The new patient to the clinic is a 27-year-old Native American female who is a mother of two girls, ages 11 and 8 years old. The patient was referred from her primary care doctor after a routine checkup. The notes in the patients chart forward from the doctor stated that the patient is unable to sleep at night due to recurring nightmares. Which is causing the patient to be very irritable, difficultly concentrating, and having high levels of anxiety. The anxiety is causing the patient to be easily overwhelmed, always worried and feeling hopelessness. Also, the patient is noticing memory gaps which are making her have a lack of mental energy throughout the day.
During our session, we started going over the patient’s history. The patient was raised
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They involve trauma, dealing with interpersonal problems, and difficulty managing emotions. Cognitive Behavioral Therapy (CBT) and the type of CBT that will be used is Dialectical Behavioral Therapy (DBT) will be the best therapies with this patient to treat a comorbid diagnosis of PTSD and BPD to help reduce both symptoms and work to reduce the patient’s depression and anxiety. CBT is a “Short term goal-oriented psychotherapy treatment that takes a hand on practical approach to problem-solving” (Psych Central, 2016). According to Psych Central (2016), the goal for Cognitive Behavioral Therapy is “To change patterns of thinking or behavior that is behind people’s difficulties and to change the way they feel”. Both therapies are the same, but The National Alliance on Mental Illness (2017) states that DBT differs from CBT because it “Emphasizes validation or accepting uncomfortable thoughts, feeling, and behaviors instead of struggling with …show more content…
To observe, describe, and participate in the “What” skills to answer questions. The “How” skills are non-judgmentally, one mindfully, and effectively on how you answer questions. This helps to teach the patient to focus her mind and attention. One way the patient can use this in her daily life would be for an example while she is driving, instead of thinking about everything and begin to worry or overthink and having those turn into negative thoughts. The patient focuses her mind inside the car and what it is she is currently doing. Turning her radio off and focusing on where her hands are at, focus on the road and where she is going. This will help her practice keeping her thoughts in the car (Psych Central,
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,
Dialectical Behavior Therapy (DBT) is a comprehensive cognitive-behavioral treatment developed by Marsha M. Linehan for the treatment of complex, difficult-to-treat mental disorders. Originally, DBT was developed to treat individuals diagnosed with borderline personality disorder (BPD; Carson-Wong, Rizvi, & Steffel, 2013; Scheel, 2000). However, DBT has evolved into a treatment for multi-disordered individuals with BPD. In addition, DBT has been adapted for the treatment of other behavioral disorders involving emotional dysregulation, for example, substance abuse, binge eating, and for settings, such as inpatient and partial hospitalization. Dimeff and Linehan (2001) described five functions
When we look at Cognitive-Behavioral Couple Therapy (CBCT) and Integrative Behavioral Couple Therapy (IBCT), there are some clear similarities and differences. Both of these forms of therapy are relatively new. They are both therapeutic treatments that have been developed from Traditional Behavioral Couple Therapy (TBCT) (Gurman, 2008). Both CBCT and IBCT tend to stress the significance to private occasions.
Cognitive Behavioral Therapy (CBT) is ubiquitous and a proven approach to treatment for a host of diverse psychological difficulties (Wedding & Corsini, 2014). There are copious of acceptable created experiments that show to be highly useful in treating anxiety disorders through GAD Generalized Anxiety Disorder approach (Fawn & Spiegler, 2008). The purpose of this assignment is to expound on the client’s demography and demonstrating concern. The first procedure in this assignment will consist of the required informed consent and the client background information. Thus, a succinct discretion of the theoretical framework of CBT will describe the theoretic framework of CBT therapy expended in this assignment (Wedding & Corsini, 2014; Fawn & Spiegler, 2008). The next steps will adherent on how information regarding the clients past and present is problematic amalgamated to form an evaluation and to construct the client’s treatment. In the midst of assessment or the evaluation process and schema is implemented to create the sessions, examination, and provide feedback throughout each session.
However, you can manage your symptoms and live a very productive life. Most people with PTSD have issues dealing with past feelings and keep them inside. Counseling or Talking to a Therapist is very beneficial in getting better. One of the most effective treatment for PTDS is Cognitive Behavioral therapy or CBT. The two forms of CBT most frequently used are Cognitive Processing Therapy (CPT) and Prolonged Exposure (PE) therapy. The four main parts of CPT are: patients learn about the symptoms of PTSD, they become aware of their thoughts and feelings, they learn skills to help question and challenge their thoughts and understand the changes in your beliefs. There are also four main parts to PE therapy they are: education, breathing, real world practice and talking through the trauma. The most common medication to treat PTSD is a selective serotonin reuptake inhibitor (SSRI) antidepressants. (Cohen, H. (2015). Some alternative treatments are yoga, acupuncture and
The first type of Treatment is called Cognitive behavioral therapy or CBT. Research says that this is the best type of treatment and counseling for anyone diagnosed with PTSD. Cognitive behavioral therapy is used to help the veteran think differently about their thoughts or feelings from the past. The main goal by the therapist is to help the veteran find out what past events or flashbacks correlate with the veteran’s thoughts that make the symptoms of PTSD occur. Many times, the veterans will blame themselves for a decision they made but the therapist will walk them through on how it was not their fault. Cognitive Behavioral therapy can last for three to six months. Although to some people it may seem that CBT might be the best type of treatment, it does not always work. One reason why it might not work is because the therapist may like the experience and education. The therapist may be qualified but sometimes, the therapist may fail at connecting with patient. The connection that is missed by some therapists and patients can simply occur by the therapist not having all the knowledge about all the situations soldiers face when they go to war. Soldiers struggle with their therapy if they feel that the therapist who is helping them does not have the knowledge about the battlefield or the difficulties of war itself. The relationship of the therapist and veteran can also play a major role on the effectiveness of the therapy. Some soldiers may struggle with feeling comfortable with their therapist because they are sensitive and emotional. Sometimes veterans struggle with this therapy if they cannot develop a relationship with their therapist. Another factor that can affect the effectiveness of CBT is the timing. Sometimes three to six months is not enough to show long term effectiveness of the therapy. Another treatment option is exposure therapy.
Mindfulness is another way of meditation. Meditation was used to seek to improve one’s psychological or physical health, or spiritual growth. (Brantley, 2007). The history of Mindfulness comes from Buddhism and his search for enlightenment and a foundation of the four noble truths. The Buddha teaching focus on the four noble truths which consist of knowing suffering exists, there is a cause of suffering, there is cessation of suffering and there is a path that leads to the cessation of suffering. (Van Gordon, 2015). The four noble truths were not only there to represent the Buddha’s experiential understanding of suffering, but also to express the truth (Van Gordon, 2015). Studies of Buddhism and the Four Noble Truths teach us that there is always going to be suffering in our life but to find ways to overcome suffering (Tsering, 2005).
Dialectical Behavior Therapy (DBT) is a comprehensive cognitive-behavioral treatment developed by Marsha M. Linehan for the treatment of complex, difficult-to-treat mental disorders. Originally, DBT was developed to treat individuals diagnosed with borderline personality disorder (BPD; Carson-Wong, Rizvi, & Steffel, 2013; Scheel, 2000). However, DBT has evolved into a treatment for multi-disordered individuals with BPD. In addition, DBT has been adapted for the treatment of other behavioral disorders involving emotional dysregulation, for example, substance abuse, binge eating, and for settings, such as inpatient and partial hospitalization. Dimeff and Linehan (2001) described five functions
CBT is based on the premise that our thinking and beliefs about ourselves, others, our world, and the future has a crucial influence on how we feel. Also, when a person is feeling low in mood they have a sharper recall of memories which are negative in origin. The reciprocity between negative thoughts negative emotions and negative behaviors create a vicious cycle. CBT is problem orientated, active and directive and helps clients by posing specific questions to critically evaluate the source of their distress. Behavioral experiments are set as homework to reality test the validity of client’s irrational beliefs. The two areas usually associated with PTSD are intrusive thoughts/imagery and avoidance of situations which trigger the reaction to previous traumas. CBT for PTSD is designed to desensitize the person to the traumatic event. The cognitive-behavioral model assumes that a person is both the producer and product of her environment; therefore, treatment is aimed at changing a person’s behaviors within her environment. The client recognized her need for counseling after her masked feelings began to come out. Client realized that she needed to get better for her son. Client understood that she didn’t know how to get better on her own. Deeper examination of feelings revealed that client was haunted and traumatized by repressed memories and unresolved feelings from still living in her environment constantly getting
Dialectical Behavior Therapy is a Third Wave Therapy created by Marsha Linehan in the 1970’s. It comes from a Cognitive Behavioral perspective. In High School she wanted to become a psychiatrist and work with the most mentally disturbed patients. She realized, however, that there weren’t a lot of effective treatments for these patients. She then decided to earn a PhD in experiential personality psychology (Prochaska & Norcross 2014 p. ).
Dogs are known as a man’s best friend. They are loyal companions that most people love to have around and enjoy their time with. Unfortunately, there are others who cannot enjoy this companionship because of the intense fear and anxious behavior connected to having a specific phobia. (Rosenberg & Kosslyn, 2014, page 182) Specific phobia is defined as an “anxiety disorder characterized by excessive or unreasonable anxiety about or fear related to a specific situation or object.”(182) It is crucial for those suffering to seek out professional help and treatment to overcome their fears and not feel restricted by them. This paper will argue that my patient, Princess Sophia, was suffering from cynophobia, the fear of dogs. I explored different cognitive-behavior therapy (CBT) treatments and used the best form of treatment called systematic desensitization. It was effective and the best path to take when dealing with specific phobias.
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).
The most frequently utilised evidence based psychotherapy intervention is Cognitive Behavioural Therapy (CBT; Beck, 1995). CBT is a goal-orientated intervention strategy, derived from learning theory with principles of cognitive theory (Arch & Craske, 2009). The efficacy of CBT, for a wide range of psychological concerns, is demonstrated extensively in the literature. CBT’s empirical validation has made it a well-accepted choice for psychotherapists seeking evidence-based approaches (Dobson & Dobson, 2009; Granvold, 2011). Therefore, this essay will evaluate a CBT counselling session with a client who presents with a fear of flying. The essay will critically evaluate the advanced micro-skills of challenging, reflection of meaning, and influencing, and how these skills influence the process of therapy. The essay will further utilise Hill’s (2004) Helping Skills Model to evaluate these advanced micro-skills within the stages of exploration, insight, and action, which is based on cognitive behavioural techniques.
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