that seeks to maximize efficiency, learning, and therapeutic change (Robert & Watkins, 2009). Important parts of each session include checking the client’s mood, a connection between sessions, setting an agenda, discussing specific problems and teaching skills in the context of solving these problems, setting of self-help assignments, summary, and feedback (Robert & Watkins, 2009). The status that CBT has with insurers and funding agencies is a result of concrete and measurable goals, goal-focused processes and clear outcomes-based evaluations/results. Therapy is typically conducted in an outpatient setting by trained therapist in cognitive behavioral techniques. Treatment is relatively short in comparison to some other forms of psychotherapy, usually lasting no longer than 16 weeks.
Unlike Person-Centred therapy Cognitive behavioural therapy (CBT) is a scientific model founded in the 1960’s by Aaron Beck. It joins the theories of both Cognitive therapy and behavioural. He noticed that many of his counselling clients had an “Internal dialogue” (Beck, 1979) that was often negative and self-defeating and influenced behaviour. He realised that by working on these internal dialogues and making them positive it could effectively lead to positive changes in the behaviour of the clients. CBT focuses on the images, self-belief and attitudes held by the client and how these things can affect the client’s
Cognitive behavioral therapy (CBT) is a short-term, problem-centered therapy that is used to address psychopathology within the individual (Beck, 1995). This model of therapy is used to address issues of depression, anxiety, eating disorders, relational problems, and drug abuse, and can be utilized when working with individuals, as well as within group and family modalities. The core aspects of this therapy include collaboration and participation by the client, a strong alliance between therapist and client, and an initial focus on current problems and functioning (Beck, 1995). The theory of CBT emphasizes the relationship between the individual’s thoughts feelings and behaviors, which is seen as being the underlying cause of
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).
Jane is a 22 year old single white British female who lives with her parents in a house outside the city. She is heterosexual and has had a boyfriend for seven years. She feels unable to discuss her issues with her boyfriend. Her parents both have mental health issues and Jane does not feel able to talk to her mother about her problems. She has an older brother she has a good relationship who lives with his girlfriend, a four hour drive away.
Today Cognitive behavioral Therapy has been influenced by two major therapeutic approaches: firstly, Behaviorism as developed by Skinner, Pavlov and others in the 1950s and 1960s, where the main research was related to rewards and punishments, or stimuli’ and their response. Second is Cognitive therapy which was introduced or made popular by Beck and Ellis in the 1960s. CBT by definition is a form of treatment that focuses on examining the relationships between thoughts, feelings and behaviors. By exploring the patterns of thinking that lead to negative actions and the beliefs that dictate these thoughts, families can identify and change the patterns in order to
In “Cognitive Behavior Therapy: Basics and Beyond”, Judith Beck (2011), the daughter of Aaron Beck, highlights ten basic principles that all CBT therapists should follow. The
CBT is a structured psychological treatment which identifies that cognition, emotion and behaviour all interact together. Therefore, it can be said that our thoughts determine our feelings and our response. A negative impact of the actions taken by someone when that person suffers from psychological distress caused by how skewed they interpret situations. CBT involves working with a therapist to distinguish thought and behavioural patterns that are either making a client more likely to become depressed, or stopping a client from getting better when experiencing depression. The purpose of CBT is to increase the client’s awareness when negative interpretations are made and when behavioural patterns reinforce distorted thinking. Cognitive therapy helps people to develop alternative ways of thinking and behaving which aim to reduce their psychological
Cognitive-behavioural therapy or CBT is representative of the integration of behavioural therapy and cognitive therapy. It encourages the empowerment of an individual to be able to change how they think (cognitive) and how awareness of particular problematic patterns may impact upon our consequent responses (behaviour) (R ch7). Pivotal to our understanding of such mental health problems from a CBT perspective is Beck’s ‘Cognitive theory of emotion’. It purposes that events and situations are not responsible for emotional responses. Instead it is the ‘meanings’ we attach which reflect the complex interaction between an individual’s history, mood and the context of experience. These